创伤后应激障碍对震后青少年自杀意念的影响：安全感的调节作用

摘要/Abstract

摘要： 为探讨创伤后应激障碍（PTSD）及其各个症状簇对震后青少年自杀意念的影响，并检验安全感在其中的调节作用，研究采用创伤暴露程度问卷、流调中心抑郁量表儿童版、DSM-5的PTSD症状核查表、安全感量表和儿童行为问题核查表对汶川地震8.5年后的1136名中学生进行调查。结果发现：PTSD、负性认知和情绪改变症状、警觉性增高症状分别正向预测自杀意念，侵入性症状和回避性症状对自杀意念的预测作用不显著；安全感在侵入性症状、负性认知和情绪改变症状、警觉性增高症状、PTSD与自杀意念之间起负向调节作用，在回避性症状与自杀意念之间不起调节作用。这表明PTSD各症状簇对震后青少年自杀意念的预测作用不同，且安全感在其中发挥的调节作用也不同。

关键词: 青少年, 创伤后应激障碍, 自杀意念, 安全感

Abstract: To investigate the effects of posttraumatic stress disorder and its various symptom clusters on suicide ideation in post-earthquake adolescents, and to examine the moderating role of feelings of safety in this, the present study administered the Traumatic Exposure Questionnaire, Center for Epidemiologic Studies Depression Scale for Children, modified DSM-5 PTSD checklist, Feelings of Safety Questionnaire, and Youth Risk Behavior Survey Questionnaire on 1136 adolescents 8.5 years after Wenchuan earthquake. It was found that PTSD, negative cognitions and mood symptoms, hyper-arousal symptoms had significantly positive effects on suicide ideation, while the re-experiencing symptoms and avoidance symptoms did not significantly predict suicide ideation. The results also showed that feelings of safety played a negative moderating role between re-experiencing symptoms, negative cognitions and mood symptoms, hyper-arousal symptoms, PTSD and suicidal ideation, but did not play a moderating role between avoidance symptoms and suicidal ideation. These results suggest that PTSD symptom clusters differ in their predictive effects on suicidal ideation in post-earthquake adolescents, and feelings of safety play a moderating role in some of these effects.

Key words: adolescent, PTSD, suicide ideation, feelings of safety

中图分类号:

B844.2

原昊, 王文超, 伍新春, 田雨馨, 陈秋燕. 创伤后应激障碍对震后青少年自杀意念的影响：安全感的调节作用[J]. 心理与行为研究, 2020, 18(6): 791-797.

YUAN Hao, WANG Wenchao, WU Xinchun, TIAN Yuxin, CHNE Qiuyan. The Relationship Between Posttraumatic Stress Disorder and Suicide Ideation Among Adolescents After Earthquake: The Moderating Role of Feelings of Safety[J]. Studies of Psychology and Behavior, 2020, 18(6): 791-797.

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