Lapp Kathleen G, Bosworth Hayden B, Strauss Jennifer L, Stechuchak Karen M, Horner Ron D, Calhoun Patrick S, Meador Keith G, Lipper Steven, Butterfield Marian I
Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27710, USA.
Mil Med. 2005 Sep;170(9):787-90. doi: 10.7205/milmed.170.9.787.
Because of the high prevalence of post-traumatic stress disorder (PTSD) among veteran men and the limited research on victimization in this group, we recruited 133 male veterans with combat-related PTSD from a psychiatric inpatient unit and assessed them for lifetime physical and sexual trauma. Results indicated that 96% of the sample had experienced some form of victimization over their lifetimes; 60% reported childhood physical abuse, 41% childhood sexual abuse, 93% adulthood physical assault, and 20% adulthood sexual assault. In the preceding year alone, 46% experienced either physical or sexual assault. These findings support the need for routine inquiry into the histories of noncombat victimization in this cohort. Determining the lifetime history of trauma exposure may have implications for vulnerability to subsequent development of PTSD and the risk of future violence.
由于创伤后应激障碍(PTSD)在退伍军人男性中患病率较高,且针对该群体受侵害情况的研究有限,我们从一家精神科住院部招募了133名患有与战斗相关创伤后应激障碍的男性退伍军人,并对他们一生当中遭受的身体和性创伤进行评估。结果表明,96%的样本在其一生中经历过某种形式的侵害;60%报告童年期遭受过身体虐待,41%报告童年期遭受过性虐待,93%报告成年期遭受过身体攻击,20%报告成年期遭受过性攻击。仅在前一年,46%的人经历过身体或性攻击。这些发现支持了对该队列中非战斗性侵害历史进行常规询问的必要性。确定创伤暴露的终生史可能对创伤后应激障碍后续发展的易感性以及未来暴力风险具有影响。