Inconsistent Reporting of Adverse Life Events Is Predicted by Current Internalizing Distress Among Military Service Members.
Inconsistent Reporting of Adverse Life Events Is Predicted by Current Internalizing Distress Among Military Service Members.
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DOI：
10.1093/milmed/usac167
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发表时间：
2022-06
影响因子：
1.2
通讯作者：
Caitlin A. Martin-Wagar;Craig A. Marquardt;Yuchen Liu;P. Arbisi;Christopher R. Erbes;Melissa A. Polusny
中科院分区：
文献类型：
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作者：
Caitlin A. Martin-Wagar;Craig A. Marquardt;Yuchen Liu;P. Arbisi;Christopher R. Erbes;Melissa A. Polusny
简介 准确测量不良生活事件对于了解压力源对健康结果的影响至关重要。然而，大部分研究都使用横断面设计和事件发生多年后的自我报告。这种回顾性报告的可靠性以及与一段时间内回忆不一致相关的个体差异因素并未经常得到解决，特别是在军人中。材料和方法 国民警卫队服役人员的纵向队列（n = 801）完成了部署风险和复原力清单 - 2 先前压力源量表和多项总体幸福感测量，包括焦虑抑郁症状、个人功能、感知的社会支持和两个时间点（完成基本战斗训练之前和之后；中位间隔 11 个月）的整体健康状况。结果 报告生活事件项目的一致性范围为 69.5% 至 99.7%，该量表的总体 Cohen's kappa 系数为 0.215，表明一致性极小。时间 1 时较低的幸福感分数独立预测了响应从“是”到“否”的变化，而时间 2 时较低的幸福感得分独立预测了响应从“否”到“是”的变化。后续调解使用仅在时间 2 可用的研究措施进行。对于所有研究措施，时间 2 的幸福感通过自我报告的非特异性内化痛苦和唤醒的间接影响独立预测从“否”到“是”反应的变化。结论 这些发现强调了当前情绪困扰的波动对过去压力源回忆的混杂影响。在研究和临床实践中使用不良生活事件的回顾性自我报告需要额外谨慎，并在测量完成时更多地考虑当前的心理困扰。
INTRODUCTION Accurate measurement of adverse life events is critical for understanding the effects of stressors on health outcomes. However, much of this research uses cross-sectional designs and self-report years after the events take place. The reliability of this retrospective reporting and the individual difference factors associated with inconsistent recall over time are not frequently addressed, especially among military service members. MATERIALS AND METHODS A longitudinal cohort of National Guard service members (n = 801) completed the Deployment Risk and Resilience Inventory-2 Prior Stressors scale and several measures of general well-being, including anxious depressive symptomatology, personal functioning, perceived social support, and overall health at two time points (before and after completion of basic combat training; median 11-month interval). RESULTS Consistency in reporting the life event items ranged from 69.5% to 99.7%, with an overall Cohen's kappa coefficient of 0.215 for the scale, indicating minimal agreement. Lower well-being scores at Time 1 independently predicted yes-to-no changes in responding, whereas lower well-being scores at Time 2 independently predicted no-to-yes changes in responding. Follow-up mediations were conducted using study measures available only at Time 2. For all study measures, Time 2 well-being independently predicted changes from no-to-yes responding by way of indirect effects through self-reported non-specific internalizing distress and arousal. CONCLUSIONS These findings highlight the confounding effects of fluctuations in current emotional distress on past stressor recall. There is a need for additional caution regarding the use of retrospective self-report of adverse life events in research and clinical practice and greater consideration of current psychological distress at the time of measurement completion.