The Influence of combat and interpersonal trauma on PTSD, depression, and alcohol misuse in U.S. Gulf War and OEF/OIF women veterans
The Influence of combat and interpersonal trauma on PTSD, depression, and alcohol misuse in U.S. Gulf War and OEF/OIF women veterans
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DOI：
10.1002/jts.21686
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发表时间：
2012-04-01
影响因子：
3.3
通讯作者：
Shipherd, Jillian C.
中科院分区：
文献类型：
--
作者：
Hassija, Christina M.;Jakupcak, Matthew;Shipherd, Jillian C.
本研究以第一次海湾战争、伊拉克战争和阿富汗战争的115名美国女退伍军人为样本，评估了战斗和人际创伤暴露对3种部署后创伤相关心理健康结果的影响：创伤后应激障碍症状（PSS）、抑郁症状严重程度（DSS）和酒精滥用。在退伍军人事务部部署后健康专科诊所就诊的患者完成了筛查问卷，评估了战斗暴露、童年忽视、身体虐待或性虐待、成人性侵犯和身体侵犯的终生人际创伤史。在回归模型中，战斗暴露是与PSS、DSS和酒精滥用相关的唯一显著自变量（β = 0.42,）。27和B = 1.58)，即使在模型中加入终身人际攻击暴露。结果强调了战斗暴露对寻求治疗的女退伍军人部署后心理健康的负面影响。将战斗暴露纳入海湾战争、伊拉克战争和阿富汗战争女性退伍军人的常规筛查程序有助于制定心理健康治疗计划。
The present study evaluated the impact of combat and interpersonal trauma exposure in a sample of 115 U.S. women veterans from Gulf War I and the Iraq and Afghanistan wars on 3 postdeployment trauma-related mental health outcomes: posttraumatic stress disorder symptoms (PSS), depressive symptom severity (DSS), and alcohol misuse. Patients presenting for healthcare services at a Veterans Affairs postdeployment health specialty clinic completed screening questionnaires that assessed combat exposure, lifetime interpersonal trauma history of childhood neglect, physical, or sexual abuse, and adult sexual and physical assault. In a regression model, combat exposure was the only significant independent variable associated with PSS, DSS, and alcohol misuse (beta = .42, .27 and B = 1.58, respectively) even after adding lifetime interpersonal assault exposure to the model. Results highlight the negative effects of combat exposure on treatment-seeking women veterans' postdeployment mental health. Incorporating combat exposure into routine screening procedures for Gulf War and Iraq and Afghanistan war women veterans can aid in mental health treatment planning.