Does Prior Civilian Trauma Moderate the Relationship Between Combat Trauma and Post-deployment Mental Health Symptoms?
Does Prior Civilian Trauma Moderate the Relationship Between Combat Trauma and Post-deployment Mental Health Symptoms?
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DOI：
10.1177/0886260520958659
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发表时间：
2022-04
影响因子：
2.5
通讯作者：
Amstadter AB
中科院分区：
文献类型：
--
作者：
George BA;Bountress KE;Brown RC;Hawn SE;Weida EAB;McDonald SD;Pickett T;Danielson CK;Sheerin CM;Amstadter AB
除了战斗创伤，儿童和成人非军事，人际创伤暴露与一系列精神症状有关（例如，酒精使用问题，创伤后应激障碍[PTSD]，抑郁症状）。然而，很少有研究同时探讨这些平民和战斗创伤类型与心理健康结果之间的关联。使用先前部署到伊拉克和阿富汗的战斗暴露退伍军人样本（N = 302），本研究试图（a）了解平民人际创伤的独立关联（即，儿童创伤和非军事成人创伤）和战斗相关创伤分别与部署后酒精使用、PTSD症状和抑郁症状相关，以及（B）检查创伤类型的交互作用，以测试儿童和非军事成人创伤是否缓和战斗创伤与这些结果的关联。一个路径分析框架被用来允许同时预测这些协会。在最后的模型中，非军事成人创伤和战斗创伤被发现与PTSD症状和抑郁症状显着相关，但不是平均每天饮酒量。童年创伤与任何结果无关（即，PTSD症状，抑郁症状，每天平均饮酒量）。只有战斗创伤与每天平均饮酒量显著相关。结果强调了评估多种创伤类型并将创伤视为非特异性风险因素的重要性，因为不同的创伤类型可能会不同地预测除创伤后应激障碍之外的各种心理健康结果。此外，结果突出了值得注意的考虑共同发生的结果在退伍军人社区。多样性的局限性，未来的发展方向和影响进行了讨论。
In addition to combat trauma, childhood and adult non-military, interpersonal trauma exposures have been linked to a range of psychiatric symptoms (e.g., alcohol use problems, posttraumatic stress disorder [PTSD], depression symptoms) in veterans. However, few studies simultaneously explore the associations between these civilian and combat trauma types and mental health outcomes. Using a sample of combat-exposed veterans who were previously deployed to Iraq and Afghanistan (N = 302), this study sought to (a) understand the independent associations of civilian interpersonal trauma (i.e., childhood trauma and non-military adult trauma) and combat-related trauma with post-deployment alcohol use, PTSD symptoms, and depressive symptoms, respectively and (b) to examine the interactive effects of trauma type to test whether childhood and non-military adult trauma moderate the association of combat trauma with these outcomes. A path analytic framework was used to allow for the simultaneous prediction of these associations. In the final model non-military adult trauma and combat trauma were found to be significantly associated with PTSD symptoms and depression symptoms, but not average amount of drinks consumed per drinking day. Childhood trauma was not associated with any outcomes (i.e., PTSD symptoms, depression symptoms, average amount of drinks consumed per day). Only combat trauma was significantly associated with average amount of drinks consumed per day. Results underscore the importance of assessing multiple trauma types and considering trauma as a non-specific risk factor, as different trauma types may differentially predict various mental health outcomes other than PTSD. Further, results highlight the noteworthiness of considering co-occurring outcomes within the veteran community. Limitations, future directions, and implications of diversity are discussed.
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影响因子：
25.8
作者：
Liu H;Petukhova MV;Sampson NA;Aguilar-Gaxiola S;Alonso J;Andrade LH;Bromet EJ;de Girolamo G;Haro JM;Hinkov H;Kawakami N;Koenen KC;Kovess-Masfety V;Lee S;Medina-Mora ME;Navarro-Mateu F;O'Neill S;Piazza M;Posada-Villa J;Scott KM;Shahly V;Stein DJ;Ten Have M;Torres Y;Gureje O;Zaslavsky AM;Kessler RC;World Health Organization World Mental Health Survey Collaborators
通讯作者：
World Health Organization World Mental Health Survey Collaborators
影响因子：
3.3
作者：
Hassija, Christina M.;Jakupcak, Matthew;Shipherd, Jillian C.
通讯作者：
Shipherd, Jillian C.
影响因子：
4.8
作者：
Dunn EC;Nishimi K;Powers A;Bradley B
通讯作者：
Bradley B
影响因子：
7.5
作者：
BOSCARINO, J
通讯作者：
BOSCARINO, J
影响因子：
2.4
作者：
McHugo, Gregory J.;Krassenbaum, Sarah;Drake, Robert E.
通讯作者：
Drake, Robert E.