Adolescent trauma, psychopathology and resilience: A person-focused approach

青少年创伤、精神病理学和复原力：以人为本的方法

基本信息

批准号：
8004522
负责人：
BETH S ROSENTHAL
金额：
$ 6.92万
依托单位：
YORK COLLEGE
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-01-01 至 2010-12-31
项目状态：
已结题

项目摘要

DESCRIPTION (provided by applicant): The long-term objective of this research is to identify who develops posttraumatic stress symptoms when they are exposed to a traumatic event and who does not; and to understand why one person does and another does not. The research focuses on urban adolescents at the end of high-school because older adolescents living in large cities are the group of people who are most exposed to potentially traumatic events. The basic idea underlying the research is that the level of posttraumatic stress symptoms that an individual exhibits depends upon the degree to which she has experienced traumatic events and the degree to which she possesses certain characteristics that protect her from stress. The present study uses a "person-centered" approach. It proposes to classify individuals into groups in which the individuals in a given group are similar to each other, but different from individuals in other groups, in terms of the combination of exposure to potentially traumatic events and manifesting posttraumatic stress symptoms. This classification will be done by a relatively sophisticated statistical procedure, latent class analysis. Four prototypical groups are expected to be produced by this analysis. They are (with tentative labels): 1) high trauma and high symptoms (people with Posttraumatic Stress); 2) high trauma and low symptoms (people who are Resilient); 3) low trauma and high symptoms (people who are Stress Prone); and 4) low trauma and low symptoms (the Idealized Norm for people in our society). Two of the goals of the research are to determine whether or not people really do fit into these prototypical categories, and if they do, to determine the proportion of people in each category. The third goal of the research is to determine whether or not, and how, these four categories of people are different in terms of the pattern of protective characteristics that they possess. This goal will be accomplished by the use of the statistical procedures multivariable analysis of variance and multiple discriminant analysis. Psychopathology associated with exposure to traumatic events is arguably the most common mental health problem. The identification of the relative numbers of people in each of the four prototypical categories of this phenomenon and the increased understanding of the psychosocial dynamics that produce the membership in the categories will provide an expanded foundation for developing preventive and treatment strategies for dealing with this too common health problem.

描述（由申请人提供）：这项研究的长期目的是确定谁在暴露于创伤事件而谁没有的情况下会出现创伤后压力症状；并了解为什么一个人这样做，而另一个人则没有。该研究的重点是高中生结束时的城市青少年，因为居住在大城市的年长青少年是最受潜在创伤事件的人群。这项研究的基本思想是，个体表现出的创伤后压力症状的水平取决于她经历过创伤事件的程度以及她拥有某些特征以保护她免受压力的程度。本研究采用了一种“以人为中心”的方法。它建议将个体分为一个群体，其中给定群体中的个体彼此相似，但与其他群体中的个体不同，就暴露于潜在的创伤事件和表现出创伤后压力症状的结合而言。该分类将通过相对复杂的统计程序（潜在类别分析）完成。预计该分析将产生四个典型组。它们是（带有暂定标签）：1）高症状和高症状（创伤后压力的人）； 2）高症状和低症状（有韧性的人）； 3）低创伤和高症状（容易压力的人）； 4）低创伤和低症状（我们社会中人们的理想规范）。研究的两个目标是确定人们是否确实适合这些原型类别，如果这样做，则确定每个类别中的人的比例。该研究的第三个目标是确定这四类人是否以及如何在其拥有的保护特性模式方面有所不同。该目标将通过使用统计程序多变量分析和多个判别分析来实现。与暴露于创伤事件有关的心理病理学可以说是最常见的心理健康问题。鉴定这种现象的四个原型类别中的每个人中的相对数量以及对产生该类别成员资格的社会心理动态的不断理解将为制定预防性和治疗策略的基础，以解决这种过于常见的健康问题。