大学生儿童期创伤对PTSD和PTG的影响:依恋的中介作用
文献类型：学位论文
| 作者 | 程慧娟 |
| 答辩日期 | 2023-06 |
| 文献子类 | 继续教育硕士 |
| 授予单位 | 中国科学院大学 |
| 授予地点 | 中国科学院心理研究所 |
| 其他责任者 | 张雨青 |
| 关键词 | 儿童期创伤 依恋 创伤后应激障碍 创伤后成长 |
| 学位名称 | 理学硕士 |
| 学位专业 | 健康心理学 |
| 其他题名 | Effect of Childhood Trauma on PTSD and PTG: The Mediating Role of Attachment |
| 中文摘要 | College students stay in the early adult stage of personality development. The goal of their psychological development at this stage is to gain "closeness" and avoid "loneliness". It's often accomplished through attachment behaviors. However, individuals who have experienced childhood trauma are affected in some way in their attachment relationships. They show different post-traumatic reactions in adulthood including post-traumatic stress disorder (PTSD) and post-traumatic growth (PTG). Hurts in relationships often need to be healed through relationships. For college students who have experienced childhood trauma in relationships, how to use attachment relationships to both repair childhood post-traumatic stress reactions and accomplish the goal of personality development at this stage is one of the major issues they face. Therefore, based on trauma theory and attachment theory, this study uses explanatory mixed method design of a mixed research method of quantitative and qualitative research to conduct the following studies. Study 1:This study used Childhood Trauma Questionnaire-Short Form (CTQ一SF), PTSD Checklist-Civilian Version (PLC-C), Post-Traumatic Growth Inventory (PTGI) and Adult Attachment Scale (AAS) to examine the role of attachment in the effects of childhood trauma on PTSD and PTG among 1421 college students in 5 universities in Jiangxi Province as subjects. Using descriptive Statistics, correlation analysis, path analysis and Bootstrap test for mediating effects, the results highlighted that there were significant differences between PTSD positive symptom group and negative symptom group in terms of different attachment types. There were significant differences between PTG high and low subgroups in terms of different attachment types. Childhood trauma and attachment were associated with PTSD and PTG. Childhood trauma directly positively predicted PTSD and directly negatively predicted PTG. Furthermore, childhood trauma negatively predicted PTSD and positively predicted PTG under the mediation of closeness-dependence, and also positively predicted PTSD and negatively predicted PTG under the mediation of attachment anxiety. The parallel multiple mediation model of childhood trauma, attachment, PTSD and PTG was constructed. Study 2: A qualitative research method was used to explore the psychological experiences and journeys of 6 college students after childhood trauma using semi structured interviews in depth. Transcripts were analyzed using interpretative phenomenological analysis (IPA) to identify recurrent themes. The results proposed four main themes which were characteristics of childhood trauma, effects on the self, effects on relationships with others and factors influencing post-traumatic reactions. It indicated that childhood trauma was characterized by coexistence, unconsciousness, and specificity. The impact on the self was on a person's self-image (whether the self is worthy of love and support), and the impact on relationships with others was on others' image (whether others are trustworthy, reliable, and acceptable). Internal factors of individuals and external environmental factors influenced childhood post-traumatic reactions. In summary, the following conclusions were drawn from this study. Firstly, childhood trauma has a partially influence on PTSD and PTG among college students, and attachment plays a partly mediating role among them. Secondly, in clinical interventions, college students who have experienced childhood trauma can be provided with a corrective attachment experience to reduce their PTSD levels and increase their PTG levels. |
| 英文摘要 | 大学时期，是个体处在人格发展的成年早期阶段，他们在这个阶段的心理发展目标是获得“亲密感”，避免“孤独感”，这一目标往往通过依恋行为来完成。但是经历过儿童期创伤的个体，其依恋关系受到一定的影响，成年后表现出不同的创伤后反应，主要包括创伤后应激障碍(PTSD)和创伤后成长(PTG)。关系中的伤害，往往需要通过关系来疗愈。作为儿童期在关系中经历过创伤的大学生，如何借由依恋关系，既修复儿童期创伤后应激反应，又完成本阶段的发展目标，是他们面临的重大问题之一。因此，本研究依据创伤理论和依恋理论，采用通过量和质的混合研究方法中的解释性设计，开展以下研究。 研究一:采用量化研究方法，以江西省5所高校1421名大学生为研究对象，使用问卷法，通过儿童期创伤量表、PTSD量表、PTG量表和成人依恋量表，考察儿童期创伤对大学生PTSD和PTG的影响，以及依恋在其中的作用机制。采用描述性统计、相关分析、路径分析和中介效应Bootstrap检验，结果显示，PTSD阳性症状组与阴性症状组在不同依恋类型上存在显著差异;PTG高分组与低分组在不同依恋类型上存在显著差异;儿童期创伤、PTSD,PTG、依恋两两相关;儿童期创伤直接正向预测PTSD、直接负向预测PTG;儿童期创伤通过亲近依赖负向预测PTSD、正向预测PTG，也通过依恋焦虑正向预测PTSD、负向预测PTG，建儿童期创伤、依恋、PTSD和PTG的并行多重中介模型。 研究二:采用质性研究法，使用半结构访谈方式，深入探索6名大学生儿童期创伤后的心理体验与历程，使用解释现象学分析对转录文本进行分析，结果提炼出四大主题一一儿童期创伤类型的特征、对自我的影响、对与他人关系的影响、创伤后反应的影响因素。儿童期创伤呈现并存性、无意识性、特殊性的特征;对自我的影响反应在自我形象方面(自我是否值得被爱和支持)，对与他人关系的影响反应在他人形象方面(他人是否值得信任、可靠与接受)。个体内部和外界环境因素影响了大学生儿童期创伤后的反应。 综上，本研究得出结论: (1)儿童期创伤对大学生的PTSD和PTG有一定的影响，依恋在其中起部分中介作用。 (2)临床工作中，面对经历过儿童期创伤的大学生，可提供一种矫正性的依恋体验，以降低他们儿童期创伤后的PTSD水平，提高PTG水平。 |
| 语种 | 中文 |
| 源URL | [http://ir.psych.ac.cn/handle/311026/45139]  |
| 专题 | 心理研究所_健康与遗传心理学研究室 |
| 推荐引用方式 GB/T 7714 | 程慧娟. 大学生儿童期创伤对PTSD和PTG的影响:依恋的中介作用[D]. 中国科学院心理研究所. 中国科学院大学. 2023. |
入库方式： OAI收割
来源：心理研究所
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