自我同情、自我冷漠和社会支持及其与大规模恐怖袭击后抑郁、焦虑和创伤后应激障碍症状的关系:一项前瞻性研究

IF 4.2 2区 医学 Q1 PSYCHIATRY
Efrat Barel, Lubna Tannous-Haddad, Orna Tzischinsky
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引用次数: 0

摘要

背景:2023年10月7日,以色列遭受大规模恐怖袭击,1400名平民被杀害,240人被绑架。最近的研究表明,在袭击发生后,抑郁、焦虑和创伤后症状有所增加。在创伤领域,有研究表明,虽然有些人在经历创伤事件后容易出现精神病理,但大多数人都不会。目的:在本前瞻性研究中,我们探讨了内部资源(自我同情和自我冷淡)和外部资源(社会支持)对大规模恐怖袭击后平民抑郁、焦虑和创伤后症状的贡献。方法:共250例受试者,其中女性126例(50.4%),男性124例(49.6%);156名犹太人(62.4%)和94名阿拉伯人(37.6%),年龄21-60岁(M = 41.7, SD = 10.63),分别在2023年9月(袭击前3-4周)和2024年2 - 3月(袭击后19-20周)两个时间点完成问卷调查。采用多维感知社会支持量表(MSPSS)、自我同情简易量表(SCS-SF)、抑郁、焦虑和压力量表-21 (DASS-21)和国际创伤问卷(ITQ)对参与者进行评估。结果:自我同情和社会支持与抑郁、焦虑呈负相关,自我冷漠与抑郁、焦虑呈正相关。此外,自我冷淡对心理病理结果的预测有独特的贡献,包括创伤后应激障碍的威胁感症状群,超出了已知的风险因素。结论:我们的研究突出了自我冷淡作为平民在恐怖袭击后的脆弱性因素的作用。在为直接或间接遭受创伤的人建立干预和预防项目时,将自我同情的不同方面视为治疗目标是很重要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Self-compassion, self-coldness, and social support and their relationship with depression, anxiety, and PTSD symptoms following a massive terror attack: a prospective study.

Background: On 7 October 2023, Israel suffered a massive deadly terror attack with 1400 civilians murdered and 240 kidnapped. Recent studies have documented an increase in depression, anxiety, and posttraumatic symptoms in the aftermath of the attack. In the area of trauma, it has been shown that while some individuals are vulnerable to developing psychopathology following exposure to a traumatic event, the majority are not.Objective: In the present prospective study, we examined the contributions of internal (self-compassion and self-coldness) and external (social support) resources to depression, anxiety, and posttraumatic symptoms among civilians following a massive terror attack.Method: A total of 250 participants - 126 females (50.4%) and 124 males (49.6%); 156 Jews (62.4%) and 94 Arabs (37.6%) - aged 21-60 (M  = 41.7, SD = 10.63) completed questionnaires at two time points: T1 was in September 2023 (3-4 weeks before the attack) and T2 was in February-March 2024 (19-20 weeks after the attack). Participants were assessed using the Multidimensional Scale of Perceived Social Support (MSPSS), Self-Compassion Scale - Short Form (SCS-SF), Depression, Anxiety, and Stress Scale-21 Items (DASS-21), and International Trauma Questionnaire (ITQ).Results: Self-compassion and social support were negatively associated with depression and anxiety, while self-coldness was positively associated with depression and anxiety. In addition, self-coldness uniquely contributed to the prediction of psychopathological outcomes, including the sense of threat symptoms cluster of posttraumatic stress disorder, beyond known risk factors.Conclusions: Our study highlights the role of self-coldness as a vulnerability factor for civilians following a terror attack. It is important to view the distinct facets of self-compassion as a therapeutic target when building both intervention and prevention programs for people exposed directly and indirectly to trauma.

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来源期刊
CiteScore
7.60
自引率
12.00%
发文量
153
审稿时长
18 weeks
期刊介绍: The European Journal of Psychotraumatology (EJPT) is a peer-reviewed open access interdisciplinary journal owned by the European Society of Traumatic Stress Studies (ESTSS). The European Journal of Psychotraumatology (EJPT) aims to engage scholars, clinicians and researchers in the vital issues of how to understand, prevent and treat the consequences of stress and trauma, including but not limited to, posttraumatic stress disorder (PTSD), depressive disorders, substance abuse, burnout, and neurobiological or physical consequences, using the latest research or clinical experience in these areas. The journal shares ESTSS’ mission to advance and disseminate scientific knowledge about traumatic stress. Papers may address individual events, repeated or chronic (complex) trauma, large scale disasters, or violence. Being open access, the European Journal of Psychotraumatology is also evidence of ESTSS’ stand on free accessibility of research publications to a wider community via the web. The European Journal of Psychotraumatology seeks to attract contributions from academics and practitioners from diverse professional backgrounds, including, but not restricted to, those in mental health, social sciences, and health and welfare services. Contributions from outside Europe are welcome. The journal welcomes original basic and clinical research articles that consolidate and expand the theoretical and professional basis of the field of traumatic stress; Review articles including meta-analyses; short communications presenting new ideas or early-stage promising research; study protocols that describe proposed or ongoing research; case reports examining a single individual or event in a real‑life context; clinical practice papers sharing experience from the clinic; letters to the Editor debating articles already published in the Journal; inaugural Lectures; conference abstracts and book reviews. Both quantitative and qualitative research is welcome.
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