POSTTRAUMATIC STRESS AND ASSOCIATED DISORDERS AMONG VIETNAM VETERANS - THE SIGNIFICANCE OF COMBAT EXPOSURE AND SOCIAL SUPPORT
POSTTRAUMATIC STRESS AND ASSOCIATED DISORDERS AMONG VIETNAM VETERANS - THE SIGNIFICANCE OF COMBAT EXPOSURE AND SOCIAL SUPPORT
复制标题
DOI：
10.1002/jts.2490080211
复制
发表时间：
1995-04-01
影响因子：
3.3
通讯作者：
BOSCARINO, JA
中科院分区：
文献类型：
--
作者：
BOSCARINO, JA
对这一假设进行了检验，即目前社会支持较低的暴露于创伤应激的个人有较高的创伤后应激和相关障碍的比率。为了测试这一点，研究人员对在越南战争服役的退伍军人(N=2,490人)和没有服役的退伍军人(N=1,972人)的随机样本进行了研究，研究了五种精神障碍的当前流行率，包括创伤后应激、普遍焦虑、抑郁、酗酒和药物滥用。使用Logistic回归分析每个障碍，控制过去的战斗暴露、当前的社会地位、儿童犯罪、军事适应和当前的社会支持。战斗暴露是创伤后应激的最好预测指标，也与焦虑和抑郁有关，但与酒精或药物滥用无关。药物滥用与儿童犯罪有关，而药物滥用的最好预测因素是非法使用军队药物。除药物滥用外，社会支持较低与所有疾病有关。尽管在这一案例中因果关系尚不清楚，但这项研究表明，未来的研究和临床干预不应忽视创伤应激受害者中社会支持的重要性。
The hypothesis is tested that individuals exposed to traumatic stress who currently have lower social support have higher rates of post-traumatic stress and associated disorders. To test this, the current prevalence of five psychiatric disorders, including post-traumatic stress, generalized anxiety, depression, alcohol abuse, and drug abuse, were studied among a random sample of veterans who served in Vietnan (N = 2,490) and a random sample of ''era'' veterans who did not (N = 1,972). Logistic regression was used to analyze each disorder, controlling for past combat exposure, current social status, childhood delinquency, military adjustment, and current social support. Combat exposure was the best predictor of post-traumatic stress and was also associated with anxiety and depression, but not alcohol or drug abuse. Substance abuse was associated with childhood delinquency, and the best predictor of drug abuse was illicit Army drug use. Lower social support was associated with all disorders, except drug abuse. Although the causal nexus is not clear in this case, this study suggests that future research and clinical interventions should not overlook the significance of social support among victims of traumatic stress.