Orcutt Holly K, Erickson Darin J, Wolfe Jessica
Women's Health Sciences Division, National Center for Posttraumatic Stress Disorder, VA Boston Healthcare System, Massachusetts, USA.
J Trauma Stress. 2002 Jun;15(3):259-66. doi: 10.1023/A:1015215630493.
Trauma exposure has been associated with increased risk of exposure to additional traumatic events. Reactions to trauma exposure, specifically PTSD symptomatology, may mediate the link between trauma exposure and later traumatic events. Data from a longitudinal sample of Gulf War veterans (N = 2,949) were analyzed using a series of regression models. Higher levels of combat exposure were related to increased reports of PTSD symptomatology immediately upon return as well as increased reports of traumatic events in the 2 years following the Gulf War. PTSD symptomatology partially mediated the link between combat exposure and later trauma. Symptom clusters were also analyzed separately as potential mediators. Implications for the treatment of PTSD and prevention of exposure to multiple traumas are discussed.
创伤暴露与接触更多创伤性事件的风险增加有关。对创伤暴露的反应，特别是创伤后应激障碍症状，可能介导了创伤暴露与后来创伤性事件之间的联系。使用一系列回归模型对海湾战争退伍军人纵向样本（N = 2949）的数据进行了分析。较高水平的战斗暴露与返回后立即增加的创伤后应激障碍症状报告以及海湾战争后两年内增加的创伤性事件报告有关。创伤后应激障碍症状部分介导了战斗暴露与后来创伤之间的联系。症状群也作为潜在的中介因素进行了单独分析。讨论了对创伤后应激障碍治疗和预防多重创伤暴露的意义。
