灾害暴露儿童和青少年创伤后应激障碍情绪麻木症状的项目分析

IF 3.6
Gen Li, Li Wang, Chengqi Cao, Ruojiao Fang, Chen Chen, Xue Qiao, Haibo Yang, Brian J Hall, Jon D Elhai
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引用次数: 2

摘要

本研究旨在探讨积极和消极情绪麻木在PTSD症状学和相关功能障碍中的作用。14465名亲身经历过2008年汶川地震(中国四川省)的中国儿童和青少年参加了这项研究。情绪麻木和其他创伤后应激障碍症状由加州大学洛杉矶分校儿童创伤后应激障碍反应指数评估。功能障碍采用儿童生活质量量表4.0通用核心量表进行测量。项目反应理论(IRT)分析表明,积极情绪和消极情绪的麻木都表现出可接受的项目反应特征;积极情绪麻木有更好的辨别力。小组比较显示,与没有情绪麻木症状的参与者相比,报告积极和消极情绪麻木的参与者患创伤后应激障碍、最严重的创伤后应激障碍症状和功能障碍的风险最高。只报告积极情绪的麻木有中等效果,而只报告消极情绪的麻木效果较小。研究结果揭示了情绪麻木模式、创伤后应激症状和生活质量受损之间的联系,并表明在未来的PTSD研究中,需要进一步的研究来探索儿童和青少年的普遍情绪麻木。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An Item-Based Analysis of PTSD Emotional Numbing Symptoms in Disaster-Exposed Children and Adolescents.

This study was designed to investigate the roles of numbing of positive and negative emotions in PTSD symptomology and related functional impairments. 14,465 Chinese children and adolescents who personally experienced the 2008 Wenchuan earthquake (in Sichuan province, China) took part in the study. Emotional numbing and other PTSD symptoms were assessed by the University of California-Los Angeles PTSD Reaction Index for Children. Functional impairment was measured by the Pediatric Quality of Life Inventory 4.0 Generic Core Scales. Item response theory (IRT) analysis showed that both numbing of positive and negative emotions demonstrated acceptable item response characteristics; numbing of positive emotions had better discrimination. Group comparisons revealed that participants who reported numbing of both positive and negative emotions had the highest risk of developing PTSD, most severe PTSD symptoms and functional impairments, with large effect sizes when compared with participants with no emotional numbing symptoms. Reporting only numbing of positive emotions had moderate effects, and reporting only numbing of negative emotions had smaller effects. The results revealed associations between emotional numbing patterns, posttraumatic stress symptoms and impairments in quality of life, and suggests that additional research is needed to explore generalized emotional numbing in children and adolescents in future PTSD research.

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来源期刊
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期刊介绍: Research on Child and Adolescent Psychopathology brings together the latest innovative research that advances knowledge of psychopathology from infancy through adolescence. The journal publishes studies that have a strong theoretical framework and use a diversity of methods, with an emphasis on empirical studies of the major forms of psychopathology found in childhood disorders (e.g., disruptive behavior disorders, depression, anxiety, and autism spectrum disorder). Studies focus on the epidemiology, etiology, assessment, treatment, prognosis, and developmental course of these forms of psychopathology. Studies highlighting risk and protective factors; the ecology and correlates of children''s emotional, social, and behavior problems; and advances in prevention and treatment are featured. Research on Child and Adolescent Psychopathology is the official journal of the International Society for Research in Child and Adolescent Psychopathology (ISRCAP), a multidisciplinary scientific society.
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