Comparison of Immediate-Onset and Delayed-Onset Posttraumatic Stress Disorder in Military Veterans
Comparison of Immediate-Onset and Delayed-Onset Posttraumatic Stress Disorder in Military Veterans
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DOI：
10.1037/a0017203
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发表时间：
2009-11-01
影响因子：
4.6
通讯作者：
Hejdenberg, Jennie
中科院分区：
文献类型：
--
作者：
Andrews, Bernice;Brewin, Chris R.;Hejdenberg, Jennie
在症状，创伤暴露，解离和情绪反应的创伤，随后的生活压力在战争退伍军人报告立即发作或迟发性创伤后应激障碍（PTSD）或没有PTSD的差异进行了研究。生活压力在迟发性PTSD中的作用也进行了研究。回顾性访谈进行了142英国退伍军人接受战争抚恤金创伤后应激障碍或身体残疾。立即发作和延迟发作的PTSD在发病时报告的症状数量和类型方面相似，但延迟发作组的不同之处在于表现出早期开始并持续整个军事生涯的症状逐渐积累。他们更有可能在PTSD发作前报告重度抑郁症和酗酒。两组描述了相似的创伤暴露量，但延迟发作组报告的创伤周围分离，愤怒和羞耻明显较少。延迟发病的退伍军人比没有PTSD的退伍军人更有可能在发病前一年报告存在严重的生活压力源。总之，结果表明，延迟发作涉及更普遍的压力敏感性和渐进的失败，以适应持续的压力暴露。
Differences in symptoms, trauma exposure, dissociative and emotional reactions to trauma, and subsequent life stress in war veterans reporting immediate-onset or delayed-onset posttraumatic stress disorder (PTSD) or no PTSD were investigated. The role of life stress in delayed-onset PTSD was also studied. Retrospective interviews were conducted with 142 United Kingdom veterans receiving a war pension for PTSD or physical disability. Immediate-onset and delayed-onset PTSD were similar in the number and type of symptoms reported at onset, but the delayed-onset group differed in showing a gradual accumulation of symptoms that began earlier and continued throughout their military career. They were more likely to report major depressive disorder and alcohol abuse prior to PTSD onset. Both groups described similar amounts of trauma exposure, but those in the delayed-onset group reported significantly less peritraumatic dissociation, anger, and shame. Veterans with delayed onsets were more likely than veterans with no PTSD to report the presence of a severe life stressor in the year before onset. In conclusion, the results suggest that delayed onsets involve a more general stress sensitivity and a progressive failure to adapt to continued stress exposure.