评估共享的心理构造作为共患PTSD-AUD战斗暴露男性退伍军人的风险因素
Angela J Zaur1, Silviu A Bacanu1, Ananda B Amstadter1,2
1Department of Psychiatry, Virginia Commonwealth University, Richmond, Virginia, USA.
概括
这项研究发现,患有创伤后应激障碍 (PTSD) 和酒精使用障碍 (AUD) 的退伍军人表现出更高水平的体验性回避和特定的饮酒动机,而不是只有一个条件或没有. 这些发现表明共享的心理风险因素.
科学领域:
- 精神病学和行为科学
- 军事和退伍军人卫生保健
- 成研究 研究成研究
背景情况:
- 创伤后应激障碍 (PTSD) 和酒精使用障碍 (AUD) 经常在创伤暴露后同时发生.
- 对伴随性PTSD和AUD的共同风险因素的研究是有限的,因为研究通常集中在每个条件上.
- 了解这些共同因素对于为经历两种情况的退伍军人开发有效干预措施至关重要.
研究的目的:
- 调查白人,男性战斗暴露退伍军人的诊断群体之间的痛苦耐受性 (DT),经验回避 (EA) 和饮酒动机 (DM) 的差异.
- 确定潜在的共享心理机制,这些机制是PTSD和AUD在这个人群中的共同疾病的基础.
- 通过阐明与不同诊断结果相关的特定心理特征,为目标治疗策略提供信息.
主要方法:
- 一项涉及77名白人男性战斗暴露退伍军人的横截面研究.
- 参与者被分为诊断组:只有PTSD,只有AUD,并发性PTSD-AUD和对照组.
- 自我报告的措施评估了痛苦耐受性,经验回避和各种饮酒动机. 用多变量方差分析 (MANOVA) 和随后的ANOVA来分析群体差异.
主要成果:
- 在诊断组之间观察到心理构造的总体显著差异 (F{5,210) = 4.7,p < .001).
- 经验性回避和所有饮酒动机 (应对,社会,增强) 的子表格在不同组之间有显著差异,而痛苦耐受性则没有.
- 与对照组相比,患有PTSD-AUD和AUD-only并发症的退伍军人报告了所有饮酒动机子表的高得分. 同病症组也表现出比对照组和仅患有PTSD的组显著更高的体验性回避.
结论:
- 共享的心理因素,特别是经验性回避和特定的饮酒动机,都与PTSD和AUD的共患有关.
- 这些发现强调了评估和解决经验性回避和应对相关的饮酒动机在PTSD和/或AUD的退伍军人的重要性.
- 未来的研究应该进一步探索这些共享机制,以加强退伍军人群体的并发症综合治疗方法.
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