PTSD in U.S. Veterans: The Role of Social Connectedness, Combat Experience and Discharge.
PTSD in U.S. Veterans: The Role of Social Connectedness, Combat Experience and Discharge.
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DOI：
10.3390/healthcare6030102
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发表时间：
2018-08-22
期刊：
影响因子：
--
通讯作者：
Castro CA
中科院分区：
文献类型：
--
作者：
Kintzle S;Barr N;Corletto G;Castro CA
从军队过渡出来的军人在过渡到平民生活的过程中往往面临巨大的挑战。离开军队需要建立一个新的社区以及与该社区的联系感。关于社会联系如何与其他突出的过渡结果，特别是创伤后应激障碍（PTSD）的症状有关，我们知之甚少。本研究的目的是探讨社会联系在创伤后应激障碍发展中的作用，以及它与已知的战斗暴露和出院状态的危险因素的关系。所使用的数据来自对722名退伍军人的需求评估调查。一个路径模型被指定为测试直接和间接的影响，战斗经验，非荣誉出院状态，和社会联系的创伤后应激障碍症状。结果表明，战斗经验和非荣誉出院状态对PTSD症状有积极的直接影响，而社会联系则有消极的直接影响。战斗经历和非荣誉退伍状态都对社会联系产生了直接的负面影响，并通过社会联系途径对PTSD产生了间接影响。研究结果表明，社会联系可能是与退伍军人PTSD相关的一个重要因素，也是减轻与战斗暴露和出院状态相关风险的干预点。
Service members who transition out of the military often face substantial challenges during their transition to civilian life. Leaving military service requires establishing a new community as well as sense of connectedness to that community. Little is known about how social connectedness may be related to other prominent transition outcomes, particularly symptoms of posttraumatic stress disorder (PTSD). The purpose of this study was to explore the role of social connectedness in the development of PTSD, as well as its relationship to the known risk factors of combat exposure and discharge status. Data used were drawn from a needs assessment survey of 722 veterans. A path model was specified to test direct and indirect effects of combat experiences, non-honorable discharge status, and social connectedness on PTSD symptoms. Results demonstrated positive direct effects for combat experiences and non-honorable discharge status on PTSD symptoms while social connectedness demonstrated a negative direct effect. Both combat experiences and non-honorable discharge status demonstrated negative direct effects on social connectedness and indirect on PTSD through the social connectedness pathway. Study findings indicate social connectedness may be an important factor related to PTSD in veterans as well as an intervention point for mitigating risk related to combat exposure and discharge status.
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