Peritraumatic dissociation and posttraumatic stress in male Vietnam theater veterans.
Peritraumatic dissociation and posttraumatic stress in male Vietnam theater veterans.
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越南战区男性退伍军人的创伤周围解离和创伤后应激。
DOI：
10.1176/ajp.151.6.902
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发表时间：
1994
期刊：
影响因子：
--
通讯作者：
Hough,RL
中科院分区：
文献类型：
--
作者：
Marmar,CR;Weiss,DS;Schlenger,WE;Fairbank,JA;Jordan,BK;Kulka,RA;Hough,RL
目的：本研究的目的是确定创伤后分离的可靠性和有效性，并作为该研究的一部分，确定在令人不安的战斗创伤期间的分离经历与创伤后应激障碍（PTSD）的后续发展之间的关系。方法选取全国越战退伍军人再适应研究临床检查组成部分的251名越战退伍军人，研究战区应激暴露、最令人不安的战斗创伤事件中解离的回顾性报告和一般解离倾向与PTSD病例确定的关系。结果创伤后解离体验问卷评分与创伤后应激症状水平、应激暴露水平和一般解离倾向水平呈显著正相关，与MMPI-2一般精神病理量表呈弱相关。Logistic回归分析支持创伤期间解离的增量值，超过战区应激暴露水平和一般解离倾向的贡献，在考虑PTSD病例确定方面。结论本研究结果支持了《创伤前后分离体验问卷》的信度和效度，并支持了创伤-分离关联假说：创伤应激暴露期间分离程度越高，符合当前PTSD标准的可能性越大。
ObjectiveThe aim of this study was to determine the reliability and validity of a proposed measure of peritraumatic dissociation and, as part of that effort, to determine the relationship between dissociative experiences during disturbing combat trauma and the subsequent development of posttraumatic stress disorder (PTSD).MethodA total of 251 male Vietnam theater veterans from the Clinical Examination Component of the National Vietnam Veterans Readjustment Study were examined to determine the relationship of war zone stress exposure, retrospective reports of dissociation during the most disturbing combat trauma events, and general dissociative tendencies with PTSD case determination.ResultsThe total score on the Peritraumatic Dissociation Experiences Questionnaire--Rater Version was strongly associated with level of posttraumatic stress symptoms, level of stress exposure, and general dissociative tendencies and weakly associated with general psychopathology scales from the MMPI-2. Logistic regression analyses supported the incremental value of dissociation during trauma, over and above the contributions of level of war zone stress exposure and general dissociative tendencies, in accounting for PTSD case determination.ConclusionsThese results provide support for the reliability and validity of the Peritraumatic Dissociation Experiences Questionnaire--Rater Version and for a trauma-dissociation linkage hypothesis: the greater the dissociation during traumatic stress exposure, the greater the likelihood of meeting criteria for current PTSD.