在退伍军人男性和女性中,PTSD症状和随时间推移的功能之间的相互关联
Johanna Thompson-Hollands1, Nicholas A Livingston1, Brittany M Mathes Winnicki2
1National Center for PTSD, VA Boston Healthcare System.
Journal of psychopathology and clinical science
|March 2, 2026
概括
在退伍军人中,创伤后应激障碍 (PTSD) 症状和功能障碍随着时间的推移而有所改善. 然而,直接准功能可能会增强心理社会结果和适应性恢复.
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 退伍军人的健康 退伍军人的健康
背景情况:
- 创伤后应激障碍 (PTSD) 的诊断依赖于症状困扰和功能障碍.
- 研究经常优先考虑PTSD症状严重程度,而不是功能性结果.
- 了解PTSD症状和功能之间的相互作用对于退伍军人的康复至关重要.
研究的目的:
- 检查PTSD症状严重程度和全球功能中的纵向变化.
- 研究特定功能领域 (家庭,工作,育儿,自我照顾) 的时间动态.
- 探索PTSD的恢复轨迹和功能中的性别差异.
主要方法:
- 一个性别平衡的1461名退伍军人队伍在9年 (2010-2019) 期间完成了PTSD和功能测量.
- 使用了潜增长曲线建模和并行过程增长建模.
- 分析的重点是初始水平,变化速度和PTSD与功能之间的关联.
主要成果:
- 随着时间的推移,PTSD症状和整体功能在男性和女性中都显著改善,而女性的改善速度较慢.
- 在个人恢复路径中存在显著的异质性.
- 在功能领域出现了性别特异性模式:女性在家庭/育儿方面有所改善,男性在工作/人际关系方面有所改善,两者在友方面都有所改善;女性的自我照顾略有恶化.
结论:
- 虽然PTSD症状和功能在部署后得到改善,但针对功能的干预措施可能与以症状为重点的治疗一样有效.
- 直接解决功能障碍可能会增强退伍军人的心理社会调整和恢复.
- 考虑到性别特异性功能轨迹的个性化干预措施是合理的.
相关概念视频
Post-traumatic Stress Disorder
678
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
678
Traumatic Memory
635
Emotionally traumatic events often lead to memories that are exceptionally vivid and enduring, sometimes persisting with remarkable clarity throughout an individual's life. A classic example of this phenomenon is a person who survives a car accident. Even years later, they may recall every detail of the event with startling accuracy — the screeching of the tires, the jarring impact, and the acrid smell of burning rubber. Such vividness contrasts sharply with how an individual...
635
Classification of Illness
9.1K
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
9.1K
Dissociative Identity Disorder
1.2K
Dissociative Identity Disorder (DID), previously termed multiple personality disorder, is a complex psychological condition characterized by the presence of two or more distinct identities or personality states. Each identity exhibits unique patterns of behavior, voice, and mannerisms and may possess separate memories and emotional responses. The alternating control between identities can result in memory gaps and challenges in recalling daily activities, often exacerbating the individual's...
1.2K
Dissociative Disorders
704
Dissociative disorders represent complex psychological conditions characterized by disruptions in consciousness, memory, identity, or perception. These disruptions cause individuals to experience a disconnection from their thoughts, emotions, and memories. The phenomenon is not merely an occasional lapse in attention but a profound alteration in mental functioning that can severely impact daily life.
Dissociative Fugue
A hallmark feature of dissociative disorders is the dissociative fugue...
Dissociative Fugue
A hallmark feature of dissociative disorders is the dissociative fugue...
704
Bonanno's Theory of Grieving
1.2K
Grieving is a complex psychological and emotional process that varies significantly among individuals. George Bonanno's research on bereavement identified four distinct patterns of grieving, offering a nuanced understanding of how people cope with significant loss, such as the death of a spouse, over extended periods. These patterns — resilience, recovery, chronic dysfunction, and delayed grief — highlight the diversity in emotional responses and adaptive mechanisms.
Resilience
Resilience
1.2K


