老年美国退伍军人的创伤后压力症状,功能和自杀想法:网络分析
Robert H Pietrzak1, Ian C Fischer2, Peter J Na3
1U.S. Department of Veterans Affairs National Center for PTSD (RHP, ICF), VA Connecticut Healthcare System, West Haven, CT; Department of Psychiatry (RHP, ICF, PJN, JMC, TRS), Yale School of Medicine, New Haven, CT; Department of Social and Behavioral Sciences (RHP), Yale School of Public Health, New Haven, CT.
负面的信念和情绪反应性是老老兵中创伤后应激障碍 (PTSD) 的核心. 难以集中注意力和无情感将PTSD症状与功能问题和自杀念头联系起来.
科学领域:
- 精神病学是一个精神病学.
- 老年学是一门学科.
- 退伍军人健康 退伍军人的健康
背景情况:
- 创伤后应激障碍 (PTSD) 影响了许多老年人,特别是退伍军人.
- 了解核心的PTSD症状及其对功能和自杀念头 (SI) 的影响对于这一群体至关重要.
研究的目的:
- 在美国老年退伍军人中识别PTSD中心症状.
- 在这个人口群体中检查PTSD症状,日常功能和SI之间的关联.
主要方法:
- 网络分析使用了233名退伍军人 (年龄≥60岁) 的数据,这些退伍军人患有完全或低于值的PTSD.
- 评估了症状的中心性和与功能和SI的关联.
主要成果:
- 负面的自我/世界信念和与创伤相关的情感/生理反应被确定为最核心的PTSD症状.
- 难以集中注意力和无情感与功能障碍和SI最为密切相关.
结论:
- 建议对患有PTSD的老年退伍军人采取双重重点治疗方法.
- 解决相互关联的PTSD症状以及与功能衰退和自杀风险相关的症状可能会改善康复结果.
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