在无意义中寻找意义。斯特拉斯堡圣诞市场袭击受害者的创伤后成长和创伤后应激障碍与叙事意义建构有何关系

IF 3.7 2区医学 Q1 PSYCHIATRY

Journal of psychiatric research Pub Date : 2025-04-22 DOI:10.1016/j.jpsychires.2025.04.037

Amaury C. Mengin , Pierre Orselli , Floriane Lalaus , Julie Rolling , Pierre Vidailhet , Fabrice Berna

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引用次数: 0

摘要

创伤性事件可能会深刻地改变一个人对自己、他人和世界的看法。创伤事件后寻找意义可能对心理调整和创伤后成长具有决定性作用。目的探讨恐怖袭击后个体的叙事意义制造与创伤后成长和创伤后应激障碍的关系。方法：我们招募了2018年12月斯特拉斯堡圣诞市场袭击事件的参与者。参与者叙述了三种记忆：他们对恐怖袭击的经历（TAM）和两种自我定义记忆（SDMs）。每个叙述都是根据意义构建来评估的。计算一个总意义分数来表示三个记忆中累积的意义。分别采用创伤后成长量表（PTGI）和DSM-5创伤后检查表（PCL-5）评估创伤后成长和创伤后应激障碍。结果36名参与者参加了这项研究，记录了108段记忆。创伤后成长与TAMs的意义形成相关(Pr(意义>；无意义)= 0.993)，与总意义评分(Pr (β >；0) = 0.998)；而PTSD则不是(Pr，意思是>；无意义)分别= 0.941和= 0.618)。在多变量分析中，tam的意义生成(Pr (meaning >；无意义)= 0.984)和意义总分(Pr(意义>；无意义)= 0.976)仍然与创伤后生长有关。结论突发性生活事件后的一般意义生成能力可能有助于创伤后成长的出现。我们的发现提出了新的方向，强调创伤治疗的意义创造。

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Finding meaning in the meaningless. How narrative meaning-making relates to post-traumatic growth and post-traumatic stress disorder in victims of the Strasbourg Christmas market attack

Background

Traumatic events may deeply modify one's views on oneself, others and the world. Finding meaning after traumatic events may be determinant to psychological adjustment and post-traumatic growth.

Objectives

Our study aims at investigating the association of narrative meaning-making with post-traumatic growth and post-traumatic stress disorder among individuals exposed to a terrorist attack.

Methods

We recruited participants exposed to December 2018 Strasbourg Christmas market attack. The participants narrated three memories: their experience of the terrorist attack (TAM) and two self-defining memories (SDMs). Each narrative was assessed in terms of meaning-making. A total meaning score was calculated to express the cumulated presence of meaning in the three memories. Post-traumatic growth and PTSD were assessed by the Post-traumatic Growth Inventory (PTGI) and the Post-traumatic Checklist for DSM-5 (PCL-5), respectively.

Results

Thirty-six participants took part to the study and 108 memories were recorded. Post-traumatic growth was relevantly associated with meaning-making for TAMs (Pr (meaning > no meaning) = 0.993) and with the total meaning score (Pr (β > 0) = 0.998); while PTSD was not (Pr (meaning > no meaning) = 0.941 and = 0.618, respectively). In multivariate analyses, both meaning-making for TAMs (Pr (meaning > no meaning) = 0.984) and the total meaning score (Pr (meaning > no meaning) = 0.976) remained associated with post-traumatic growth.

Conclusions

A general meaning-making ability after striking life-events may contribute to the emergence of post-traumatic growth after a traumatic event. Our findings suggest new directions emphasizing on meaning-making in trauma-focused therapies.

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来源期刊

Journal of psychiatric research 医学-精神病学

CiteScore

7.30

自引率

2.10%

发文量

622

审稿时长

130 days

期刊介绍： Founded in 1961 to report on the latest work in psychiatry and cognate disciplines, the Journal of Psychiatric Research is dedicated to innovative and timely studies of four important areas of research: (1) clinical studies of all disciplines relating to psychiatric illness, as well as normal human behaviour, including biochemical, physiological, genetic, environmental, social, psychological and epidemiological factors; (2) basic studies pertaining to psychiatry in such fields as neuropsychopharmacology, neuroendocrinology, electrophysiology, genetics, experimental psychology and epidemiology; (3) the growing application of clinical laboratory techniques in psychiatry, including imagery and spectroscopy of the brain, molecular biology and computer sciences;