Morgan C A, Hill S, Fox P, Kingham P, Southwick S M
Department of Psychiatry, Yale University School of Medicine, New Haven, Conn., USA.
Am J Psychiatry. 1999 Jul;156(7):1075-9. doi: 10.1176/ajp.156.7.1075.
The goal of this study was to assess the occurrence of anniversary reactions in Gulf War veterans 6 years after the conclusion of the war.
Subjects were administered questionnaires and asked to identify specific months of best and worst functioning and months of least or most symptoms of posttraumatic stress disorder (PTSD) for the 12 months before the study. Months of negative experiences were compared with previously documented dates of exposure to traumatic events during the war. Similar reports were also obtained from the veterans' spouses in order to assess corroborative evidence for the occurrence of anniversary reactions.
Anniversary reactions occurred with a frequency greater than chance and most often in individuals exposed to a greater number of traumatic events. Overall, spouse reports matched the veterans' reports of anniversary reactions. In addition, spouses identified anniversary reactions that were not endorsed by their veterans.
These data suggest that anniversary reactions occur in numbers greater than those expected by chance, are correlated to the occurrence of traumatic events, and may be a part of the syndrome of PTSD.
本研究的目的是评估海湾战争结束6年后海湾战争退伍军人周年反应的发生情况。
向受试者发放问卷,要求他们确定在研究前12个月中功能最佳和最差的具体月份,以及创伤后应激障碍(PTSD)症状最少或最多的月份。将负面经历的月份与之前记录的战争期间接触创伤性事件的日期进行比较。还从退伍军人的配偶那里获得了类似的报告,以评估周年反应发生的佐证证据。
周年反应的发生频率高于偶然概率,并且最常发生在接触较多创伤性事件的个体中。总体而言,配偶的报告与退伍军人关于周年反应的报告相符。此外,配偶识别出了退伍军人未认可的周年反应。
这些数据表明,周年反应的发生数量超过偶然预期,与创伤性事件的发生相关,并且可能是创伤后应激障碍综合征的一部分。