在寻求以色列国防军战斗压力反应单元帮助的退伍军人中,体化与分离和PTSD严重性之间的联系
Nizan Shabat1, Uzi Bechor1, Nirit Yavnai2
1Department of Health and Well-Being, IDF's Medical Corps, Israel Defense Forces, Ramat Gan 5262000, Israel.
Military medicine
|March 30, 2024
概括
严重的体质和离散症状与前士兵的创伤后应激障碍 (PTSD) 严重程度更高密切相关. 研究结果表明,体征症状可能需要作为PTSD诊断标准.
科学领域:
- 精神病学是一个精神病学.
- 创伤研究 创伤研究
- 军人心理健康 军人心理健康
背景情况:
- 寻求以色列国防军战斗压力反应单位 (CSRU) 帮助的前士兵经常表现出复杂的心理痛苦.
- 了解解离性和体质症状之间的相互作用对于有效的PTSD诊断和治疗这一群体至关重要.
研究的目的:
- 调查解离性症状,身体症状和前士兵中创伤后应激障碍 (PTSD) 的严重程度之间的关系.
- 确定在与战斗有关的压力呈现的军事人员中严重PTSD的关键预测因素.
主要方法:
- 一项涉及1305名在CSRU评估的前士兵的横截面研究.
- 使用自我报告问卷来评估PTSD (CAPS,PCL-5),离散体验 (离散体验量表) 和一般心理痛苦 (简要症状目录).
- 统计分析包括斯皮尔曼相关性和多变量逻辑回归.
主要成果:
- 在体化和分离之间发现了显著的正相关性,表明较高的体化与更严重的分离有关.
- 无论是体化 (OR=4.792) 还是分离 (OR=6.420) 都是严重PTSD的强有力的预测因素.
- 自创伤事件发生以来的时间增加也与更高的PTSD风险相关 (OR=1.019).
结论:
- 目前的PTSD诊断工具 (PCL,CAPS) 直接评估分离,但不是体化.
- 身体症状是高度功能战斗人员痛苦的显著表现.
- 这些发现支持将严重的身体症状作为PTSD的潜在诊断标准.
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