调查老年人创伤后应激症状、创伤后评估和社会支持之间的联系。

IF 2.4 3区 医学 Q2 PSYCHIATRY
Rebecca R Suzuki, Leslie Hasche, Tejas Srinivas, Kerry Gagnon, Anne P DePrince
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引用次数: 0

摘要

研究已经确定了创伤后评估对各种创伤类型、人群和发育时期创伤后应激症状(PTSS)发展的重要性。考虑到这大量的证据,对老年人创伤后评估的研究明显缺乏。随着老年人虐待和虐待率的增长,ptsd的发病率预计也会上升,这表明迫切需要确定在这一独特的发展时期与ptsd的发展和维持相关的因素。本研究扩展了先前的研究,在控制其他已知的预测ptsd的因素(包括恐惧评估、社会支持和累积虐待)的情况下,探讨异化评估是否与ptsd呈正相关。在社区老年人便利样本(N = 99)中,多元线性回归显示,在控制了累积虐待(60岁前后)、经济剥削、恐惧评估和社会支持后,疏离感评估与ptsd显著相关,β = 0.34, p = 0.002, R2 = 0.51。我们的研究结果表明,与早期发育时期的研究一致,即使考虑到其他因素,如社会支持,这些因素在老年人中尤为重要,异化评估也与ptsd显著相关。讨论了影响、限制和未来的发展方向。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Investigating links between posttraumatic stress symptoms, posttrauma appraisals, and social support in older adults.

Research has established the importance of posttrauma appraisals to the development of posttraumatic stress symptoms (PTSS) across a variety of trauma types, populations, and developmental periods. Considering this large body of evidence, there is a notable lack of research on posttrauma appraisals in older adulthood. As rates of elder abuse and maltreatment grow, rates of PTSS are also expected to rise, signaling an urgent need to pinpoint the factors associated with the development and maintenance of PTSS during this unique developmental period. This study extends previous research by exploring whether alienation appraisals were positively associated with PTSS when controlling for other factors known to predict PTSS, including fear appraisals, social support, and cumulative maltreatment. In a convenience sample of community-dwelling older adults (N = 99), multiple linear regression revealed that alienation appraisals were significantly associated with PTSS, β = .34, p = .002, after controlling for cumulative maltreatment (before and after 60 years of age), financial exploitation, fear appraisals, and social support, R2 = .51. Our findings suggest that consistent with research from earlier developmental periods, alienation appraisals are significantly associated with PTSS in older adults even when accounting for other factors, such as social support, that are known to be particularly important in old age. Implications, limitations, and future directions are discussed.

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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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