越战老兵创伤后应激障碍症状持续存在及其与功能的关系：14年随访
Persisting posttraumatic stress disorder symptoms and their relationship to functioning in Vietnam veterans: a 14-year follow-up.
作者信息
Koenen Karestan C, Stellman Steven D, Sommer John F, Stellman Jeanne Mager
机构信息
Departments of Society, Human Development, and Health and Epidemiology, Harvard School of Public Health, Boston, MA, USA.
出版信息
J Trauma Stress. 2008 Feb;21(1):49-57. doi: 10.1002/jts.20304.
Abstract
The authors examined the longitudinal association between persisting posttraumatic stress disorder (PTSD) symptoms and multiple domains of life functioning in a community sample of 1,377 American Legionnaire Vietnam veterans first assessed in 1984 and followed-up 14 years later. Almost 30 years after their return from Vietnam, 10% of veterans continued to experience severe PTSD symptoms. At all levels of combat exposure, persisting severe PTSD symptoms were associated with worse family relationships, more smoking, less life satisfaction and happiness, more mental health service use, and more nonspecific health complaints at the 14-year follow-up. Further investigation is needed to determine whether the PTSD-functioning relationship is causal and if successful treatment of PTSD is associated with improvement in functioning.
摘要
作者对1984年首次评估并在14年后进行随访的1377名美国退伍军人越南战争退伍军人社区样本中持续存在的创伤后应激障碍（PTSD）症状与生活功能的多个领域之间的纵向关联进行了研究。从越南回国近30年后，10%的退伍军人仍继续经历严重的PTSD症状。在所有战斗暴露水平上，在14年的随访中，持续存在的严重PTSD症状与更糟糕的家庭关系、更多吸烟、更低的生活满意度和幸福感、更多使用心理健康服务以及更多非特异性健康投诉相关。需要进一步调查以确定PTSD与功能之间的关系是否为因果关系，以及PTSD的成功治疗是否与功能改善相关。
相似文献
1
Persisting posttraumatic stress disorder symptoms and their relationship to functioning in Vietnam veterans: a 14-year follow-up.越战老兵创伤后应激障碍症状持续存在及其与功能的关系：14年随访
J Trauma Stress. 2008 Feb;21(1):49-57. doi: 10.1002/jts.20304.
2
Course of Posttraumatic Stress Disorder 40 Years After the Vietnam War: Findings From the National Vietnam Veterans Longitudinal Study.越南战争后 40 年创伤后应激障碍的病程：来自全国越南退伍军人纵向研究的结果。
JAMA Psychiatry. 2015 Sep;72(9):875-81. doi: 10.1001/jamapsychiatry.2015.0803.
3
Chronic posttraumatic stress disorder and family functioning of Vietnam veterans and their partners.越战退伍军人及其配偶的慢性创伤后应激障碍与家庭功能
Aust N Z J Psychiatry. 2003 Dec;37(6):765-72. doi: 10.1080/j.1440-1614.2003.01267.x.
4
The association of PTSD with physical and mental health functioning and disability (VA Cooperative Study #569: the course and consequences of posttraumatic stress disorder in Vietnam-era veteran twins).创伤后应激障碍与身心健康功能及残疾的关联（退伍军人事务部合作研究#569：越战时期退伍军人双胞胎创伤后应激障碍的病程及后果）
Qual Life Res. 2014 Jun;23(5):1579-91. doi: 10.1007/s11136-013-0585-4. Epub 2013 Dec 7.
5
Combat, Posttraumatic Stress Disorder, and Smoking Trajectory in a Cohort of Male Australian Army Vietnam Veterans.战斗、创伤后应激障碍与澳大利亚陆军越南退伍军人队列中男性吸烟轨迹的关系。
Nicotine Tob Res. 2018 Sep 4;20(10):1198-1205. doi: 10.1093/ntr/ntx257.
6
Prevalence of Post-Traumatic Stress Disorder in Aging Vietnam-Era Veterans: Veterans Administration Cooperative Study 569: Course and Consequences of Post-Traumatic Stress Disorder in Vietnam-Era Veteran Twins.越战时期老年退伍军人创伤后应激障碍的患病率：退伍军人事务部合作研究569：越战时期退伍军人双胞胎创伤后应激障碍的病程及后果
Am J Geriatr Psychiatry. 2016 Mar;24(3):181-91. doi: 10.1016/j.jagp.2015.05.004. Epub 2015 May 16.
