Liying Yang, Yiming Liang, Qi Huang, Yuancheng Wu, Ziqi Guan, Kang Ju, Xiaohua Bian, Juzhe Xi
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引用次数: 0
Abstract
Background: Prior research on rumination and resilience in trauma contexts has primarily utilized traditional statistical methods, single-sample designs, and community-based participants. As a result, symptom-level interaction patterns and network structures across varying risk levels remain unclear. This study aims to address these limitations by comparing the network structures of rumination and resilience among adolescents exposed to a public health crisis, both with and without PTSD.
Methods: A total of 1,273 adolescents (mean age = 13.84 years, 50.4% female) from post-COVID-19 China participated. Using the PTSD Checklist-Civilian Version (PCL-C), 229 were identified with PTSD, and 1,044 were classified as non-PTSD. Network analysis was employed to identify key interactions and central nodes between rumination and resilience in both groups.
Results: Positive cognition and goal concentration consistently emerged as central bridge nodes of resilience in both groups. Reflection showed a positive association with resilience in the non-PTSD group but demonstrated inconsistent links with resilience factors among the PTSD group. In contrast, brooding predominantly displayed negative associations with resilience, suggesting maladaptive cognitive patterns. Notably, reflection-related connections differed between groups: adolescents with PTSD had stronger links with emotional regulation and goal concentration, whereas those without PTSD exhibited stronger connections with emotional regulation and positive cognition.
Conclusion: Positive cognition and emotional regulation were identified as key resilience factors. Reflection appeared adaptive in non-PTSD adolescents, whereas brooding was maladaptive across both groups. Among adolescents with PTSD, both rumination patterns disrupted cognitive-emotional regulation, indicating that interventions should focus on restructuring maladaptive cognitive patterns and preventing negative cognition.
期刊介绍：
The International Journal of Social Psychiatry, established in 1954, is a leading publication dedicated to the field of social psychiatry. It serves as a platform for the exchange of research findings and discussions on the influence of social, environmental, and cultural factors on mental health and well-being. The journal is particularly relevant to psychiatrists and multidisciplinary professionals globally who are interested in understanding the broader context of psychiatric disorders and their impact on individuals and communities.
Social psychiatry, as a discipline, focuses on the origins and outcomes of mental health issues within a social framework, recognizing the interplay between societal structures and individual mental health. The journal draws connections with related fields such as social anthropology, cultural psychiatry, and sociology, and is influenced by the latest developments in these areas.
The journal also places a special emphasis on fast-track publication for brief communications, ensuring that timely and significant research can be disseminated quickly. Additionally, it strives to reflect its international readership by publishing state-of-the-art reviews from various regions around the world, showcasing the diverse practices and perspectives within the psychiatric disciplines. This approach not only contributes to the scientific understanding of social psychiatry but also supports the global exchange of knowledge and best practices in mental health care.
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