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中国交通事故幸存者中急性应激障碍的症状结构
作者:李秀丽1 2 3  李中权4  王力1  曹成琦1 2 
单位:1. 中国科学院心理研究所心理健康重点实验室  北京 100101 
2.
 中国科学院研究生院  北京 100039 
3.
 山东省潍坊市益都中心医院  山东 潍坊 262500 
4.
 南京大学社会学院心理系 
关键词:急性应激障碍 急性应激障碍量表 因子结构 验证性因素分析 交通事故 
分类号:R395.2
出版年,卷(期):页码:2012,20(5):659-661
摘要:

目的:分析我国交通事故幸存者急性应激障碍的症状结构。方法:被试为228名交通事故幸存者,其中男性184人,女性44人,年龄39.4±12.4岁。采用急性应激障碍量表(ASDS)在被试经历事故2-23天内进行评估。使用验证性因子分析对3个竞争性的模型进行检验。结果:验证性因素分析结果支持一个3因子的结构模型包括:分离、回避、再体验与高唤起。结论:采用分离、回避以及再体验与高唤起3个症状簇来解释与组织急性应激障碍的症状更为合适。

Objective: To investigate factor structure of acute stress disorder symptoms in a sample of survivors of road traffic accident. Methods: A total of 228 participants (184 men, 44 women; mean age=39.4, SD=12.4 years) were recruited. The participants were administrated with the Acute Stress Disorder Scale(ASDS) 2-23 days after road traffic accidents.Confirmatory factor analyses were employed to compare three competing models. Results: The results of confirmatory factor analyses showed that a three-factor intercorrelated model (dissociation, avoidance, and reexperiencing/arousal) fit date superior to other alternative models. Conclusion: The findings suggest that acute stress response can better be explained by the dissociation, avoidance, and reexperiencing/arousal clusters in the present sample.

基金项目:
作者简介:
参考文献:

[1] American Psychiatric Association. Diagnostic and statistical manual of mental disorders. Washington, DC, 1994
[2] Bryant RA, Harvey AG. Relationship of acute stress disorder and posttraumatic stress disorder following mild traumatic brain injury. American Journal of Psychiatry, 1998, 155(5):625-629
[3] King LA, King DW, Orazem RJ, et al. Research on the la-tent structure of PTSD. PTSD Research Quarterly, 2006, 17(3): 1-7
[4] Yufik T, Simms LJ. A meta-analytic investigation of the structure of posttraumatic stress disorder symptoms. Journal of Abnormal Psychology, 2010, 119(4): 764-776
[5] Brooks R, Silove D, Bryant R, et al. A confirmatory factor analysis of the acute stress disorder interview. Journal of Traumatic Stress, 2008, 21(3): 352-355
[6] Wang L, Li Z, Shi Z, et al. Factor structure of acute stress disorder symptoms in Chinese earthquake victims: A confirmatory factor analysis of the acute stress disorder scale. Personality and Individual Differences, 2010, 48(7): 798-802
[7] Edmondson D, Mills MA, Park CL. Factor structure of the acute stress disorder scale in a sample of Hurricane Katrina evacuees. Psychological Assessment, 2010, 22(2): 269-278
[8] Armour C, Elklit A, Shevlin M. The latent structure of acute stress disorder: A posttraumatic stress disorder approach. Psychological Trauma: Theory, Research, Practice, and Pol-icy (In press).
[9] Bryant RA, Moulds ML, Guthrie RM. Acute stress disorder scale: A self-report measurement of acute stress disorder. Psychological Assessment, 2000, 12(1): 61-68
[10] Liu K, Liang X, Guo L, et al. Acute stress disorder in the paediatric surgical children and adolescents injured during the Wen chuan earthquake in China. Stress and Health,2010, 26(4): 262-268
[11] 贺婕,徐莎莎,祝卓宏,等. 汶川地震后青少年 PTSD 症状及其相关因素研究. 中国临床心理学杂志,2011,19(1):103-105
[12] Charney DS, Deutch AY, Krystal JH, et al. Psychobiologic mechanisms of posttraumatic stress disorder. Archives of General Psychiatry, 1993, 50(4): 294-305
[13] Nixon RDV, Bryant RA. Induced arousal and re-experiencing in acute stress disorder. Journal of Anxiety Disorders,2005, 19(5): 587-594

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