烧伤康复期患者神经质人格、心理弹性与创伤后应激障碍症状和创伤后成长之间的关系

摘要

目的:了解烧伤康复期患者创伤后应激障碍(PTSD)症状、创伤后成长(PTG)的发生状况,并探讨其与神经质人格、心理弹性的关系.方法:本研究为横断面研究设计,共纳入110例烧伤康复期患者,选用PTSD检查表-平民版(PCL-C)、创伤后成长评定量表(PTGI)、大五人格问卷神经质分量表(FFI-N)、Connor-Davidson弹性量表简化版(CD-RISC)等进行评估.结果:烧伤康复期患者PTSD症状在已婚(F=5.66,P=0.019)、低家庭年收入(F=7.97,P=0.006)、高神经质人格水平(F=34.24,P＜0.001,Partial η2=0.259)的个体中水平较高;PTG得分在女性(F=6.44,P=0.013)、高心理弹性水平(F=14.87,P＜0.001,Partial η2=0.132)中水平较高;神经质人格与心理弹性对PTG存在交互作用(F=4.47,P=0.037,Partial η2=0.044).结论:烧伤康复期患者中,已婚、较低家庭年收入、高神经质水平者的PTSD症状的程度较重,女性、高心理弹性水平者的PTG水平较高,心理弹性可以调节神经质人格与PTG之间的关系.%Objective:To investigate the characteristics of posttraumatic stress disorder (PTSD) symptom and posttraumatic growth (PTG) in the patients with burns during rehabilitation, and the relationships among PTSD symptom, PTG, neuroticism and resilience.Methods:A cross-sectional study was carried out among 110 patients with burns during rehabilitation.The PTSD Check-list-Civilian Version (PCL-C), Posttraumatic Growth Inventory (PTGI), Five Factors Inventory-Neuroticism Subscale (FFI-N) and the 10-item Connor-Davidson Resilience Scale (CD-RISC) were used.Result:A significant effect of different groups of marital status (F=5.66, P=0.019), annual household income (F=7.97, P=0.006), and neuroticism (F=34.24, P＜0.001, Partial η2=0.259) on PCL-C scores.A significant effect of different groups of gender (F=6.44, P=0.013) and resilience (F=14.87, P＜0.001, Partial η2=0.132) were significant for PTG scores.There existed a significant interaction between neuroticism and resilience on PTG (F=4.47, P=0.037, Partial η2=0.044).Conclusion:Being married, low annual household income, and high levels of neuroticism were associated with high PTSD symptom levels.Being female and high levels of resilience were associated with high PTG levels.Resilience moderated the effect of neuroticism on PTSD symptoms.