一项对越南战争对创伤后应激障碍影响的双胞胎研究
J Goldberg1, W R True, S A Eisen
1Hines (III) VA Cooperative Studies Program Coordinating Center, Chicago.
JAMA
|March 2, 1990
概括
在越南战争期间在东南亚服兵役显著增加了创伤后应激障碍 (PTSD) 的风险. 近15年后,在 SEA 服役的退伍军人中,PTSD 患病率显著增加.
科学领域:
- 精神病学是一种精神病学.
- 军事医学 军事医学
- 流行病学 流行病学
背景情况:
- 越南战争 (1965-1975) 涉及广泛的军事服务,特别是在东南亚 (SEA).
- 创伤后应激障碍 (PTSD) 是战斗退伍军人中一个重要的心理健康问题.
- 了解战斗暴露对心理健康的长期影响对于退伍军人护理至关重要.
研究的目的:
- 评估越南战争时期在东南亚 (SEA) 服兵役对创伤后应激障碍 (PTSD) 患病率的长期影响.
- 评估越南战争期间战斗暴露与退伍军人中PTSD发展之间的关联.
主要方法:
- 使用了2092个男性单胞胎老兵双胞胎对的样本.
- 1987年通过邮件和电话采访收集的数据.
- 分析了715个不一致的单胞胎双胞胎对在南亚地区服役,以控制遗传因素.
主要成果:
- 创伤后应激障碍 (PTSD) 与东南亚 (SEA) 的军事服务密切相关.
- 在SEA服役的双胞胎中,PTSD的患病率为16.8%,而在非服役的双胞胎中为5.0%.
- 与没有服役的双胞胎相比,高战斗暴露率的退伍军人显示PTSD患病率增加了9倍.
结论:
- 在越南战争时期在东南亚服役的军人与PTSD的患病率大幅增加有关.
- 战后创伤后应激障碍的高发率在战争结束后的近15年内仍然存在.
- 遗传因素并不能完全解释与SEA服务相关的PTSD风险增加.
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