Stein Amanda L, Tran Giao Q, Lund Linda M, Haji Uzair, Dashevsky Boris A, Baker Dewleen G
Department of Psychology, University of Cincinnati, P.O. Box 210376, Cincinnati, OH 45221-0376, USA.
J Anxiety Disord. 2005;19(8):861-76. doi: 10.1016/j.janxdis.2004.09.006. Epub 2005 Jan 28.
With a sample of 120 Gulf War veterans, the present study investigated the main effects of childhood and lifetime trauma, combat exposure, and coping strategies on posttraumatic stress disorder (PTSD), as well as combat exposure's moderating effects on the other variables' relationships with PTSD. Logistic regression results indicated correct classification of PTSD diagnosis for 88% of the participants, with combat exposure and avoidant coping making significant contributions to this classification. Multiple regression results indicated that lifetime trauma, combat exposure, and avoidant coping were strongly related to PTSD symptoms. Multiple regression results also revealed that combat exposure moderated the strength and direction of PTSD's relationships with childhood trauma and avoidant coping. Study findings have implications for longitudinal investigation of PTSD development and preventive interventions.
本研究以120名海湾战争退伍军人为样本,调查了童年创伤和终生创伤、战斗经历以及应对策略对创伤后应激障碍(PTSD)的主要影响,以及战斗经历对其他变量与PTSD之间关系的调节作用。逻辑回归结果显示,88%的参与者的PTSD诊断分类正确,战斗经历和回避应对方式对这一分类有显著贡献。多元回归结果表明,终生创伤、战斗经历和回避应对方式与PTSD症状密切相关。多元回归结果还显示,战斗经历调节了PTSD与童年创伤和回避应对方式之间关系的强度和方向。研究结果对PTSD发展的纵向调查和预防性干预具有启示意义。