Maguen Shira, Turcotte Diane M, Peterson Alan L, Dremsa Theresa L, Garb Howard N, McNally Richard J, Litz Brett T
Department of Psychiatry, University of California, San Francisco School of Medicine, San Francisco, CA 94143, USA.
Mil Med. 2008 Jan;173(1):1-9. doi: 10.7205/milmed.173.1.1.
Military medical personnel preparing for deployment to Iraq (N = 328) participated in a survey concerning predeployment risk and resilience factors. Participants reported exposure to an average of 2.5 potentially traumatic events before deployment and 76% (n = 229) reported at least two current concerns about predeployment stressors. Military personnel also endorsed a series of positive appraisals of the military, the mission, and their unit. Fairly low levels of post-traumatic stress disorder symptoms before deployment were reported and positive affect was significantly higher than reported negative affect. Post-traumatic stress disorder symptoms that were present before deployment were most strongly associated with risk factors, whereas positive affect was most strongly associated with resilience factors. Predeployment negative affect was associated with a combination of risk and resilience factors. These findings have implications for possible interventions and preparation of medical personnel before military deployment. A better understanding of the factors related to risk and resilience in military medical personnel will allow for improved screening, educational, training, and clinical programs aimed at increasing resilience before military deployments.
准备前往伊拉克执行任务的军事医务人员(N = 328)参与了一项关于部署前风险和恢复力因素的调查。参与者报告称,在部署前平均经历了2.5次潜在创伤性事件,76%(n = 229)的人表示目前至少对部署前的压力源存在两个担忧。军事人员也对军队、任务及其所在单位给予了一系列积极评价。报告显示,部署前创伤后应激障碍症状的发生率相当低,积极情绪显著高于消极情绪。部署前就存在的创伤后应激障碍症状与风险因素关联最为紧密,而积极情绪与恢复力因素关联最为紧密。部署前的消极情绪与风险和恢复力因素的综合情况有关。这些发现对可能的干预措施以及军事部署前医务人员的准备工作具有启示意义。更好地了解军事医务人员中与风险和恢复力相关的因素,将有助于改进筛查、教育、培训和临床项目,旨在提高军事部署前的恢复力。