Self-reported PTSD symptoms and social support in U.S. military service members and veterans: a meta-analysis.
Self-reported PTSD symptoms and social support in U.S. military service members and veterans: a meta-analysis.
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DOI：
10.1080/20008198.2020.1851078
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发表时间：
2021
影响因子：
5
通讯作者：
Zalta AK
中科院分区：
文献类型：
--
作者：
Blais RK;Tirone V;Orlowska D;Lofgreen A;Klassen B;Held P;Stevens N;Zalta AK
背景：创伤后应激障碍（PTSD）的心理健康负担在美国军事样本中很高。社会支持是对PTSD最强有力的保护因素之一，最近的一项荟萃分析表明，这种关系在军事样本中比平民样本更强。然而，没有荟萃分析探讨了影响退伍军人和军人（VSM）这种关联的因素。目的：目前的荟萃分析研究了人口统计学，社会支持和军事特征，这些特征可能会缓和美国VSM中PTSD严重程度和社会支持的关系。方法：检索确定了37项横断面研究，代表38个独特的样本，共18，766人。结果如下：总体随机效应估计值为-0.33（95%CI：-0.38，-0.27，Z =-10.19，p <0.001），表明较低水平的社会支持与更严重的PTSD症状相关。基于诊断和统计手册（DSM）-III的PTSD措施比基于DSM-IV或DSM-5的措施具有更大的效应量。社会支持来源是一个显着的主持人，这样的支持，认为从非军事来源与更大的效果大小比支持认为从军事来源。在考虑协变量后，该发现仍然有效。部署时代，社会支持的时间，和年龄也是显着的调节因素，但不再显着相关的协变量调整后的效果大小。虽然以前的荟萃分析表明，社会消极性比积极形式的社会支持更有影响力，但很少有研究在主持人分析中评估社会消极性。结论：结果表明，从平民和家庭环境中获得的社会支持可能比从军事来源获得的社会支持对长期PTSD症状严重程度起更大的保护作用。通过研究社会消极性与PTSD症状之间的关系，可以加强美国VSM中社会支持与PTSD的文献研究。·影响美国军人PTSD严重程度和社会支持之间关联的因素未得到充分研究。对38个横断面样本（N = 18，766）的荟萃分析显示，较高水平的社会支持与较轻的PTSD症状相关。从非军事来源获得的社会支持与PTSD症状的关系比从军事来源获得的支持更强。·很少有研究在军事样本中研究社交消极性与PTSD严重程度之间的关系，尽管有证据表明社交消极性比积极形式的支持更能预测PTSD的严重程度。
Background: The mental health burden of posttraumatic stress disorder (PTSD) is high in U.S. military samples. Social support is one of the most robust protective factors against PTSD and a recent meta-analysis indicates that this relationship is even stronger in military samples compared to civilian samples. Yet no meta-analyses have explored factors impacting this association in veterans and military service members (VSMs). Objective: The current meta-analysis examined demographic, social support, and military characteristics that may moderate the relationship of PTSD severity and social support among U.S. VSMs. Method: A search identified 37 cross-sectional studies, representing 38 unique samples with a total of 18,766 individuals. Results: The overall random effects estimate was −.33 (95% CI: −.38, −.27, Z = −10.19, p <.001), indicating that lower levels of social support were associated with more severe PTSD symptoms. PTSD measures based on the Diagnostic and Statistical Manual (DSM)-III had a larger effect size than measures based on DSM-IV or DSM-5. The social support source was a significant moderator such that support perceived from non-military sources was associated with a larger effect size than support perceived from military sources. This finding held after accounting for covariates. Deployment-era, timing of social support, and age were also significant moderators, but were no longer significantly associated with effect size after adjusting for covariates. Although previous meta-analyses have shown social negativity to be more impactful than positive forms of social support, there were too few studies conducted to evaluate social negativity in moderator analyses. Conclusion: Results suggest that social support received from civilians and in the home environment may play a greater protective role than social support received from military sources on long-term PTSD symptom severity. The literature on social support and PTSD in U.S. VSMs would be strengthened by studies examining the association of social negativity and PTSD symptoms. • Factors that impact the association of PTSD severity and social support among U.S. military service members are understudied. • A meta-analysis of 38 cross-sectional samples (N = 18,766) showed that higher levels of social support were associated with less severe PTSD symptoms. • Social support received from non-military sources had a stronger relationship with PTSD symptoms than support received from military sources. • Few studies have examined the relationship between social negativity and PTSD severity in military samples despite evidence that social negativity is a more robust predictor than positive forms of support.
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影响因子：
1.9
作者：
Duval, S;Tweedie, R
通讯作者：
Tweedie, R
影响因子：
1.1
作者：
Blais, Rebecca K.;Brignone, Emily;Andresen, Felicia J.
通讯作者：
Andresen, Felicia J.
影响因子：
3.3
作者：
Britt, Thomas W.;Adler, Amy B.;Moore, DeWayne
通讯作者：
Moore, DeWayne
影响因子：
3.5
作者：
Gibbons, Susanne W.;Hickling, Edward J.;Watts, Dorraine D.
通讯作者：
Watts, Dorraine D.
DOI：
10.1037/tra0000320
发表时间：
2018-07-01
影响因子：
6.3
作者：
Blais, Rebecca K.;Brignone, Emily;Gundlapalli, Adi V.
通讯作者：
Gundlapalli, Adi V.