政治抗议暴力50年后,创伤后成长与创伤后应激障碍和焦虑有关,但与抑郁或睡眠困难无关。

Emily P Rabinowitz, MacKenzie A Sayer, Alexis L Richeson, Marielle R Samii, Lindsay A Kutash, Douglas L Delahanty
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引用次数: 2

摘要

创伤后应激障碍(PTSD)、抑郁、焦虑和创伤后成长(PTG)在单一事件创伤后几十年的发病率和两者之间的关系尚不清楚。在1970年5月4日肯特州立大学政治抗议暴力事件50周年前后的两个月里,132个人完成了PTG、PTSD、抑郁、焦虑和睡眠困难的测量。1970年5月4日,参与者的平均年龄为19岁(SD = 3.01), 44%的人参加了抗议活动。17%的人符合PTG的临界值,6%的人患有PTSD, 8%的人患有焦虑症,11%的人患有抑郁症,20%的人患有睡眠困难。PTG与PTSD呈显著正相关(r =。32, 95% CI: 0.17-0.44)和焦虑(r =。23, 95% CI: 0.08-0.38),但在控制了自1970年5月4日以来的额外创伤暴露后,没有抑郁或睡眠困难。所有的关系都可以用线性关系而不是曲线关系来解释,并且不受1970年5月4日事件的影响。研究结果表明,几十年后与创伤幸存者一起工作的临床医生可能能够利用PTG的适应功能来促进积极的治疗结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
50 Years After Political Protest Violence, Posttraumatic Growth is Associated with PTSD and Anxiety but not Depression or Sleep Difficulties.

Rates of, and relationships between, posttraumatic stress disorder (PTSD), depression, anxiety, and posttraumatic growth (PTG) decades after a single-incident trauma remain unclear. During a two-month period surrounding the 50th anniversary of the political protest violence at Kent State University on May 4, 1970, 132 individuals completed measures of PTG, PTSD, depression, anxiety, and sleep difficulties. Participants were, on average, 19 years old (SD = 3.01) on May 4, 1970, and 44% were present at the protests. 17% met cutoff scores consistent with PTG, 6% for PTSD, 8% for anxiety, 11% for depression and 20% for sleep difficulties. PTG was significantly and positively correlated with PTSD (r = .32, 95% CI: 0.17-0.44) and anxiety (r = .23, 95% CI: 0.08-0.38) but not depression or sleep difficulties after controlling for additional trauma exposure since May 4, 1970. All relationships were best explained by linear rather than curvilinear relationships and were not moderated by proximity to the events of May 4, 1970. Results indicate that clinicians working with survivors of trauma decades later may be able to capitalize on the adaptive functions of PTG to foster positive treatment outcomes.

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