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Post-traumatic Stress Disorder01:27

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Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
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米国 の 退役軍人 たち の 中 で,不快 な 幼少 期 の 経験,死 の 考え,自殺 の 準備 の 行動

Madison E Stout1,2, Chao Li3,4, River J Smith4

  • 1HSR Center for Health Information and Communication, Richard L. Roudebush VA Medical Center, Indianapolis, Indiana, USA.

Stress and health : journal of the International Society for the Investigation of Stress
|August 29, 2025
PubMed
まとめ
この要約は機械生成です。

幼少期の不良体験 (ACE) は,米国退役軍人の自殺リスクの増加と関連しています. 退役軍人保健局 (VHA) の自殺予防の取り組みにおいて,早期のACEスクリーニングは極めて重要です.

キーワード:
ACEs について幼少期の悪影響自殺傾向自殺 意向自殺ベテラン退役軍人問題

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科学分野:

  • 精神科 と 精神 保健
  • 公衆衛生
  • 流行病学について

背景:

  • 自殺は若い米軍退役軍人の 死因の1つです
  • 幼児期の不良体験 (ACE) は 自殺リスクに大きく寄与する要因として認識されています.
  • 退役軍人の精神的健康には ACEの流行と 自殺思考との関連が重要です

研究 の 目的:

  • 退役軍人保健局 (VHA) のサービスを利用する米国退役軍人の間でACEの範囲を調査する.
  • この集団におけるACEsと死の考えと自殺の準備行動の関係を調べる
  • VHAシステム内のACEスクリーニングの現在の実施を評価する.

主な方法:

  • VHAの電子医療記録データの分析
  • 幼児期の不良体験スケール (ACE) とコロンビア自殺重症度評価スケール (C-SSRS) を使った.
  • 2段階の多変数ロジスティック回帰を用いて,人口統計と兵役の変数を制御した.

主要な成果:

  • 標準化されたACEスクリーニングは,VHA内でめったに実施されません.
  • ACEは過去5年間で死亡率の上昇と有意に関連していた (OR=1. 128).
  • ACEは生涯にわたる自殺準備行動と有意に関連していた (OR=1. 179).

結論:

  • 制限されたスクリーニングにもかかわらず,子供時代の逆境は,VHAに登録された退役軍人の成人死亡思考と自殺準備行動と大きく関連しています.
  • この結果は,VHA内のACEスクリーニングの改善と普及の必要性を強調しています.
  • 早期にACEを特定することで 退役軍人の自殺予防策を策定できます