Combat trauma: Trauma with highest risk of delayed onset and unresolved posttraumatic stress disorder symptoms, unemployment, and abuse among men
Combat trauma: Trauma with highest risk of delayed onset and unresolved posttraumatic stress disorder symptoms, unemployment, and abuse among men
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DOI：
10.1097/00005053-200102000-00005
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发表时间：
2001-02-01
影响因子：
1.9
通讯作者：
Rosenheck, RA
中科院分区：
文献类型：
--
作者：
Prigerson, HG;Maciejewski, PK;Rosenheck, RA
相对于其他创伤，人们对与战斗创伤相关的创伤后应激障碍（PTSD）和其他形式的功能障碍的风险和过程知之甚少。修订版的DSM-III-R创伤后应激障碍模块的诊断访谈时间表和复合国际诊断访谈进行了管理的一个代表性的全国样本的5877人15-54岁的第2部分子样本的科摩罗全国调查。在加权子样本中，1703名男性报告了创伤事件。在控制混杂影响的情况下，比较了将战斗提名为最严重创伤的男性与将其他创伤提名为最严重创伤的男性患创伤后应激障碍和其他形式功能障碍的风险。与报告其他创伤为最糟糕经历的男性相比，报告战斗为最糟糕创伤的男性更有可能患有终身创伤后应激障碍、延迟的创伤后应激障碍症状发作和未解决的创伤后应激障碍症状，并且失业、被解雇、离婚和对配偶进行身体虐待。
Little is known about the risk and course of posttraumatic stress disorder (PTSD), and other forms of dysfunction, associated with combat trauma relative to other traumas. Modified versions of the DSM-III-R PTSD module from the Diagnostic Interview Schedule and Composite International Diagnostic Interview were administered to a representative national sample of 5877 persons 15-54 years old in the part 2 subsample of the National Comorbidity Survey. Of the weighted subsample, 1703 men reported a traumatic event. The risk of PTSD and other forms of dysfunction were compared for men who nominated combat as their worst trauma versus men nominating other traumas as worst, controlling for confounding influences. Men reporting combat as their worst trauma were more likely to have lifetime PTSD, delayed PTSD symptom onset, and unresolved PTSD symptoms, and to be unemployed, fired, divorced, and physically abusive to their spouses than men reporting other traumas as their worst experience.