首页> 外文期刊>Journal of traumatic stress >Avoidant coping as a mediator between peritraumatic dissociation and posttraumatic stress disorder symptoms.
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Avoidant coping as a mediator between peritraumatic dissociation and posttraumatic stress disorder symptoms.

机译:避免应付作为创伤周围解离与创伤后应激障碍症状之间的介体。

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摘要

Peritraumatic dissociation consistently predicts posttraumatic stress disorder (PTSD). Avoidant coping may serve as a mechanism through which peritraumatic dissociation contributes to PTSD symptoms. Path analysis was used to examine whether avoidant coping assessed 6 weeks following a motor vehicle accident mediated the relationship between in-hospital peritraumatic dissociation and 6-month (n = 193) and 12-month (n = 167) chronic PTSD symptoms. Results revealed that, after controlling for age, gender, depression, and 6-week PTSD symptoms, avoidant coping remained a partial mediator between peritraumatic dissociation and chronic PTSD symptoms 6- and 12-months postaccident. Post-hoc multigroup analyses suggested that at 6-months posttrauma, the mediation was significant in women, but not in men. Gender-specific results were not significant at 12-months posttrauma. Interventions targeted at reducing avoidant coping in high dissociators may aid in reducing PTSD symptoms.
机译:创伤前分离始终预测创伤后应激障碍(PTSD)。避免应对可能是创伤后解离导致PTSD症状的机制。路径分析用于检查在机动车事故发生六周后是否评估了避免应对措施,以介导院内创伤周围解离与6个月(n = 193)和12个月(n = 167)慢性PTSD症状之间的关系。结果表明,在控制了年龄,性别,抑郁和6周PTSD症状后,回避应对仍然是创伤后解体与事故后6个月和12个月的慢性PTSD症状之间的部分介体。事后多组分析表明,创伤后6个月,调解在女性中很明显,而在男性中则没有。创伤后12个月,针对性别的结果并不显着。旨在减少高离解者应对能力的干预措施可能有助于减轻PTSD症状。

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