专业救援人员的正念对创伤后应激障碍的影响:侵入反刍和社会支持的作用

Relationship of Mindfulness and Post-traumatic Stress Disorder in Professional Rescue Workers: the Roles of Intrusive Rumination and Social Support

目的:考察正念对创伤后应激障碍(PTSD)的影响,并检验侵入反刍和社会支持在其中的中介作用。方法:本研究采用正念注意觉知量表(MAAS)、社会认可度量表(SAQ)、事件影响量表(IES-R)和事件相关反刍量表(ERRI)对298名南京市红十字救援的工作人员进行调查。结果:相关分析显示,正念、PTSD、侵入反刍及社会支持之间两两显著相关。路径分析表明,正念可以直接负向预测PTSD,也可以通过侵入反刍和社会支持的中介负向预测PTSD。结论:正念有助于缓解PTSD症状,正念可以通过减少个体的侵入反刍,使个体感知更多的社会支持,从而缓解PTSD症状。

Objective:To examine the relationship among mindfulness,posttraumatic stress disorder(PTSD),social support and intrusive rumination.Methods:This study investigated 298 rescuers of the Red Cross in Nanjing by using Mindful Attention Awareness Scale(MAAS),Social Acknowledgement as a Victim or Survivor Questionnaire(SAQ),Impact of Event R)and the Event Related Rumination Inventory(ERRI).Results:Correlation analysis showed that,mindfulness,PTSD,intrusive rumination and social support correlated significantly with each other.Path analysis indicated that mindfulness had direct and negative effect on PTSD,and it also exerted indirect and negative effect on PTSD via intrusive rumination and social support.Conclusion:This study support the association between mindfulness and PTSD symptoms,and the mediating effects of the intrusion of rumination and social support in this relationship.