人际关系和创伤相关的内缓和了战斗经历的强度和自杀倾向之间的关系
Matthew L McCue1, Carolyn B Allard1,2, Constance J Dalenberg1
1Psychology, Alliant International University, San Diego, California.
概括
战斗经历增加了军事人员的自杀风险,特别是通过PTSD和感知到的负担. 罪恶感放大了这种风险,突出了干预的关键目标.
科学领域:
- 军事精神健康 军事精神健康
- 心理创伤研究 心理创伤研究
- 自杀学 自杀学
背景情况:
- 在全球反恐战争后的军事社区中,自杀率仍然很高.
- 关于自杀风险因素的现有研究需要澄清和改进.
- 之前的研究显示出混合的结果,需要更强大的模型.
研究的目的:
- 在9/11后的军事部署中测试自杀风险的结构方程模型.
- 检查与创伤相关的和人际内的缓解作用.
- 纳入经验支持的风险因素,包括战斗经历,PTSD,抑郁症和人际心理自杀理论 (IPTS) 构造.
主要方法:
- 使用结构方程建模.
- 使用了一个代表性的9/11后部署人员样本.
- 两种内概念 (与创伤相关的和人际关系) 被评价为调节者.
主要成果:
- 较高的内程度 (与创伤相关或人际关系) 强化了战斗经历和精神病理之间的联系.
- 战斗经验通过精神病理学和IPTS因素 (感知负担,获得能力) 间接影响了自杀倾向.
- 自杀的主要途径涉及战斗经历,导致创伤后应激障碍和感知负担.
结论:
- 罪恶感显著缓解了战斗暴露和自杀风险之间的关系.
- 战斗暴露对自杀倾向的影响是由创伤后应激障碍和感知负担的介导.
- 针对PTSD和感知负担性提供了一个有希望的临床和组织干预策略,用于预防军事自杀.
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