Relationship between complex posttraumatic stress disorder symptoms and posttraumatic growth among adolescents and emerging adults with adverse childhood experiences.

IF 2.7 2区 心理学 Q2 PSYCHIATRY
Liying Zhang, Xinchun Wu, Mingxiao Liu, Aiyi Liu
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Abstract

Objective: We aimed to investigate the relationship between complex posttraumatic stress disorder (CPTSD) symptoms and posttraumatic growth (PTG) among adolescents and emerging adults with adverse childhood experiences.

Method: A total of 4,581 adolescents and 4,335 emerging adults with adverse childhood experiences completed questionnaires. Network analysis was used to investigate the relationship between CPTSD symptoms and PTG from a variable-centered perspective. Latent profile analysis was used to investigate this relationship from a person-centered perspective.

Results: Positive and negative correlations between various dimensions of CPTSD symptoms (especially disturbances in self-organization symptoms) and PTG were found by network analysis. The correlations between posttraumatic stress disorder/disturbances in self-organization symptoms and PTG differed in the two samples. PTG2 (spiritual-existential change) had the highest bridge expected influence value among the two samples. PTG1 (appreciation of life) and PTG4 (relation to others) had the lowest bridge expected influence among adolescents and emerging adults, respectively. By latent profile analysis, five subgroups of CPTSD symptoms and PTG (low reaction group, low disorder-moderate growth group, low disorder-high growth group, coexistence group, and high disorder-low growth group) were identified in the two samples, with different proportions.

Conclusions: There were negative and positive correlations between various dimensions of CPTSD symptoms and PTG, which might reflect the constructive (appreciation of life among adolescents; relation to others among emerging adults) and illusory (spiritual-existential change) components of PTG. CPTSD symptoms and PTG exhibited heterogeneous characteristics. The relationship between CPTSD symptoms and PTG differed between adolescents and emerging adults with adverse childhood experiences. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

儿童期不良经历的青少年和初成人中复杂创伤后应激障碍症状与创伤后成长的关系
目的:探讨有不良童年经历的青少年和初成人的复杂创伤后应激障碍(CPTSD)症状与创伤后成长(PTG)的关系。方法:对4,581名青少年和4,335名有不良童年经历的初成人进行问卷调查。采用网络分析从变量中心的角度探讨CPTSD症状与PTG的关系。从以人为本的角度出发,使用潜在剖面分析来研究这种关系。结果:网络分析发现CPTSD各维度症状(尤其是自组织症状障碍)与PTG呈正相关和负相关。创伤后应激障碍/自组织症状障碍与PTG之间的相关性在两个样本中有所不同。PTG2(精神-存在变化)在两个样本中具有最高的桥梁期望影响值。PTG1(对生活的欣赏)和PTG4(与他人的关系)分别在青少年和初成人中具有最低的桥梁预期影响。通过潜伏剖面分析,在两个样本中发现5个不同比例的CPTSD症状和PTG亚组(低反应组、低障碍-中等生长组、低障碍-高生长组、共存组、高障碍-低生长组)。结论:CPTSD各维度症状与PTG均存在正相关和负相关,可能反映了青少年建设性生活态度的变化;新兴成人与他人的关系)和PTG的幻觉(精神存在变化)成分。CPTSD症状和PTG表现出异质性特征。青少年和有不良童年经历的初成人之间的CPTSD症状与PTG的关系存在差异。(PsycInfo Database Record (c) 2025 APA,版权所有)。
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来源期刊
CiteScore
11.20
自引率
3.20%
发文量
427
期刊介绍: Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence
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