Understanding the Relationship between Rainstorm-Related Experiences and PTSD among Chinese Adolescents after Rainstorm Disaster: The Roles of Rumination and Social Support.
Posttraumatic stress disorder (PTSD) is prevalent among adolescents following natural disasters, and the trauma experiences represent a critical risk factor for PTSD. Nevertheless, the underlying mechanism of adolescents' PTSD following trauma experiences remains unclear. Rumination appears to be a mediating factor between trauma experiences and PTSD, and social support may moderate this mediating relationship between trauma experiences, rumination, and PTSD, but few studies have examined these assumptions. Thus, this study aimed to assess the mediating role of rumination and the moderating role of social support in the relationship between rainstorm-related experiences and PTSD among adolescents, following a rainstorm in China. Nine hundred and fifty-one middle school students completed self-report questionnaires, and structural equation modeling was conducted to examine the potential moderated mediation effect. Rainstorm-related experiences had a direct and positive effect on PTSD, and also indirectly influenced PTSD via rumination. Moreover, social support work to buffer the direct effect of rainstorm-related experiences on PTSD, but not the effect of rumination on PTSD. Implications for clinical practice and research are discussed along with study limitations.
Beijing Key Laboratory of Applied Experimental Psychology, School of Psychology, Beijing Normal University, Beijing China.
Rui
R
Zhen
College of Educational Science, Anhui Normal University, Wuhu China.
Lijuan
L
Quan
College of Educational Science, Anhui Normal University, Wuhu China.
Benxian
B
Yao
Beijing Key Laboratory of Applied Experimental Psychology, School of Psychology, Beijing Normal University, BeijingChina; I-Core Research Center for Mass Trauma, Bob Shapell School of Social Work, Tel Aviv University, Tel AvivIsrael.
Xiao
X
Zhou
PTSD; adolescents; rainstorm-related experiences; rumination; social support
Rev Epidemiol Sante Publique. 2000 Aug;48 Suppl 2:2S44-53
10992109
J Abnorm Psychol. 2000 Aug;109(3):504-11
11016119
J Clin Psychiatry. 2001;62 Suppl 17:16-22
11495091
J Pers Soc Psychol. 2004 Feb;86(2):320-33
14769087
Epidemiol Rev. 2005;27:78-91
15958429
Can J Psychiatry. 2006 May;51(6):350-4
16786815
J Abnorm Psychol. 1991 Nov;100(4):569-82
1757671
J Trauma Stress. 2007 Jun;20(3):347-51
17598138
Behav Res Methods. 2008 Aug;40(3):879-91
18697684
Ann Behav Med. 2010 Feb;39(1):79-90
20151235
Prof Psychol Res Pr. 2010 Feb;41(1):1-9
20428504
J Trauma Stress. 2011 Feb;24(1):44-53
21351164
Cogn Emot. 2012;26(2):209-23
21614702
Am J Psychiatry. 2012 Jan;169(1):80-8
21908494
Behav Cogn Psychother. 2014 Mar;42(2):211-23
23410784
J Interpers Violence. 2014 Jul;29(10):1953-62
24346652
Cognit Ther Res. 2010 Oct;34(5):456-466
25429169
J Anxiety Disord. 2015 Apr;31:90-7
25768398
Psychol Trauma. 2015 Jan;7(1):76-84
25793596
J Affect Disord. 2015 Jul 15;180:116-21
25898331
Disaster Med Public Health Prep. 2015 Oct;9(5):504-8
26027673
Perspect Psychol Sci. 2008 Sep;3(5):400-24
26158958
Multivariate Behav Res. 2007 Jan-Mar;42(1):185-227
26821081
Int J Psychol. 2018 Apr;53(2):150-156
27145921
J Early Adolesc. 2016 Nov;36(8):1118-1143
28458442
J Abnorm Psychol. 1996 May;105(2):237-48
8723005