The Impacts of Service Related Exposures on Trajectories of Mental Health Among Aging Veterans.
The Impacts of Service Related Exposures on Trajectories of Mental Health Among Aging Veterans.
复制标题
服务相关暴露对老年退伍军人心理健康轨迹的影响。
DOI：
10.1093/geronb/gbw149
复制
发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Kail,BenLennox
中科院分区：
文献类型：
--
作者：
Ureña,Stephanie;Taylor,MilesG;Kail,BenLennox
ObjectivesDrawing on life-course perspective and cumulative advantage theory，we examined whether service related exposure（SREs）--fight and exposure to death--have lasting impacts on depression symptoms and psychiatric problem trajectories aged veterans.MethodsThe Health and Retirement Study and linked 2013 Veterans Mail Survey was used to examine SREs and mental health among older veterans between 2002 and 2012（N= 1 662）。潜在的增长曲线被用来衡量个人如何不同的平均心理健康轨迹的基础上SREs和其他重要的covarias.ResultsExposure死亡有一个显着的和持久的影响抑郁症状的退伍军人在晚年，但减少到无意义时，身体健康轨迹被包括在内。战斗和暴露于死亡有独立的和强大的影响精神问题，这是强大的最终models.DiscussionSREs提出了各种各样的和重要的影响，这表明，战斗并不单独工作在驾驶不良的心理健康轨迹，暴露于死亡是一个更强大的风险标记为以后的结果。
ObjectivesDrawing on life-course perspective and cumulative advantage theory, we examined whether service related exposures (SREs)—combat and exposure to death—have lasting impacts on depressive symptom and psychiatric problem trajectories of aging veterans.MethodsThe Health and Retirement Study and linked 2013 Veterans Mail Survey were used to examine SREs and mental health among older veterans between 2002 and 2012 (N= 1,662). Latent growth curves were used to measure how individuals vary from average mental health trajectories based on SREs and other important covariates.ResultsExposure to death had a significant and lasting effect on depressive symptoms for veterans in late life but was reduced to nonsignificance when physical health trajectories were included. Combat and exposure to death had independent and robust impacts on psychiatric problems, which were robust in final models.DiscussionSREs presented varied and significant impacts, suggesting that combat does not work alone in driving poor mental health trajectories, and that exposure to death is a more robust risk marker for later outcomes.