创伤相关羞耻感的变化能否预测创伤后应激障碍症状的变化?

IF 2.7 2区 心理学 Q2 PSYCHIATRY
Jayme Matloub Lepak, Xiaonan Zhang, Peter P Grau, Chad T Wetterneck
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引用次数: 0

摘要

目的:创伤相关羞耻感(TR-shame)与创伤后应激障碍(PTSD)症状有关。然而,关于创伤后应激障碍治疗中创伤相关羞耻感的作用,研究结果并不一致。本研究的目的是探讨创伤后应激障碍症状在治疗过程中的变化是否与创伤后应激障碍羞耻感的变化有关:方法:在部分住院治疗项目中接受创伤后应激障碍治疗的 462 名成人样本完成了测量创伤后应激障碍羞耻感(即创伤相关羞耻感量表;TRSI)和创伤后应激障碍症状(PTSD Checklist for DSM-5;PCL-5)的调查问卷。通过结构方程建模法估算了潜增长曲线模型,以检验 TRSI 的变化率是否能预测 PCL-5 的变化率。此外,还估算了一个潜在回归模型,以预测 PCL-5 的截距和斜率:结果:PCL-5 和 TRSI 线性模型的拟合结果均可接受,且线性斜率均显著。PCL-5 评分从入院到出院平均降低了 22.18 分,而 TRSI 评分从入院到出院平均降低了 21.9 分。潜曲线回归模型的结果表明,TRSI 的线性斜率和截距分别预测了 PCL-5 的线性斜率和截距。此外,事后分析表明,TRSI截距和线性斜率可解释出院时PCL-5各因子的差异,差异范围为18.6%至34.9%:本研究结果表明,TR-羞耻感的变化率可以预测创伤后应激障碍症状的变化率。鉴于TR-羞耻感对创伤后应激障碍症状的负面影响,TR-羞耻感应成为创伤后应激障碍的治疗目标。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Does change in trauma-related shame predict change in PTSD symptomatology?

Objective: Trauma-related shame (TR-shame) is associated with Posttraumatic Stress Disorder (PTSD) symptoms. However, research findings are inconsistent regarding the role of TR-shame in PTSD treatment. The purpose of this study was to examine if change in TR-shame predicted change in PTSD symptoms in treatment.

Method: A sample of 462 adults who received PTSD treatment at a Partial Hospitalization Program completed questionnaires measuring TR-shame (i.e., Trauma-Related Shame Inventory; TRSI) and PTSD symptoms (PTSD Checklist for DSM-5; PCL-5). Latent growth curve models were estimated to examine if the rate of change in TRSI predicted the rate of change in PCL-5 by using structural equation modeling. Furthermore, a latent regression model was estimated to predict the intercept and slope of the PCL-5.

Results: Model fits for the PCL-5 and the TRSI linear models were acceptable and both linear slopes were significant. On average, PCL-5 scores reduced 22.18 points from admission to discharge, while TRSI scores reduced 21.9 points from admission to discharge. The results of latent curve regression model suggested that the TRSI linear slope and intercept predicted the PCL-5 linear slope and intercept, respectively. Additionally, post-hoc analyses suggested that the variance in PCL-5 factors at discharge that were explained by TRSI intercept and linear slope ranged from 18.6% to 34.9%.

Conclusions: The results of this study indicated that the rate of change in TR-shame predicted the rate of change in PTSD symptoms. Given the negative impact of TR-shame on PTSD symptoms, TR-shame should be a target in treatment for PTSD. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
CiteScore
11.20
自引率
3.20%
发文量
427
期刊介绍: Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence
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