Marshall Randall D, Turner J Blake, Lewis-Fernandez Roberto, Koenan Karestan, Neria Yuval, Dohrenwend Bruce P
Department of Psychiatry, Columbia University, New York, New York 10032, USA.
J Nerv Ment Dis. 2006 Apr;194(4):275-8. doi: 10.1097/01.nmd.0000207363.25750.56.
A subsample of 255 male Vietnam veterans from the National Vietnam Veterans Readjustment Study received in-depth psychiatric diagnostic interviews. This paper focuses on the 88 veterans with a war-related onset of PTSD. Among these veterans, the avoidance cluster, especially its symptoms of numbing, was most strongly associated with chronic PTSD; less strongly but also significantly associated was the hyperarousal cluster. Further analyses show that these associations are not artifacts of the relationship of symptom patterns to prewar demographic factors (race/ethnicity, socioeconomic status, age at entry into Vietnam), comorbidity, treatment and compensation seeking, or probable severity of war-related trauma. We conclude that certain symptom profiles may predict enduring pathological responses to trauma and therefore provide targets for intervention efforts.
来自越南退伍军人全国重新适应研究的255名男性越南退伍军人的子样本接受了深入的精神病学诊断访谈。本文重点关注88名因战争引发创伤后应激障碍（PTSD）的退伍军人。在这些退伍军人中，回避症状群，尤其是其麻木症状，与慢性PTSD关联最为紧密；而过度警觉症状群的关联虽较弱但也具有显著性。进一步分析表明，这些关联并非症状模式与战前人口统计学因素（种族/族裔、社会经济地位、进入越南时的年龄）、共病、寻求治疗和赔偿，或战争相关创伤可能的严重程度之间关系的人为产物。我们得出结论，某些症状特征可能预测对创伤的持久病理反应，因此可为干预措施提供目标。
