Gender differences in traumatic experiences and mental health in active duty soldiers redeployed from Iraq and Afghanistan
Gender differences in traumatic experiences and mental health in active duty soldiers redeployed from Iraq and Afghanistan
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DOI：
10.1016/j.jpsychires.2011.11.007
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发表时间：
2012-03-01
影响因子：
4.8
通讯作者：
Madden, Erin
中科院分区：
文献类型：
--
作者：
Maguen, Shira;Luxton, David D.;Madden, Erin
本研究的目的是探讨性别差异的战斗暴露，军事性创伤（MST），以及他们的协会与心理健康筛查结果之间部署在阿富汗和伊拉克战争的支持军事人员。数据是作为部署前和部署后筛查计划的一部分在一个大型陆军医疗设施收集的。病例包括2006年3月至2009年7月进行部署前和部署后筛查的7251名现役士兵（6697名男性和554名女性）。在我们的分析中，对部署前的心理健康症状进行了统计控制。我们发现，在人口统计学变量，暴露于战斗，和MST显着的性别差异。据报告，妇女接触MST的人数多于男子。虽然男子报告说，他们比妇女更容易接触到高强度的战斗经验，但结果表明，妇女经历战斗的比率高于以前同期观察到的比率。男性更有可能报告酗酒问题，女性更有可能报告抑郁症状。在PTSD症状方面没有性别差异。虽然我们发现女性和男性在战斗压力对心理健康的影响方面几乎没有差异，但女性的创伤和创伤后应激障碍症状之间的联系比男性更强。我们的研究结果表明，这将是有用的临床医生意识到这种差异，并评估暴露于全方位的创伤性战斗经验，特别是伤害，因为不是所有类型的战斗经验可能同样经历的男性和女性从军事部署返回。爱思唯尔有限公司出版
The purpose of this study was to examine gender differences in combat exposure, military sexual trauma (MST), and their associations with mental health screen results among military personnel deployed in support of the wars in Afghanistan and Iraq. Data were collected as part of a pre- and post-deployment screening program at a large Army medical treatment facility. Cases included 7251 active duty soldiers (6697 men and 554 women) who presented for their pre- and post-deployment screening from March 2006 to July 2009. Pre-deployment mental health symptoms were statistically controlled for in our analyses. We found significant gender differences in demographic variables, exposure to combat, and MST. Women reported greater exposure to MST than did men. Although men reported greater exposure to high-intensity combat experiences than women, results indicate that women are experiencing combat at higher rates than observed in prior cohorts. Men were more likely to report problem drinking, and women were more likely to report depression symptoms. There were no gender differences with respect to PTSD symptoms. Although we found few differences between women and men in the impact of combat stressors on mental health, there was a stronger association between injury and PTSD symptoms for women than for men. Our findings indicate that it would be useful for clinicians to be aware of this difference and assess for exposure to a full range of traumatic combat experiences, particularly injury, as not all types of combat experiences may be equally experienced by men and women returning from military deployments. Published by Elsevier Ltd.