Do trauma type, stressful life events, and social support explain women veterans' high prevalence of PTSD?
Do trauma type, stressful life events, and social support explain women veterans' high prevalence of PTSD?
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DOI：
10.1007/s00127-018-1550-x
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发表时间：
2018-09
影响因子：
4.4
通讯作者：
Schnurr PP
中科院分区：
文献类型：
--
作者：
Lehavot K;Goldberg SB;Chen JA;Katon JG;Glass JE;Fortney JC;Simpson TL;Schnurr PP
与女性平民和男性退伍军人相比，研究导致女性退伍军人去年 DSM-5 创伤后应激障碍 (PTSD) 患病率较高的因素。 2012-2013 年全国酒精及相关病症流行病学调查-III (NESARC-III) 的横断面分析。对 379 名女性退伍军人、20,007 名女性平民和 2,740 名男性退伍军人进行了面对面访谈。使用酒精使用障碍和相关残疾访谈 Schedule-5 评估创伤类型（虐待儿童、人际暴力、战斗或战区等）、创伤类型的数量、过去一年的压力生活事件、当前的社会支持和 DSM-5 PTSD。使用广义线性模型来解释复杂的调查设计。与平民（5.96%）和男性（5.19%）相比，女性退伍军人去年未经调整的创伤后应激障碍（PTSD）患病率（11.40%）更高。个体预测模型表明，在调整创伤类型的数量时，女性退伍军人和平民之间的 PTSD 患病率之间的差异会减弱，而在调整虐待儿童、人际暴力和压力生活事件时，男性和女性退伍军人之间的差异会减弱。尽管如此，虽然多重预测模型的全面调整解释了女性退伍军人和平民之间 PTSD 的差异，但男性和女性退伍军人之间的性别差异仍然存在。创伤类型的数量、创伤类型和社会因素可能共同有助于解释女性退伍军人与女性平民相比更高的创伤后应激障碍患病率，但并不能完全解释男性和女性退伍军人之间的差异。结果强调需要探索其他解释因素并评估与纵向数据的关联。
To examine factors that account for women veterans’ higher prevalence of past-year DSM-5 posttraumatic stress disorder (PTSD) compared to women civilians and men veterans. Cross-sectional analyses of the 2012–2013 National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III). Face-to-face interviews with 379 women veterans, 20,007 women civilians, and 2,740 men veterans were conducted. Trauma type (child abuse, interpersonal violence, combat or war zone, and other), number of trauma types, past-year stressful life events, current social support, and DSM-5 PTSD were assessed using the Alcohol Use Disorder and Associated Disabilities Interview Schedule-5. Generalized linear models were used that accounted for the complex survey design. Women veterans had a higher unadjusted prevalence of past-year PTSD (11.40%) compared to their civilian (5.96%) and male (5.19%) counterparts. Individual predictor models indicated that the difference between women veterans’ and civilians’ prevalence of PTSD was attenuated when adjusting for number of trauma types, whereas the difference between men and women veterans was attenuated when adjusting for child abuse, interpersonal violence, and stressful life events. Nonetheless, while full adjustment in a multiple predictor model accounted for the difference in PTSD between women veterans and civilians, gender differences between men and women veterans remained. Number of trauma types, type of trauma, and social factors may together help explain women veterans’ higher PTSD prevalence compared to women civilians, but do not fully account for differences between men and women veterans. Results highlight a need to explore additional explanatory factors and evaluate associations with longitudinal data.
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影响因子：
4.4
作者：
Goldstein RB;Smith SM;Chou SP;Saha TD;Jung J;Zhang H;Pickering RP;Ruan WJ;Huang B;Grant BF
通讯作者：
Grant BF
影响因子：
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通讯作者：
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影响因子：
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作者：
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