创伤暴露和跨诊断性痛苦:检查共享和创伤后应激障碍的特定关联
Michael L Crowe1,2, Sage E Hawn3,4, Erika J Wolf1,2,4
1VA Boston Healthcare System, Boston, Massachusetts, USA.
Journal of traumatic stress
|January 17, 2024
概括
创伤暴露与退伍军人的痛苦和创伤后应激障碍 (PTSD) 症状有关. 虽然痛苦在很大程度上解释了这种联系,但PTSD严重程度也独立地预测了未来的损伤.
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 退伍军人的健康 退伍军人的健康
背景情况:
- 创伤暴露是军事退伍军人精神健康状况的重要风险因素.
- 了解从创伤到心理痛苦和PTSD等特定疾病的途径对于有效的干预至关重要.
研究的目的:
- 研究美国退伍军人的创伤暴露和心理社会损害之间的跨诊断和PTSD特定关联.
- 区分一个一般的痛苦因子和PTSD特定变异在调解创伤结果关系中的作用.
主要方法:
- 使用一个纵向结构方程模型,对1649名美国退伍军人平均3.85年的数据进行了分析.
- 创伤后应激障碍,主要抑郁障碍 (MDD) 和泛性焦虑障碍 (GAD) 的症状被用来估计更高阶的痛苦因子.
- 使用生命事件检查表 (LEC) 和部署风险和弹性库存战斗子表 (DRRI-C) 来测量创伤暴露.
主要成果:
- 创伤暴露和PTSD症状之间的关联主要由更高层次的痛苦 (70.7%的LEC效应,63.2%的DRRI-C效应) 介导.
- 然而,PTSD严重程度与创伤暴露保持了显著的独立关联 (LEC:β = .10;DRRI-C:β = .11).
- 高级痛苦 (β = .31) 和PTSD特异变异 (β = .36) 对于解释未来的社会心理障碍至关重要.
结论:
- 创伤暴露有助于退伍军人的一般内化症状 (焦虑) 和特定的PTSD表现.
- 针对跨诊断性痛苦和PTSD特异性症状的干预措施可能是退伍军人的综合心理健康护理所必需的.
- 这些发现突显了老兵人口中创伤,痛苦和特定精神疾病之间的复杂相互作用.
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