创伤后应激障碍症状集群与宗教/精神与首次响应者中酒精使用之间的联系
Caroline C Kaufman1, Anka A Vujanovic2, James G Murphy3
1Department of Psychiatry, Harvard Medical School, USA; Spirituality and Mental Health Program, McLean Hospital, USA.
具有较高创伤后应激障碍 (PTSD) 侵入症状的第一响应者更多地滥用酒精,而避免症状与更少的滥用相关. 灵性可能在这些人群中起到保护作用.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 滥用酒精和创伤后应激障碍 (PTSD) 的高率同时发生在急救人员中.
- 了解PTSD与滥用酒精之间的关系对于开发针对这一群体的有效干预措施至关重要.
- 灵性是影响这种关联的潜在可塑性因素.
研究的目的:
- 检查PTSD症状集群与第一响应者滥用酒精之间的独特关系.
- 调查宗教/灵性在缓解PTSD与酒精滥用之间的联系中的作用.
- 将研究结果与现有的军事样本研究进行比较.
主要方法:
- 一项针对320名急救人员的全国性在线调查.
- 评估PTSD症状 (入侵,回避),滥用酒精,以及宗教/灵性.
- 使用了等级线性回归分析.
主要成果:
- 创伤后应激障碍入侵症状 (B组) 与滥用酒精的增加有显著的关联.
- 创伤后应激障碍回避症状 (C组) 与酒精滥用的减少显著相关.
- 积极和消极的精神应对策略都与滥用酒精有关.
结论:
- 研究结果表明,与军人相比,PTSD症状集群和第一反应者滥用酒精之间存在明显的关联.
- 宗教和灵性可能会在第一时间响应者中提供一种保护性缓冲,防止滥用酒精.
- 需要进一步的研究来探索PTSD,酒精滥用和灵性之间的微妙相互作用.
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