CAJ | 학술논문

本文以追踪研究的方式,在汶川地震后3.5年、4.5年和5.5年三个时间点,采用反刍问卷、创伤后应激障碍问卷和创伤后成长问卷对汶川地震后245名中学生进行调查。通过建立交叉滞后模型,考察主动反刍、创伤后应激障碍与创伤后成长的相互作用关系。结果发现,震后3.5~5.5年间,创伤后应激障碍对主动反刍具有跨时间点的正向预测作用,主动反刍对创伤后应激障碍跨时间点的预测作用不显著;主动反刍与创伤后成长之间存在跨时间点的相互正向预测关系;创伤后应激障碍与创伤后成长之间跨时间点的直接预测作用不显著,但震后3.5年的创伤后应激障碍可以通过震后4.5年的主动反刍间接地正向预测震后5.5年的创伤后成长;创伤后应激障碍与创伤后成长的横断关系随着时间历程的变化而逐渐减弱。
본문이추종연구적방식,재문천지진후3.5년、4.5년화5.5년삼개시간점,채용반추문권、창상후응격장애문권화창상후성장문권대문천지진후245명중학생진행조사。통과건입교차체후모형,고찰주동반추、창상후응격장애여창상후성장적상호작용관계。결과발현,진후3.5~5.5년간,창상후응격장애대주동반추구유과시간점적정향예측작용,주동반추대창상후응격장애과시간점적예측작용불현저;주동반추여창상후성장지간존재과시간점적상호정향예측관계;창상후응격장애여창상후성장지간과시간점적직접예측작용불현저,단진후3.5년적창상후응격장애가이통과진후4.5년적주동반추간접지정향예측진후5.5년적창상후성장;창상후응격장애여창상후성장적횡단관계수착시간역정적변화이축점감약。
The longitudinal study examined the course and bidirectional relation between deliberate rumination, posttraumatie stress disorder （PTSD） and posttraumatie growth （PTG）. 245 secondary school students in the most severely affected area were investigated by self-report deliberate rumination, PTSD and PTG questionnaires at 3.5 year 4.5 year and 5.5 year after Wenehuan Earthquake. The cross-lagged structure equation analysis revealed that there are a one-way positively predictive relationship of PTSD onto deliberate rumination from 3.5 year to 5.5 year after earthquake. The bi-direetional relationship between deliberate rumination and PTG was found, and PTSD have no directional relation to PTG from 3.5 year to 5.5 year after earthquake. Moreover, PTSD at 3.5 year have a indirectly positive effect on PTG at 5.5 year through deliberate rumination at 4.5 year after earthquake. In addition, the cross-sectional relationship between PTSD and PTG weaken with time change.