|Alternative Title||Latent Profiles and Stage Characteristics of Posttraumatic Stress Disorder Symntoms among Parents Who Lost Their Only Child|
首先，研究一旨在探讨失独父母创伤后应激障碍症状的潜在类别特征及其影响因素。采用创伤后应激障碍量表(PcL-s}、心理韧性量表和感知到的社会支持量表对35s名失独父母进行测查。结果发现:(1)失独父母PTSD症状存在四种潜在类别:高PTSD症状组(27%)、中PTSD症状组(25%)、低PTSD症状组(29%)和心理韧性组(19%) ; (2)相比心理韧性组而言，其他三组有显著的性别和年龄效应，即女性、年龄较小的失独父母出现PTSD症状的可能性较大;(3)心理韧性和社会支持对失独父母PTSD症状起到保护作用。
There has been a remarkable number of families who have lost their only child known as Shidu family, partially because of the one-child policy in China. As a unique vulnerable group, they not only were trapped in financial and pension predicament, but also suffered from serious physical and mental health problems. And it has become an important public health problem in our country at this stage, which needs more attention. This study combines quantitative research with qualitative research, and focuses on the latent profiles and stage characteristics of posttraumatic stress disorder symptoms among parents who lost their only child (called Shidu parents) by questionnaire and interview. This study consists of two parts.
The purpose of study 1 was to determine whether there are distinct PTSD symptom subgroups or classes in Shidu parents, also examine whether social-demographic and loss-related variables are associated with different classes. Participants were 385 Shidu parents recruited from ten cities of five provinces in China from November 2016 to July 2017. Participants were asked to complete the PTSD Checklist for DSM-5 (PCL-5) and a short Chinese version of Connor-Davidson Resilience Scale (CD-RISC-10) and Perceived Social Support Scale (PSSS). Latent profile analysis was used to identify different symptom classes of PTSD symptoms. Latent profile analysis revealed four classes of participants: high-symptom (27%), intermediate-symptom (25%), low-symptom (29%) and resilience group (19%), respectively. Parents who were females, younger ages were likely to suffer serious PTSD symptom, while resilience and social support were protective factors for parents' PTSD symptom after losing their only child.
The purpose of study 2 was to explore the stage characteristics of posttraumatic stress symptoms among Shidu parents. In total, 27 parents from Hebei, Jilin and Jiangsu Province, who were in-depth interviewed. The results revealed that: (1) Five stages of posttraumatic stress symptoms among Shidu parents were identified. And we named them according to each stage characteristics, successively: acute stress period (about 1 month), pain-avoidance period (0.5-1 year), anger-blame period (1-3 years), despair-depression period (3-5 years) and face-to-face reorganization period (5}8 years or longer). (2) These stages of traumatic response are influenced by individual characteristics, coping styles, social support and other adjustment strategies.
Based on the above results, this study draws the following conclusions: The PTSD symptoms of Shidu parents have distinct classification characteristics. Those parents who were women, younger age, lower level of psychological resilience and lack of social support system in this group should be given more attention. Shidu parents have gone through different stages of response, showing complex characteristics of post-traumatic response.Social workers unique and volunteers should give timely and effective counseling and intervention according to the different characteristics of each stage.
|Keyword||失独父母 创伤后应激反应 潜在剖面分析 阶段特征|
|Place of Conferral||中国科学院心理研究所|
|布威佐热姆·艾力. 失独父母创伤后应激反应的潜在类别与阶段特征[D]. 中国科学院心理研究所. 中国科学院心理研究所,2019.|
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