情感不稳定的影响自杀念头超越创伤性脑损伤和创伤后应激障碍在退伍军人的影响
Brandy S Martinez1, Jared A Rowland2, Robert D Shura3
1Durham Veteran Affairs (VA) Health Care System, Durham, NC, USA; VA (VISN 6) Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, NC, USA; Duke-UNC Brain Imaging and Analysis Center, Duke University, Durham, NC, USA.
Journal of psychiatric research
|March 8, 2024
概括
情感不稳定,而不是轻度创伤性脑损伤 (TBI),显著预测退伍军人的自杀念头. 高度的情感不稳定性构成与创伤后应激障碍 (PTSD) 相似的自杀风险.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 军人卫生保健 军人卫生保健
背景情况:
- 轻度创伤性脑损伤 (TBI) 与长期的心理健康问题有关,包括创伤后应激障碍 (PTSD) 和自杀念头.
- 情绪不稳定是PTSD和自杀倾向的独立风险因素,可能解释TBI后的慢性精神症状.
研究的目的:
- 调查情感不稳定性作为PTSD和退伍军人自杀念头的预测因素,有或没有TBI史.
主要方法:
- 299名退伍军人完成了人格评估清单 (PAI) 和TBI和精神病诊断的临床面试.
- 使用等级线性回归分析来检查主要和相互作用效应.
主要成果:
- 在TBI和没有TBI的退伍军人之间,没有发现情感不稳定或自杀念头的显著差异.
- 患有TBI的退伍军人患上PTSD诊断的可能性更高 (p=0.001).
- 情绪不稳定性显著预测了PTSD诊断 (p < 0.001),但TBI没有 (p = 0.619).
- 创伤后应激障碍和情绪不稳定之间的相互作用预测了自杀想法,独立于TBI史 (p=0.034).
结论:
- 情感不稳定是退伍军人自杀念头的一个关键因素,不管TBI或PTSD历史.
- 虽然PTSD与较低情感不稳定水平的自杀倾向有关,但严重的情感不稳定程度使这种风险相等.
- 高度的情感不稳定,无法解释其他条件,呈现自杀倾向风险相当于退伍军人中PTSD.
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