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在遭受创伤的退伍军人中,经验和行为回避的健康相关性
Elizabeth K C Schwartz1, Alexandra N Palmisano1, Ismene L Petrakis1
1Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA; Department of Psychiatry, VA Connecticut Healthcare System, West Haven, CT, USA.
经验和行为两种回避行为对遭受创伤的退伍军人的心理健康,身体功能和生活质量产生负面影响. 这些回避模式是治疗干预的重要目标.
科学领域:
- 心理学 心理学 心理学
- 退伍军人的健康 退伍军人的健康
- 创伤研究 创伤研究
背景情况:
- 避免是健康不良结果的已知危险因素.
- 有限的研究存在于创伤暴露退伍军人的避免.
- 避开被概念化为体验性 (抵抗内部状态) 和行为性 (避免外部经验).
研究的目的:
- 检查行为和经验回避与创伤暴露退伍军人的精神,身体和认知功能之间的关联.
- 探索避免对该人口生活质量的影响.
主要方法:
- 在89名有创伤史的退伍军人中进行了一项探索性调查研究.
- 用于对心理和身体健康变量进行验证的评估.
- 采用了相关性和多变量线性回归分析.
主要成果:
- 经验性回避与抑郁症状,创伤和认知/健康功能障碍的痛苦相关.
- 行为回避与抑郁/焦虑症状,创伤和认知功能障碍的痛苦相关.
- 多变量分析显示,经验性回避与抑郁/创伤困扰相关,行为性回避与焦虑/抑郁/创伤困扰相关.
结论:
- 避免会对受创伤影响的退伍军人的精神和身体健康,功能和生活质量产生负面影响.
- 经验和行为回避可能对心理健康结果产生不同的影响.
- 避免是心理社会功能的一个潜在标志物,也是一个可行的治疗目标.
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