在9/11事件后的美国战斗退伍军人中,报告的潜在的道德伤害事件中的性别差异,使用两个措施
Morgan N Myers1, A Solomon Kurz1, Jasmyn Paul2
1Central Texas Veterans Healthcare System.
Psychological trauma : theory, research, practice and policy
|November 7, 2024
概括
男性和女性退伍军人报告的潜在的道德伤害事件 (PMIEs) 在高率. 在特定的PMEE经验中出现了小的性别差异,为道德伤害的临床评估提供了信息.
科学领域:
- 心理学 心理学 心理学
- 军人心理健康 军人心理健康
- 创伤研究 创伤研究
背景情况:
- 潜在的道德伤害事件 (PMIEs) 可以导致道德伤害,其特点是负面的心理结果.
- 了解PME报告中的性别差异对于有效的临床干预至关重要.
- 以前的研究强调了军事经验对退伍军人的幸福感的影响.
研究的目的:
- 在战斗退伍军人中调查潜在的道德伤害事件 (PMIEs) 报告率的性别相关差异.
- 分析标准化道德伤害尺度上的项目级响应,以确定特定的性别差异.
主要方法:
- 一项涉及美国9/11战后退伍军人的纵向队列研究的二次分析 (N=406).
- 使用了两个指标:道德伤害事件量表 (MIES) 和道德伤害问卷-军事版本 (MIQ-M).
- 采用贝叶斯的多层次项目响应理论模型来检查项目响应层面的性别差异.
主要成果:
- 男性和女性退伍军人均报告PME的比例很高",从来没有"或"强烈不同意"是最常见的答案.
- 在MIQ-M上,更大比例的男性退伍军人支持在某种程度上经历PMEE.
- 女性退伍军人更有可能强烈地同意MIES上与背叛有关的项目.
结论:
- 虽然PME的总比率在两种性别中都很高,但在项目层面上观察到显著的性别差异.
- 在经历特定PME时,这些细微的性别差异可以为临床评估和对道德伤害的概念化提供信息.
- 这些发现强调了在评估和治疗退伍军人的道德伤害时考虑性别的重要性.
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