产妇社会信任和心理弹性对产后创伤后应激障碍影响的路径分析

Path analysis of the influence of maternal social trust and psychological resilience on postpartum post-traumatic stress disorder

目的分析产妇社会信任和心理弹性对产后创伤后应激障碍(PTSD)影响的路径。方法采用创伤后应激障碍症状清单-平民版(PCL-C)、社会信任量表(STS)及心理弹性量表(CD-RISC)对312例产后产妇进行问卷调查。结果产妇产后PCL-C得分为(26.82±10.23)分;STS得分为(26.55±5.22)分;CD-RISC得分为(91.56±25.56)分。产妇产后STS和CD-RISC评分与PCL-C评分呈负相关(r=-0.177、-0.153,P<0.01),而STS评分与CD-RISC评分呈正相关(r=0.446,P<0.01)。心理弹性在社会信任与产后PTSD间的中介效应不显著,社会信任在心理弹性与产后PTSD间的中介效应不显著。结论心理弹性、社会信任与产后PTSD之间两两直接相关,即心理弹性直接影响产后PTSD,社会信任直接影响产后PTSD,心理弹性与社会信任间相互影响。

Objective To analyze the influence path of maternal social trust and psychological resilience on postpartum post-traumatic stress disorder(PTSD).Methods Post-traumatic Stress Disorder Checklist-Civilian Version(PCL-C),Social Trust Scale(STS)and Connor-Davidson Resilience Scale(CD-RISC)were used to investigate 312 postpartum women.Results The postpartum PCL-C score was(26.82±10.23)points;the STS score was(26.55±5.22)points;the CD-RISC score was(91.56±25.56)points.Postpartum STS and CD-RISC scores were negatively correlated with PCL-C score(r=-0.177,-0.153,P<0.01),while STS score was positively correlated with CD-RISC score(r=0.446,P<0.01).The mediating effect of resilience between social trust and postpartum PTSD was not significant,and the mediating effect of social trust between resilience and postpartum PTSD was not significant.Conclusion Psychological resilience,social trust and postpartum PTSD are directly related to each other,that is,psychological resilience directly affects postpartum PTSD,social trust directly affects postpartum PTSD,and psychological resilience and social trust interact with each other.