中国临床心理学杂志

青少年的创伤后应激障碍对创伤后成长的影响:复原力的调节作用

作者：周宵伍新春陈杰灵

单位：北京师范大学心理学院发展心理研究所应用实验心理北京市重点实验室北京100875

分类号：R395.6

出版年,卷(期):页码：2015,23(3):512-516

摘要：

目的:考察汶川地震后青少年的复原力在创伤后应激障碍(PTSD)与创伤后成长(PTG)之间的调节作用。方法:采用创伤后应激障碍量表、复原力量表和创伤后成长问卷, 对汶川地震1年后的644名中学生进行追踪测量。结果:震后1年的PTSD和复原力分别对震后1.5年的PTG有显著的正向预测作用, 震后1年的PTSD与复原力的交互项对震后1.5年的PTG有显著的正向预测作用。结论:震后1年的复原力在震后1年的PTSD预测震后1.5年的PTG过程中起着调节作用。在高复原力水平的条件下, 震后1年的PTSD对震后1.5年的PTG没有显著的预测作用;在低复原力水平下, 震后1年的PTSD对震后1.5年的PTG发挥着显著的正向预测作用。

Objective: To explore the moderating effect of resilience on the relationship between posttraumatic stress disorder and posttraumatic growth among adolescents after Wenchuan earthquake. Methods: The Child PTSD Symptom Scale, Resilience Questionnaire and Posttraumatic Growth Inventory were adopted. At 1 year after earthquake, 644 adolescents were measured for the first time, and 577 adolescents of which were investigated at 1.5 years after earthquake for the second time. Results: PTSD symptoms and resilience at 1 year after earthquake had a positively predictive effect on PTG at 1.5 year after earthquake. In addition, the interaction between PTSD and resilience at 1 year after earthquake also positively predicted the PTG at 1.5 year after earthquake. Simple effects test showed that for the individual with high resilience, the PTSD symptoms at 1 year after earthquake has no predictive effect on the PTG at 1.5 year after earthquake, and that for the individual with low resilience, the PTSD symptoms at 1 year after earthquake showed a positively predictive effect on PTG at 1.5 year after earthquake. Conclusion: The resilience at 1 year after earthquake moderated the relationship between PTSD symptoms at 1 year after earthquake and PTG at 1.5 year after earthquake.

基金项目：

教育部人文社会科学重点研究基地重大项目(11JJD190006)

作者简介：

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