Prospective network of post-traumatic stress disorder (PTSD) symptoms across adolescent survivors with distinct trajectories of PTSD: a cohort study of the Wenchuan earthquake.
Open accessAbstract
There are multiple trajectories of post-traumatic stress disorder (PTSD) symptoms following disasters. Unraveling the patterns of interactions between PTSD symptoms across distinct PTSD trajectories is crucial. This study was aimed at investigating the temporal sequences, changes, and predictive symptoms in PTSD networks over time across distinct PTSD trajectory groups. Data were exacted from the Wenchuan Earthquake Adolescent Health Cohort (WEAHC) study. The current study included 1022 adolescents (424 males) who participated in follow-up surveys at 12 months and 24 months post-earthquake. Self-reported PTSD symptoms were assessed with the Post-traumatic Stress Disorder Self-Rating Scale. The between-person network revealed significant differences across distinct trajectories. In the chronic dysfunction group, "Intrusive thoughts" had the strongest value in predicting on other PTSD symptoms. In contrast, "Difficulty in study or work" in the recovery group and "Physiological cue reactivity" in the resistance group were highly associated with the remission of other PTSD symptoms. These findings underscore the importance of "Difficulty in study or work" and "Physiological cue reactivity" for promoting the spontaneous remission of PTSD and further suggest that "Intrusive thoughts" maybe helpful to minimize the subsequent presence of other PTSD symptoms. Future research should investigate the causality and associations between within-person networks.
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- Authors
- Ma, Z., Wang, D., Fu, X., Tao, Y., Zhang, Y., Liu, W., & Fan, F.
- Affiliations
- South China Normal University (CN)
- Maastricht University (NL)
- Beijing Normal University (CN)
- Corresponding author
- Fan, Fang
- Venue
- Journal of Anxiety Disorders
- Publisher
- Elsevier BV
- Published
- 2023-10
- Volume
- 99
- Pages
- 102767
- ISSN
- 0887-6185 (ISSN-L)
- OpenAlex
- W4386570132
- Cited by
- 14
- References
- 50
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 3 · 2023: 1
- FWCI
- 4.09
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Anxiety Disorders (publishedVersion)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (submittedVersion, other-oa)
- Funders
- National Natural Science Foundation of China (32271135, 31871129)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Keywords
- post-traumatic stress disorder, PTSD symptom networks, PTSD symptom trajectories, adolescents, Wenchuan earthquake, intrusive thoughts, PTSD remission, disaster survivors
- MeSH terms
- Adolescent, China, Disasters, Female, Humans, Male, Prospective Studies, Stress Disorders, Post-Traumatic, Cohort Studies, Survivors, Earthquakes
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