Elevated rates of current PTSD among Hispanic veterans in the NVVRS: true prevalence or methodological artifact?
Elevated rates of current PTSD among Hispanic veterans in the NVVRS: true prevalence or methodological artifact?
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NVVRS 中西班牙裔退伍军人当前 PTSD 的发病率升高：真实患病率还是方法论假象？
DOI：
10.1002/jts.20329
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发表时间：
2008
影响因子：
3.3
通讯作者：
Dohrenwend,BruceP
中科院分区：
文献类型：
--
作者：
Lewis-Fernández,Roberto;Turner,JBlake;Marshall,Randall;Turse,Nicholas;Neria,Yuval;Dohrenwend,BruceP
西班牙裔越南退伍军人当前创伤后应激障碍（PTSD）发病率的升高归因于基于文化的表达能力，这种表达能力夸大了症状自我报告。为了研究这种可能性，作者对来自DSM-III-R（SCID-）结构化临床访谈的越南男性退伍军人再适应研究（NVVRS）数据进行了三项假设驱动分析。首先，在调整战区压力暴露后，西班牙裔的持续性升高最初表明表现力更强的影响。第二，基于症状的分析将这种影响隔离到战斗相关PTSD的自我报告密西西比量表，而不是临床医生评定的SCID访谈。第三，功能的客观措施并没有揭示一个独特的西班牙裔模式，较低的损害与当前的创伤后应激障碍。这些测试表明，在NVVRS SCID诊断的子样本中，更大的西班牙裔表现力并不能解释当前PTSD的西班牙裔升高。
The elevated rate of current posttraumatic stress disorder (PTSD) among Hispanic Vietnam veterans has been attributed to culturally based expressiveness that inflates symptom self‐reports. To investigate this possibility, the authors conducted three hypothesis‐driven analyses with National Vietnam Veterans Readjustment Study (NVVRS) data from the Structured Clinical Interview for DSM‐III‐R (SCID‐) diagnosed subsample of male Vietnam Theater veterans (N= 260). First, persistence of the Hispanic elevation after adjusting for war‐zone stress exposure initially suggested the effect of greater expressiveness. Second, symptom‐based analyses isolated this effect to the self‐report Mississippi Scale for Combat‐Related PTSD and not to the clinician‐rated SCID interview. Third, objective measures of functioning did not reveal a unique Hispanic pattern of lower impairment associated with current PTSD. These tests suggest that greater Hispanic expressiveness does not account for the Hispanic elevation in current PTSD in the NVVRS SCID‐diagnosed subsample.