Applying polyvictimization theory to veterans: Associations with substance use and mental health.
Applying polyvictimization theory to veterans: Associations with substance use and mental health.
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DOI：
10.1037/adb0000781
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发表时间：
2022-03
期刊：
影响因子：
--
通讯作者：
Pedersen ER
中科院分区：
文献类型：
--
作者：
Davis JP;Lee DS;Saba S;Fitzke RE;Ring C;Castro CC;Pedersen ER
先前的工作已经将暴露与多种类型的创伤联系起来（即，与暴露于任何单一事件相比，多受害者）增加了负面行为健康结果的风险。然而，很少有研究试图了解多受害理论如何与退伍军人的经验和行为健康结果。目前的研究评估了儿童创伤、战斗创伤和军事性创伤报告的异质性。我们在传统的退伍军人健康管理局之外招募了1,230名退伍军人参与一项评估行为健康的研究。参与者平均年龄为34.5岁，其中大多数为白色（79.3%）和男性（88.7%）。我们使用潜在类别分析来提取创伤经历暴露的类别，包括童年创伤、战斗创伤和军事性创伤。出现了五个阶级：（1）高;（2）中度战斗创伤，高度军事性创伤;（3）高度战斗创伤，中度军事性骚扰;（4）中度童年创伤和战斗创伤;（5）仅战斗创伤。总的来说，支持多种创伤类型的退伍军人（即，（在多次受害者中）表现出更严重的抑郁症、创伤后应激障碍和危险的酒精或大麻使用症状。此外，妇女在包括多重受害类型的档案中所占比例过高，特别是当档案包括对军事性创伤的高度认可时。一个多受害的框架得到部分支持，不同的创伤经历对行为健康结果的影响不同。
Prior work has linked exposure to multiple types of trauma (i.e., poly-victimization) to increased risk of negative behavioral health outcomes compared with exposure to any single event. However, few studies have attempted to understand how poly-victimization theory relates specifically to veterans’ experiences and behavioral health outcomes. The current study assessed heterogeneity in reports of childhood trauma, combat trauma, and military sexual trauma. We recruited 1,230 veterans outside of traditional Veterans Health Administration settings to participate in a study assessing behavioral health. On average participants were 34.5 years old with the majority identifying as White (79.3%) and male (88.7%). We used latent class analysis to extract classes of traumatic experience exposure including childhood trauma, combat trauma, and military sexual trauma. Five classes emerged: (1) high all; (2) moderate combat trauma, high military sexual trauma; (3) high combat trauma, moderate military sexual harassment; (4) moderate childhood trauma and combat trauma; (5) combat trauma only. Overall, veterans in profiles that endorsed multiple trauma types (i.e., poly-victimization) evidenced greater symptoms of depression, posttraumatic stress disorder, and hazardous alcohol or cannabis use. Further, women were overly represented in profiles that included multiple victimization typologies, especially when profiles included elevated endorsement of military sexual trauma. A poly-victimization framework was partially supported, with differential effects on behavioral health outcomes noted across trauma experiences.
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影响因子：
3.3
作者：
Davis, Jordan P.;Janssen, Tim;Monterosso, John
通讯作者：
Monterosso, John
影响因子：
1.2
作者：
Derefinko, Karen J.;Hallsell, Troy A.;Klesges, Robert C.
通讯作者：
Klesges, Robert C.
DOI：
10.1177/2167702613501496
发表时间：
2014-05
期刊：
Clinical psychological science : a journal of the Association for Psychological Science
影响因子：
--
作者：
Evans GW;Cassells RC
通讯作者：
Cassells RC
影响因子：
10.5
作者：
Elbogen, Eric B.;Johnson, Sally C.;Beckham, Jean C.
通讯作者：
Beckham, Jean C.
影响因子：
4.8
作者：
Afifi, Trade O.;Boman, Jonathan;Sareen, Jitender
通讯作者：
Sareen, Jitender