Enjoying the violence of war: Association with posttraumatic symptomatology in U.S. combat veterans.

Enjoying the violence of war: Association with posttraumatic symptomatology in U.S. combat veterans.
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享受战争暴力:与美国退伍军人创伤后症状的关联。

DOI:
10.1037/tra0001530
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发表时间:
2023
期刊:
Psychological trauma : theory, research, practice and policy
影响因子:
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通讯作者:
Nieuwsma,Jason
Nieuwsma,Jason
中科院分区:
--
文献类型:
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作者:
VanVoorhees,ElizabethE;Dillon,KirstenH;Crombach,Anselm;Beaver,Tiffany;Kelton,Katherine;Wortmann,JenniferH;Visn-Mid-AtlanticMireccWorkgroup;Nieuwsma,Jason

文献摘要

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目的参与与战争相关的暴力行为可能会对军事人员产生毁灭性影响,研究表明伤害或杀害他人可能会导致创伤后应激障碍(PTSD)、抑郁症和道德伤害。然而,也有证据表明,在战争中实施暴力可以成为相当数量的战斗人员的乐趣,并发展这种“欲望”形式的侵略可以减轻创伤后应激障碍的严重程度。对来自美国、伊拉克和阿富汗战斗老兵的精神伤害研究的数据进行二次分析,以检查认识到一个人享受战争相关暴力对PTSD、抑郁和创伤相关内疚的结果的影响。结果在控制了年龄、性别、战争经历等因素后,暴力体验与PTSD呈正相关,β(SE)= 15.86(3.02),P<0.01。001,抑郁,β(SE)= 5.41(0.98),p<.内疚感,β(SE)= 0.20(0.08),p<. 05.享受暴力缓和了战斗暴露和PTSD症状之间的关系,β(SE)=-0.28(0.15),p<。05,这样,有一个下降的力量之间的关系的战斗曝光和创伤后应激障碍的存在,赞同享受violence.ConclusionsImplications了解战斗经验的影响部署后调整,并适用于这种理解,有效地治疗创伤后应激障碍,进行了讨论。(PsycInfo数据库记录(c)2024阿帕,保留所有权利)
ObjectiveEngaging in war-related violence can have a devastating impact on military personnel, with research suggesting that injuring or killing others can contribute to posttraumatic stress disorder (PTSD), depression, and moral injury. However, there is also evidence that perpetrating violence in war can become pleasurable to a substantial number of combatants and that developing this “appetitive” form of aggression can diminish PTSD severity. Secondary analyses were conducted on data from a study of moral injury in US, Iraq, and Afghanistan combat veterans, to examine the impact of recognizing that one enjoyed war-related violence on outcomes of PTSD, depression, and trauma-related guilt.MethodThree multiple regression models evaluated the impact of endorsing the item,“I came to realize during the war that I enjoyed violence” on PTSD, depression, and trauma-related guilt, after controlling for age, gender, and combat exposure.ResultsResults indicated that enjoying violence was positively associated with PTSD, β (SE)= 15.86 (3.02), p<. 001, depression, β (SE)= 5.41 (0.98), p<. 001, and guilt, β (SE)= 0.20 (0.08), p<. 05. Enjoying violence moderated the relationship between combat exposure and PTSD symptoms, β (SE)=− 0.28 (0.15), p<. 05, such that there was a decrease in the strength of the relationship between combat exposure and PTSD in the presence of endorsing having enjoyed violence.ConclusionsImplications for understanding the impact of combat experiences on postdeployment adjustment, and for applying this understanding to effectively treating posttraumatic symptomatology, are discussed.(PsycInfo Database Record (c) 2024 APA, all rights reserved)