Peng Cheng, Lirong Wang, Ying Zhou, Wenjing Ma, Weihui Li
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引用次数: 0
摘要
背景：尽管人们普遍认为心理复原力和社会支持都能有效缓解创伤事件个体的创伤后精神症状，但一直缺乏对它们对不同创伤后精神症状干预效果的比较分析。此外，以往的研究大多未能控制不同创伤事件可能造成的混杂效应。目的：我们采用新颖的网络分析方法，在控制创伤事件混杂效应的前提下，研究了心理复原力和社会支持对创伤后精神症状的不同调节作用：我们招募了 264 名经历过相同创伤事件的一线救援人员。方法：我们招募了 264 名经历过相同创伤事件的一线救援人员，采用量化边缘权重和桥接预期影响（BEI）来比较心理复原力和社会支持的缓解效果：我们的研究在一线救援人员样本中发现了不同的相关性：社会支持与心身症状有更多的负相关，尤其是抑郁网络中的疲劳和创伤后应激障碍（PTSD）网络中的睡眠障碍，而心理复原力显示的此类相关性较少。使用 BEI 进行的定量分析表明，心理复原力能更有效地抑制抑郁和焦虑症状网络，而社会支持则能更显著地抑制创伤后应激障碍症状网络：本研究首次尝试在控制创伤事件混杂影响的情况下，研究心理复原力和社会支持对现实世界中紧急救援人员创伤后结果的不同影响。我们的研究结果可作为未来精确有效的创伤后心理干预的理论参考。
Exploring the differential effects of psychological resilience and social support in mitigating post-traumatic psychiatric symptoms: real-world network analysis of front-line rescuers.
Background: Although both psychological resilience and social support are widely believed to be effective in alleviating post-traumatic psychiatric symptoms in individuals with traumatic events, there has been a lack of comparative analysis of their intervention effects on different post-traumatic psychiatric symptoms. Furthermore, previous studies have mostly failed to control for potential confounding effects caused by different traumatic events.
Aims: We used the novel network analysis approach to examine the differential moderating effects of psychological resilience and social support on post-traumatic psychiatric symptoms, controlling for the confounding effects of traumatic events.
Method: We recruited 264 front-line rescuers who experienced the same traumatic event. Quantified edge weights and bridge expected influence (BEI) were applied to compare the alleviating effects of psychological resilience and social support.
Results: Our study revealed distinct correlations in a sample of front-line rescuers: social support negatively correlates more with psychosomatic symptoms, notably fatigue in depressive networks and sleep disturbance in post-traumatic stress disorder (PTSD) networks, whereas psychological resilience shows fewer such correlations. Quantitative analysis using BEI indicated that psychological resilience more effectively suppresses depressive and anxiety symptom networks, whereas social support more significantly inhibits PTSD symptom networks.
Conclusions: The current study represents the first attempt to examine the differential effects of psychological resilience and social support on post-traumatic outcomes in real-world emergency rescuers, controlling for the confounding effect of traumatic events. Our results can act as the theoretical reference for future precise and efficient post-trauma psychological interventions.
期刊介绍：
Announcing the launch of BJPsych Open, an exciting new open access online journal for the publication of all methodologically sound research in all fields of psychiatry and disciplines related to mental health. BJPsych Open will maintain the highest scientific, peer review, and ethical standards of the BJPsych, ensure rapid publication for authors whilst sharing research with no cost to the reader in the spirit of maximising dissemination and public engagement. Cascade submission from BJPsych to BJPsych Open is a new option for authors whose first priority is rapid online publication with the prestigious BJPsych brand. Authors will also retain copyright to their works under a creative commons license.
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