Killing versus witnessing in combat trauma and reports of PTSD symptoms and domestic violence.
Killing versus witnessing in combat trauma and reports of PTSD symptoms and domestic violence.
复制标题
战斗创伤中的杀戮与目击以及创伤后应激障碍症状和家庭暴力的报告。
DOI：
10.1002/jts.20614
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发表时间：
2011
影响因子：
3.3
通讯作者：
M. A. Safer
中科院分区：
文献类型：
--
作者：
Elizabeth P Van Winkle;M. A. Safer
主动参与战斗创伤会增加创伤后应激障碍(PTSD)症状的报告，而不是被动地目睹创伤。使用参与1988年越南退伍军人调整研究(NVVRS)家庭访谈部分的376名美国士兵的档案数据发现，即使在统计上考虑到目睹了战斗创伤后，可能在战斗中杀害敌军士兵的美国士兵报告的创伤后应激障碍症状水平也很高。推论和直接自我报告都被用来衡量战斗中的杀戮，这两种衡量标准对创伤后应激障碍症状的差异都有同样好的解释。一名士兵杀害敌方战斗人员的可能性也与他的配偶在过去一年中报告的身体家庭暴力有微弱的联系。诊断战斗士兵的心理健康症状，应具体评估他们是否积极参与打伤或杀害敌人。
Active participation in combat trauma increased reports of posttraumatic stress disorder (PTSD) symptoms over passive witnessing of trauma. Using archival data from 376 U.S. soldiers who took part in the family interview component of the 1988 National Vietnam Veteran Readjustment Study (NVVRS), findings are that even after statistically accounting for witnessing combat trauma, U.S. soldiers who likely killed enemy soldiers in combat reported elevated levels of PTSD symptoms. Both inference and direct self-reports were used to measure killing in combat, and both measures accounted equally well for variance in PTSD symptoms. The likelihood of a soldier killing enemy combatants was also weakly related to his spouse's report of physical domestic violence in the past year. Diagnosing the mental health symptoms of combat soldiers should specifically assess whether they actively participated in wounding or killing the enemy.