Not all traumas are created equal: Phenotypic heterogeneity of PTSD symptoms in relation to index traumas in U.S. military veterans.
Not all traumas are created equal: Phenotypic heterogeneity of PTSD symptoms in relation to index traumas in U.S. military veterans.
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并非所有创伤都是一样的：美国退伍军人中与指数创伤相关的 PTSD 症状的表型异质性。
DOI：
10.1016/j.jad.2023.08.012
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发表时间：
2023
影响因子：
6.6
通讯作者：
Pietrzak,RobertH
中科院分区：
文献类型：
--
作者：
Kachadourian,LorigK;Duek,Or;Tsai,Jack;Harpaz-Rotem,Ilan;Pietrzak,RobertH
创伤后应激障碍（PTSD）在退伍军人中很普遍。虽然创伤暴露被纳入创伤后应激障碍的诊断标准，但创伤事件的指数有很大的可变性，并且创伤后应激障碍的临床表现可能因经历的事件类型而异。我们研究了3507名参加国家退伍军人健康和恢复力研究的创伤暴露美国退伍军人不同指数创伤与PTSD症状之间的关系。结果表明，相对于疾病/伤害和灾难/事故，人际暴力和战斗/囚禁与创伤后应激障碍症状的总体严重程度有关。与其他两种类型相比，人际暴力和战斗/囚禁也与更严重的侵入性、回避性、负面影响、快感缺乏、外化行为以及焦虑和不安唤醒症状相关。讨论了这些发现对退伍军人创伤后应激障碍治疗方法的影响。
Posttraumatic stress disorder (PTSD) is prevalent in military veterans. Although exposure to trauma is subsumed under the diagnostic criteria for PTSD, there is great variability in index traumatic events, and the clinical presentation of PTSD may vary in individuals depending on the type of event experienced. We examined the relationship between different index traumas and PTSD symptoms in 3507 trauma-exposed U.S. military veterans who participated in the National Health and Resilience in Veterans Study. Results showed that interpersonal violence and combat/captivity was associated with greater overall severity of PTSD symptoms relative to illness/injury and disaster/accident. Interpersonal violence and combat/captivity were also associated with greater severity of intrusive, avoidance, negative affect, anhedonia, externalizing behaviors, and anxious and dysphoric arousal symptoms, relative to the other two categories. Implications of these findings for tailoring treatment approaches for PTSD in veterans are discussed.