A 50-year prospective study of the psychological sequelae of World War II combat.
A 50-year prospective study of the psychological sequelae of World War II combat.
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对二战战斗心理后遗症的 50 年前瞻性研究。
DOI：
10.1176/ajp.152.4.516
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发表时间：
1995
期刊：
影响因子：
--
通讯作者：
Elder,GH
中科院分区：
文献类型：
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作者：
Lee,KA;Vaillant,GE;Torrey,WC;Elder,GH
目的：作者利用一项为期50年的前瞻性研究，第二次世界大战退伍军人的战斗暴露，创伤后应激障碍症状和特质神经质（NEO.Method）的预测和相关性：对象是107名退伍军人谁曾被广泛研究之前和之后立即在海外服役的第二次世界大战。所有担任研究的成员，直到目前的时间和91填写了两份问卷的创伤后应激障碍症状和neuroticity.Results：在tnis研究组变量与积极的心理健康在青春期，并在65岁预测战斗曝光。在1946年和1988年，战斗暴露和战斗期间的生理症状数量（但不是在平民压力期间）预测了PTSD的症状。战斗暴露也预测了早期死亡和研究减员。青少年和65岁时的心理社会脆弱性以及在战斗应激期间的生理症状可以预测65岁时的特质神经质。结论：战斗暴露可以预测PTSD症状，但不能预测非特异性精神病理学指标。发病前的脆弱性预测随后的精神病理学，但不是PTSD的症状。
Objective: The authors take advantage of a 50 year prospective study of World War II veterans to examine the predictors and correlates of combat exposure, PTSD symptoms and trait neuroticism (NEO).Method: The subjects were 107 veterans who had been extensively studied before and immediately after serving overseas in World War II. All served as members of the study until the present time and 91 filled out both questionnaires of PTSD symptoms and neuroticism.Results: In tnis study group variables associated with positive psychosocial health in adolescence and at age 65 predicted combat exposure. Combat exposure and number of physiological symptoms during combat—but not during civilian stress—predicted symptoms of PTSD in 1946 and 1988. Combat exposure also predicted early death and study attrition. Psychosocial vulnerability in adolescence and at age 65 and physiological symptoms during civilian—but not during combat stress—predicted trait neuroticism at age 65.Conclusion: Combat exposure predicted symptoms of PTSD but not nonspecific measures of psychopathology. Premorbid vulnerability predicted subsequent psychopathology but not symptoms of PTSD.