创伤后应激障碍症状、生活满意度和幸福感比较之间的关联:纵向调查。

IF 2.4 3区 医学 Q2 PSYCHIATRY
Pascal Schlechter, Thole H. Hoppen, Nexhmedin Morina
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引用次数: 0

摘要

许多人在遭遇潜在创伤事件后会出现创伤后应激障碍(PTSD)症状。研究表明,创伤事件的幸存者经常将其当前的幸福感与不同的标准进行比较;然而,有关比较思维在幸福感中的作用的知识仅限于少数横断面研究。因此,我们研究了遭受创伤事件的个体在厌恶性幸福比较(即威胁自我动机的比较)、创伤后应激障碍症状和生活满意度之间的时间关联。有创伤史的参与者(N = 518)在相隔 3 个月的评估点完成了创伤后应激障碍症状和生活满意度的测量,以及幸福感比较标准量表(CSS-W)。CSS-W 评估与幸福感相关的厌恶性社会、时间、反事实和基于标准的比较的频率、感知差异和情感影响。所有参与者都表示在过去三周内进行过厌恶性幸福比较。比较频率是创伤后应激障碍症状的重要预测因素,β = .24,超过了创伤后应激障碍症状的基线严重程度。生活满意度通过预测比较频率(β = -.18)、差异(β = -.24)和情感影响(β = .20)对比较过程产生了独特的影响。研究结果表明,频繁的厌恶性比较可能会导致人们持续关注幸福的消极方面,从而加重创伤后应激障碍症状,研究结果还进一步表明,比较频率、差异和情感影响会受到生活满意度的显著影响。综上所述,这些研究结果支持了对比较思维在临床人群中的作用进行彻底研究的必要性,这最终可能有助于改善临床护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Associations among posttraumatic stress disorder symptoms, life satisfaction, and well-being comparisons: A longitudinal investigation

Associations among posttraumatic stress disorder symptoms, life satisfaction, and well-being comparisons: A longitudinal investigation

Many individuals who encounter potentially traumatic events go on to develop symptoms of posttraumatic stress disorder (PTSD). Research suggests that survivors of traumatic events frequently compare their current well-being to different standards; yet, knowledge regarding the role of comparative thinking in well-being is limited to a few cross-sectional studies. We therefore examined the temporal associations among aversive well-being comparisons (i.e., comparisons threatening self-motives), PTSD symptoms, and life satisfaction in individuals exposed to traumatic events. Participants (N = 518) with a trauma history completed measures of PTSD symptoms and life satisfaction, as well as the Comparison Standards Scale for Well-being (CSS-W), at assessment points 3 months apart. The CSS-W assesses the frequency, perceived discrepancy, and affective impact of aversive social, temporal, counterfactual, and criteria-based comparisons related to well-being. All participants reported having engaged in aversive well-being comparisons during the last 3 weeks. Comparison frequency emerged as a significant predictor of PTSD symptoms, β = .24, beyond baseline PTSD symptom severity. Life satisfaction contributed unique variance to the comparison process by predicting comparison frequency, β = −.18; discrepancy, β = −.24; and affective impact, β = .20. The findings suggest that frequent aversive comparisons may lead to a persistent focus on negative aspects of well-being, thereby exacerbating PTSD symptoms, and further indicate that comparison frequency, discrepancy, and affective impact are significantly influenced by life satisfaction. Taken together, the findings support the need for a thorough examination of the role of comparative thinking in clinical populations, which may ultimately help improve clinical care.

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来源期刊
CiteScore
5.80
自引率
6.10%
发文量
125
期刊介绍: Journal of Traumatic Stress (JTS) is published for the International Society for Traumatic Stress Studies. Journal of Traumatic Stress , the official publication for the International Society for Traumatic Stress Studies, is an interdisciplinary forum for the publication of peer-reviewed original papers on biopsychosocial aspects of trauma. Papers focus on theoretical formulations, research, treatment, prevention education/training, and legal and policy concerns. Journal of Traumatic Stress serves as a primary reference for professionals who study and treat people exposed to highly stressful and traumatic events (directly or through their occupational roles), such as war, disaster, accident, violence or abuse (criminal or familial), hostage-taking, or life-threatening illness. The journal publishes original articles, brief reports, review papers, commentaries, and, from time to time, special issues devoted to a single topic.
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