军事维和人员的创伤后压力轨迹:对23年的纵向分析
Christer Lunde Gjerstad1, Hans Jakob Bøe1, Andreas Espetvedt Nordstrand1
1Institute of Military Psychiatry, Norwegian Armed Forces Joint Medical Services.
概括
在挪威维和人员中,创伤后应激障碍 (PTSD) 的患病率在23年内显著增加. 心理健康问题的因果归因强烈预测了晚期发作的PTSD,突出了干预的目标.
科学领域:
- 军人卫生保健 军人卫生保健
- 心理创伤学 心理创伤学
- 纵向研究 纵向研究
背景情况:
- 创伤后应激障碍 (PTSD) 可以在部署后多年表现出来.
- 了解晚发性PTSD对于退伍军人的福祉至关重要.
研究的目的:
- 调查23年来挪威维和人员的PTSD轨迹.
- 描述晚期发作的PTSD,并确定其预测因素.
主要方法:
- 分析了463名挪威维和人员在黎巴嫩部署的PTSD症状.
- 部署后7年和29年使用创伤后症状量表-10评估症状.
- 使用后勤回归来识别晚发性PTSD的预测因素.
主要成果:
- 在23年内,估计PTSD患病率从2.8%上升到8.9%.
- 在部署后29年,晚期发作的PTSD占病例的90.2%.
- 关键预测因素包括因果归因 (OR=3.03),多次部署 (OR=1.56) 和部署后压力因素 (OR=1.30).
结论:
- 在过去二十年中,PTSD患病率显著增加.
- 精神健康问题的因果归因于服务是晚期创伤后应激障碍的最强有力的预测因素.
- 解决因果归因的干预措施可以减轻长期PTSD症状.
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