Posttraumatic stress disorder in a national sample of female and male Vietnam veterans. Risk factors, war-zone stressors, and resilience-recovery variables
Posttraumatic stress disorder in a national sample of female and male Vietnam veterans. Risk factors, war-zone stressors, and resilience-recovery variables
复制标题
DOI：
10.1037/0021-843x.108.1.164
复制
发表时间：
1999-02-01
影响因子：
4.6
通讯作者：
Fairbank, JA
中科院分区：
文献类型：
--
作者：
King, DW;King, LA;Fairbank, JA
研究人员检查了创伤前危险因素（例如家庭不稳定、儿童时期反社会行为）、战区压力源（例如战斗、感知威胁）、创伤后复原力恢复变量（例如坚韧、社会支持）和创伤后应激障碍（PTSD）症状严重程度之间的关系。使用结构方程模型对全国 432 名女性退伍军人和 1,200 名男性退伍军人样本的数据进行了分析。对于两种性别，都发现了创伤前、战区和创伤后变量类别与 PTSD 的直接联系；记录了创伤前和创伤后变量之间的一些直接关联。尽管战区压力源在男性中似乎远比创伤后应激障碍（PTSD）更显着，但创伤后复原力恢复变量对女性来说更为显着。敦促研究人员、政策制定者和临床医生对创伤及其后遗症采取广泛的看法，特别是考虑到随着时间的推移可能出现的多重暴露以及重要资源的消耗和可用性。
Relationships among pretrauma risk factors (e.g., family instability, childhood antisocial behavior), war-zone stressors (e.g., combat, perceived threat), posttrauma resilience-recovery variables (e.g., hardiness, social support), and posttraumatic stress disorder (PTSD) symptom severity were examined. Data from a national sample of 432 female and 1,200 male veterans were analyzed using structural equation modeling. For both genders, direct links to PTSD from pretrauma, war-zone, and posttrauma variable categories were found; several direct associations between pretrauma and posttrauma variables were documented. Although war-zone stressors appeared preeminent far PTSD in men, posttrauma resilience-recovery variables were more salient for women. Researchers, policymakers, and clinicians are urged to take a broad view on trauma and its sequelae,especially regarding possible multiple exposures over time and the depletion and availability of important resources.