震后急性应激障碍患者创伤周围解离与焦虑水平、感知应激、焦虑敏感性及应对地震应激的关系

IF 0.9 4区 医学 Q4 PSYCHIATRY
Kerim Uğur, Fatma Kartal, Burak Mete, Lut Tamam, Mehmet Emin Demirkol
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引用次数: 2

摘要

目的:探讨焦虑敏感性、焦虑水平、应激感知及应对策略对震后急性应激障碍(ASD)患者创伤后解离的影响。方法:采用社会人口学资料表、贝克焦虑指数(BAI)、感知压力量表(PSS)、焦虑敏感性指数-3 (ASI-3)、应对地震压力量表和创伤后解离量表(PDEQ)对477例ASD患者进行分析。结果:焦虑敏感性认知维度解释创伤周围溶解发展变异的31.5%,焦虑解释7%,感知压力解释1%。创伤周围溶解与焦虑呈中度正相关,创伤周围溶解与感知压力呈弱正相关,创伤周围溶解与积极思考呈弱正相关,创伤周围溶解与寻求社会支持呈极弱负相关。创伤后溶解与焦虑敏感性的物理、认知和社会维度之间存在中度正相关。结论:本研究最重要的发现是焦虑敏感性的认知子维度对创伤周围溶解的发展贡献最大。这可能表明,具有高焦虑敏感性的个体可能会经历更高的创伤周围溶解,这些个体可能会在以后有更高的PTSD风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Relationship Between Peritraumatic Dissociation and Anxiety Level, Perceived Stress, Anxiety Sensitivity and Coping with Earthquake Stress in Post-Earthquake Acute Stress Disorder Patients.

Objective: The present study aims to determine the effects of anxiety sensitivity, anxiety level, perceived stress and coping strategies on peritraumatic dissociation in post-earthquake acute stress disorder (ASD) patients.

Method: Sociodemographic data form, Beck Anxiety Index (BAI), Perceived Stress Scale (PSS), Anxiety Sensitivity Index-3 (ASI-3), Coping with Earthquake Stress Scale, and Peritraumatic Dissociation Scale (PDEQ) were applied to 477 patients diagnosed with ASD.

Results: Anxiety sensitivity cognitive sub-dimension explained 31.5%, anxiety explained 7%, and perceived stress explained 1% of the variation in peritraumatic dissolution development. A moderate positive correlation was determined between peritraumatic dissolution and anxiety, a weak positive correlation was found between peritraumatic dissolution and perceived stress, a weak positive correlation was determined between peritraumatic dissolution and positive thinking, and a very weak negative correlation was determined between peritraumatic dissolution and seeking social support. A moderate positive correlation was determined between peritraumatic dissolution and physical, cognitive and social sub-dimensions of anxiety sensitivity.

Conclusion: The most important finding in the study was the fact that the highest contribution to the development of peritraumatic dissolution was by the cognitive sub-dimension of anxiety sensitivity. It could be suggested that individuals with high anxiety sensitivity may experience higher peritraumatic dissolution and these individuals could have a higher risk of PTSD later on.

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来源期刊
CiteScore
1.30
自引率
11.10%
发文量
15
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