中国临床心理学杂志

社会性创伤与PTSD的关系：心理控制感的中介作用

作者：张静秋 Cody Ding 陆凤英汤永隆杨东

单位：1. 西南大学心理学部重庆 400715 2. 美国密苏里大学圣路易斯校区教育心理、研究与评估系圣路易斯

分类号：R395.2

出版年,卷(期):页码：2017,25(5):877-881

摘要：

目的：探讨社会性创伤是否可能通过降低心理控制感的方式加剧创伤后应激障碍（PTSD）的发展。方法：通过方便取样抽取正常组被试390人（样本一）、临床组被试86人（样本二），运用自编社会性创伤问卷、夏皮罗一般控制感子量表、DSM-5创伤后应激障碍检测量表进行施测。临床组被试还完成了创伤历史筛查问卷。结果：①社会性创伤-心理控制感-PTSD中介效应模型拟合度高；②正常组，心理控制感在社会性创伤和PTSD之间的间接效应显著，起到部分中介作用。③临床组，在对传统创伤的影响进行控制的条件下，心理控制感的间接效应仍显著，起到部分中介作用。结论：社会性创伤可以通过心理控制感间接预测创伤后症状的严重性，对心理控制感的干预具有重要的临床价值。

Objective: The current study investigated whether perceived control played a mediating role on the relation-ship between social trauma and posttraumatic stress disorder(PTSD). Methods: 390 normal participants(Sample 1) and 86 clinical participants(Sample 2) were recruited by convenient sampling in the study to complete the Social Trauma Question-naire(self-made), the General Domain Sense of Control Scale(in Shapiro Control Inventory), and the PTSD Checklist for DSM-5. Clinical sample also completed the Trauma History Screen. Results: ①The mediating effect model of social trau-ma-psychological control-PTSD showed good global fit. ②In normal group, psychological control was found to partially me-diate the association between social trauma and PTSD. ③The partially mediating effect of psychological control was also sig-nificant while the effect of the traditional trauma was controlled. Conclusion: The results suggest psychological control is one of the important mediators between social trauma and posttraumatic stress responses. It is clinically important to per-form an intervention on perceived control.

基金项目：

国家自然科学基金项目（项目批号：71472156）

作者简介：

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