Aim: To identify the associations among posttraumatic stress, depressive and obsessive-compulsive symptoms (OCS) in outpatients with psychological trauma and to examine the mediating effect of social provision.
Background: Psychologically traumatized patients simultaneously experience depressive and OCS. Social provision may mediate multiple symptoms differently compared with social support.
Design: Cross-sectional and correlational study.
Methods: Data were collected between August 2016-May 2017. Psychiatric outpatients (N = 151) completed a structured questionnaire consisting of the Korean versions of the Social Provision Scale, Beck Depression Inventory-II, Maudsley Obsessional-Compulsive Inventory and Impact of Event Scale-Revised. Structural equation modelling was used to examine the recursive association among the three symptoms and the mediation of social provision.
Results: There was a recursive association between posttraumatic stress symptoms (PTSS) and depressive symptoms, which were simultaneously associated with OCS with a one-way direction. OCS and social provision partially mediated these identified associations among three symptoms.
Conclusions: Our findings provide insight into the complex associations of multiple symptoms experienced by traumatized outpatients and the partial mediation of social provision. Psychiatric and mental health professionals may enhance social functioning and interpersonal interactions based on social provision components used for helping traumatized patients with obsessive-compulsive and depressive symptoms.
Impact: There was a recursive association between PTSS and depressive symptoms that were simultaneously associated with OCS with a one-way direction. Social provision functions as a partial mediator when working with OCS. Mental health nurses can develop social provision interventions for depressive symptoms for traumatized outpatients with OCS.
目的: 确定心理创伤门诊患者创伤后应激、抑郁、强迫症状之间的关系,研究社会保障的调解作用。 背景: 心理创伤患者同时遭受抑郁和强迫症状。社会保障可能以不同于社会支持的方式对多种症状进行调解。 设计: 横向及相关性研究。 方法: 于2016年8月至2017年5月期间收集数据。精神科门诊患者(N = 151)完成结构化问卷,包括韩国版的社会保障量表、贝克抑郁量表第2版、莫兹利强迫调查表和事件冲击量表(修订版)。采用结构方程建模来检验三种症状之间的递归关系以及社会保障的调解作用。 结果: 创伤后应激症状(PTSS)与抑郁症状之间存在递归关联,且与强迫症状呈单向相关。强迫症状和社会保障可部分调解这三种症状之间的已确定的关联联系。 结论: 本项研究发现有助于深入了解创伤后门诊患者所经历的多种症状之间的复杂联系,以及社会保障的部分调解作用。精神和心理健康专业人士可根据用于帮助患有强迫症和抑郁症状的创伤患者的社会保障成分,加强社会功能和人际交往。 影响: 创伤后应激症状与抑郁症状之间存在递归关联,同时与强迫症状存在单向关联。同强迫症状关联时,社会保障可发挥部分调整作用。心理健康护士可以为患有强迫症状的创伤后门诊患者制定针对抑郁症状的社会干预措施。.
Keywords: depressive symptoms; nurses; obsessive-compulsive disorder; posttraumatic stress disorders; social provision; sociological factors.
© 2019 John Wiley & Sons Ltd.