部署后的预测因素在战斗暴露的美国退伍军人中发挥作用
Seth G Disner1, Mark D Kramer1, Nathaniel W Nelson2
1Minneapolis VA Health Care System, Minneapolis, Minnesota.
概括
内化症状,如抑郁和焦虑,最强烈地预测了PTSD和轻度TBI的战斗退伍军人的功能障碍. 针对这些症状的干预措施对于改善退伍军人重新融入社会至关重要.
科学领域:
- 精神病学是一个精神病学.
- 神经科学是一个神经科学.
- 退伍军人事务 退伍军人事务
背景情况:
- 战斗退伍军人经常经历创伤后应激障碍 (PTSD) 和轻度创伤性脑损伤 (mTBI).
- 这些条件被认为会影响重返社会,但它们的相对影响尚不清楚.
- 了解这些影响对于有效的退伍军人支持至关重要.
研究的目的:
- 澄清战斗退伍军人内化症状,mTBI,认知表现和功能障碍之间的关联.
- 确定部署后功能的主要预测因素.
主要方法:
- 使用了结构方程建模 (SEM).
- 这项研究分析了295名战役退伍军人的数据.
- 关键变量包括内化症状,mTBI症状,认知表现和功能障碍.
主要成果:
- 内化症状是功能障碍最强的预测因素 (r = 0.72).
- 脑损伤和认知表现与内化症状有关,但与功能障碍没有直接关联.
- 认知表现显示了与功能障碍的适度负面关联 (r = -0.17).
结论:
- 内化心理病理是影响退伍军人同时出现PTSD和mTBI的功能障碍的最重要因素.
- 干预措施应优先解决内化症状,以增强退伍军人的功能和重返社会.
- 与内化症状相比,mTBI和认知缺陷在功能障碍中扮演的直接作用较小.
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