中国临床心理学杂志

地震救援官兵创伤后成长状况及相关因素

作者：张月娟¹ 胡海波² 张刚¹ 王进礼¹

单位：1. 武警后勤学院基础部军事心理学教研室天津300309
2. 武警8752 部队卫生队天津300309

分类号：R395.6

出版年,卷(期):页码：2015,23(3):517-520

摘要：

目的:探讨地震救援官兵创伤后成长状况及影响因素, 为救援官兵的心理干预工作提供新的思路。方法:以创伤后成长量表(PTGI)、韧性量表(CD-RISC)、领悟社会支持量表(PSSS)为研究工具, 施测于404名地震救援官兵, 对其创伤后成长状况及与心理韧性和社会支持间的关系进行分析。结果:①404名被试在PTGI 21个条目的平均得分在2.66～3.76之间, 绝大部分条目平均得分在3分以上, 成长程度在"中等(3分)"与"较大(4分)"之间。8个得分最高的条目分别集中在欣赏生活、人际关系及个人力量等维度。②创伤后成长各维度及总分与韧性各维度及总分、社会支持各维度及总分间的两两相关系数在0.242～0.589(P <0.01)。③以PTGI总分为因变量, 以心理韧性和社会支持各维度为预测变量的逐步回归分析显示, 部队领导和战友支持、坚韧和朋友支持进入回归方程, β值分别为0.310、0.312、0.174(P <0.01)。结论:地震救援官兵普遍觉知到心理成长, 主要表现在生活态度、人际关系以及个人力量的增强等方面;韧性、社会支持与创伤后成长密切相关, 高韧性、高社会支持个体创伤后成长程度越高, 其中领导和战友支持、坚韧、朋友支持对创伤后成长具有显著的预测力。

Objective: To explore the characteristics of posttraumatic growth and its relationships with resilience and social support in earthquake rescue soldiers. Methods: 404 soldiers who had executed rescue task were assessed with Posttraumatic Growth Inventory(PTGI), Connor- Davidson Resilience Scale(CD- RISC), and Perceived Social Support Scale (PSSS). Results: ①The average score of PTGI 21 items ranged 2.66～3.76, and the score of most items were above 3, which implied the growth degree was between"middle change"and"more change". 8 items with highest score were focused on three dimensions which were labeled interpersonal relationship, appreciation of life, personal strength. ②5 dimensions and total score of PTGI were positively correlated with 3 dimensions and total score of CD-RISC, and 3 dimensions and total score of PSSS respectively, the coefficients ranged from 0.242 to 0.589(P <0.01). ③the PTGI stepwise multiple regression analysis showed that three variables, the support from leader and comrade-in-arms, tenacity, and support from friends entered the regression equation(β=0.310, 0.312, 0.174). Conclusion: Resilience and social support both contribute to posttraumatic growth and in particular, support from leader and comrade-in-arms, tenacity, and support from friends is of most significance.

基金项目：

天津市哲学社会科学基金(TJJX12-168)

作者简介：

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