Assessing exposure to war-related traumatic events in older Vietnamese war survivors.

Assessing exposure to war-related traumatic events in older Vietnamese war survivors.
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DOI:
10.1186/s13031-021-00343-y
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发表时间:
2021-03-06
影响因子:
3.6
通讯作者:
Toan TK
Toan TK
中科院分区:
医学2区
文献类型:
--
作者:
Young Y;Korinek K;Zimmer Z;Toan TK

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尽管测量美国退伍军人中与战争相关的压力源和由此造成的创伤的研究很多,但很少有研究涉及战时压力源如何影响战区退伍军人。更少的人评估越南平民所经历的压力暴露和由此造成的创伤。这项研究旨在构建一个量表来量化战时压力暴露,这与在美国越战中幸存下来的平民和退伍军人有关。这项研究分析了一个新的来源越南健康和老龄化研究的数据,该研究调查了居住在越南中部和北部的老年男性和女性。我们使用探索性和验证性因素分析与信度和效度的后检验相结合的方法来得出评估战争相关创伤事件暴露的测量方法。我们发现,暴露在死亡、战斗、不适宜居住的生活条件和被迫流离失所的混合环境中,构成了可能导致创伤后应激障碍和其他心理健康问题的创伤事件。然而,对于平民、正规军队的退伍军人和前准军事组织成员来说,构成战争创伤的压力经历的特殊组合是不同的。这些发现表明,需要用不同但平行的方法来衡量在本国受到战争影响的退伍军人和平民群体与战争有关的压力来源,以及需要更多地关注非战斗人员潜在的挥之不去的创伤。网上版载有补充材料,可在10.1186/s13031-021-00343-y查阅。
Though studies measuring war-related stressors and resultant trauma among U.S. military veterans are abundant, few studies address how wartime stressors affect military veterans native to warzones. Even fewer assess the stress exposure and resulting trauma experienced by Vietnamese civilians. This study aimed to construct a scale to quantify wartime stress exposure that is relevant for civilians and military veterans who survived the American War in Vietnam. The study analyzed data from a novel source, the Vietnam Health and Aging Study, which surveyed older men and women residing in central and northern Vietnam. We used a combination of exploratory and confirmatory factor analysis with posthoc tests of reliability and validity to derive measures for assessing exposure to war-related traumatic events. We found that a mix of exposure to death, combat, inhospitable living conditions, and forced displacement comprises the traumatic events that potentially contribute to posttraumatic stress disorder and other mental health problems. However, the particular mix of stressful experiences constituting war trauma differs for civilians, veterans of the formal military, and former members of paramilitary organizations. These findings suggest the need for distinct but parallel approaches to measuring war-related stressors for populations of veterans and civilians exposed to war in their home countries and the need for greater public attention to the potential lingering trauma of noncombatants. The online version contains supplementary material available at 10.1186/s13031-021-00343-y.
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