创伤早期意外伤者情绪表达、反刍性沉思与创伤后成长的关系

Relationship among Emotional Expression,Ruminant Meditation and Post-traumatic Growth in Patients at the Early Stage of Traumatic Accidents

目的探讨创伤早期意外伤者创伤早期的创伤后成长(posttraumatic growth,PTG)水平,并分析情绪表达和反刍性沉思对其的影响。方法采用一般资料问卷、伯克利情绪表达问卷、事件相关反刍性沉思问卷和中文版创伤后成长问卷对131例创伤后1周内的意外伤者进行调查。结果创伤后1周内意外伤者PTG总分为(38.34±12.78)分,PTG总分与正性情绪表达、负性情绪表达、正性情绪表达强度和侵入性反刍性沉思呈正相关(r=0.197~0.292,均P<0.05)。在控制年龄对PTG的影响后,正性情绪表达强度和侵入性反刍性沉思可直接预测PTG,且侵入性反刍性沉思在正性情绪表达与PTG间起完全中介效应。结论创伤早期意外伤者可获得较低水平的PTG,创伤早期医护人员需鼓励伤者主动表达其正性情绪以促其认知加工,进而提升PTG水平。

Objective To explore the current status of posttraumatic growth(PTG)among patients at the early stage of accidental injury,and to analyze the impact of emotional expression and rumination on PTG.Methods Totally 131 patients at the early stage of accidental injury were investigated by using the general demographic information questionnaire,Berkeley Expressivity Questionnaire(BEQ),Chinese version of Event-Related Rumination Inventory(ERRI-C)and Chinese version of Posttraumatic Growth Inventory(PTGI-C).Results The total score of PTG one week after accidents was 38.34±12.78.The total score of PTG was positively correlated with positive emotional expression,negative emotional expression,positive emotional expression intensity and invasive ruminant meditation(r=0.197-0.292,all P<0.05).After controlling the influence of age on PTG,the intensity of positive emotional expression and invasive ruminant meditation could directly predict PTG,and invasive ruminant meditation had a complete mediating effect between positive emotional expression and PTG.Conclusions Patients with accidental injury could develop lower level of PTG.Clinical staffs need to encourage the injured patients to express their positive emotions voluntarily to promote their cognitive processing,so as to improve their PTG level.