Predictors of posttraumatic stress disorder, depression, and suicidal ideation among Canadian Forces personnel in a National Canadian Military Health Survey

Predictors of posttraumatic stress disorder, depression, and suicidal ideation among Canadian Forces personnel in a National Canadian Military Health Survey
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DOI:
10.1016/j.jpsychires.2011.06.014
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发表时间:
2011-11-01
影响因子:
4.8
通讯作者:
Richardson, J. Donald
Richardson, J. Donald
中科院分区:
医学2区
文献类型:
--
作者:
Nelson, Charles;Cyr, Kate St.;Richardson, J. Donald

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尽管努力阐明创伤事件暴露和不良心理健康结果之间的关系,我们理解为什么只有一些创伤暴露的个人成为情绪影响的能力仍然受到挑战。目前的研究的目的是确定社会支持,宗教信仰,以及在过去12个月的创伤后应激障碍(PTSD),抑郁症和自杀意念(SI)在加拿大部队人员的全国代表性样本经历的终身创伤事件的数量之间的关系。目前的研究使用的数据来自加拿大社区健康调查周期1.2 -加拿大部队补充。使用结构方程模型评估了一些预测和介导因素的影响。社会支持和一生中经历的创伤事件的数量是过去一年的PTSD,抑郁症和SI的显着预测因子,但PTSD没有调解创伤事件的数量和SI之间的关系,也没有社会支持和SI之间。相反,抑郁介导的创伤事件和SI之间的关系。这些发现及其影响的可能机制进行了讨论。(C)2011爱思唯尔有限公司保留所有权利。
Despite efforts to elucidate the relationship between traumatic event exposure and adverse mental health outcomes, our ability to understand why only some trauma-exposed individuals become emotionally affected remains challenged. The aim of the current study is to determine the relations between social support, religiosity, and number of lifetime traumatic events experienced on past-12 month posttraumatic stress disorder (PTSD), depression, and suicidal ideation (SI) in a nationally representative sample of Canadian Forces personnel. The current study used data from the Canadian Community Health Survey Cycle 1.2 - Canadian Forces Supplement. The impact of a number of predictive and mediating factors was assessed using structural equation modeling. Social support and number of lifetime traumatic events experienced were significant predictors of past-year PTSD, depression, and SI; however PTSD did not mediate the relationship between number of traumatic events and SI nor between social support and SI. Conversely, depression mediated the relationship between number of traumatic events and SI. Possible mechanisms for these findings and their implications are discussed. (C) 2011 Elsevier Ltd. All rights reserved.