7
A prospective study of PTSD and early-age heart disease mortality among Vietnam veterans: implications for surveillance and prevention.越战老兵创伤后应激障碍与早期心脏病死亡率的前瞻性研究：对监测与预防的启示
Psychosom Med. 2008 Jul;70(6):668-76. doi: 10.1097/PSY.0b013e31817bccaf. Epub 2008 Jul 2.
8
A taxometric investigation of dissociation in Vietnam veterans.对越南退伍军人解离现象的一种分类分析调查。
J Trauma Stress. 2005 Aug;18(4):359-69. doi: 10.1002/jts.20034.
9
Post-traumatic stress disorder, drug dependence, and suicidality among male Vietnam veterans with a history of heavy drug use.有重度吸毒史的男性越南退伍军人中的创伤后应激障碍、药物依赖和自杀倾向。
Drug Alcohol Depend. 2004 Dec 7;76 Suppl:S31-43. doi: 10.1016/j.drugalcdep.2004.08.005.
10
Persistence and Patterns of Combat-Related Posttraumatic Stress Disorder (PTSD), Medical, and Social Dysfunction in Male Military Veterans 50 Years After Deployment to Vietnam.越南退伍男性军人在部署50年后与战斗相关的创伤后应激障碍（PTSD）、医疗及社会功能障碍的持续情况和模式
J Occup Environ Med. 2025 May 1;67(5):306-312. doi: 10.1097/JOM.0000000000003321.
引用本文的文献
1
Classification of Trauma-Related Outcomes in US Veterans Using Magnetoencephalography (MEG).使用脑磁图（MEG）对美国退伍军人创伤相关结局进行分类。
J Neurol Neuromedicine. 2021;6(1):13-20. doi: 10.29245/2572.942x/2021/1.1279.
2
Persistence and Patterns of Combat-Related Posttraumatic Stress Disorder (PTSD), Medical, and Social Dysfunction in Male Military Veterans 50 Years After Deployment to Vietnam.越南退伍男性军人在部署50年后与战斗相关的创伤后应激障碍（PTSD）、医疗及社会功能障碍的持续情况和模式
J Occup Environ Med. 2025 May 1;67(5):306-312. doi: 10.1097/JOM.0000000000003321.
3
Psychosocial etiology of post-traumatic stress disorder caused by war trauma among Iran-Iraq war immigrants in Mehran, Iran.伊朗梅赫兰地区两伊战争移民中战争创伤所致创伤后应激障碍的社会心理病因
J Migr Health. 2024 Feb 29;9:100225. doi: 10.1016/j.jmh.2024.100225. eCollection 2024.
4
Comparing the effect of prolonged exposure therapy (PET) and metacognitive therapy (MCT) on the quality of life among veterans with PTSD.比较延长暴露疗法（PET）和认知疗法（MCT）对 PTSD 退伍军人生活质量的影响。
Mil Psychol. 2024 Jul 3;36(4):422-430. doi: 10.1080/08995605.2023.2195328. Epub 2023 Apr 10.
5
Challenges of living with veterans with post-traumatic stress disorder from the perspective of spouses: a qualitative content analysis study.与创伤后应激障碍退伍军人共同生活的挑战：配偶视角的定性内容分析研究。
BMC Psychiatry. 2024 Feb 21;24(1):151. doi: 10.1186/s12888-024-05572-y.
6
Does Post-traumatic Stress Disorder Impact Treatment Outcomes within a Randomised Controlled Trial of Mitochondrial Agents for Bipolar Depression?在一项关于线粒体药物治疗双相抑郁症的随机对照试验中，创伤后应激障碍是否会影响治疗结果？
Clin Psychopharmacol Neurosci. 2023 Aug 31;21(3):457-465. doi: 10.9758/cpn.22.981.
7
Complex Posttraumatic Stress Disorder (CPTSD) as an Independent Diagnosis: Differences in Hedonic and Eudaimonic Well-Being between CPTSD and PTSD.复杂性创伤后应激障碍（CPTSD）作为一种独立诊断：CPTSD与创伤后应激障碍（PTSD）在享乐幸福感和心理幸福感方面的差异。
Healthcare (Basel). 2023 Apr 20;11(8):1188. doi: 10.3390/healthcare11081188.
8
Development of a mobile mindfulness smartphone app for post-traumatic stress disorder and alcohol use problems for veterans: Beta test results and study protocol for a pilot randomized controlled trial.开发一款用于退伍军人创伤后应激障碍和酒精使用问题的移动正念智能手机应用程序：β测试结果和一项试点随机对照试验的研究方案。
Contemp Clin Trials. 2023 Jun;129:107181. doi: 10.1016/j.cct.2023.107181. Epub 2023 Apr 12.
9
Interactive association of posttraumatic stress disorder, apolipoprotein ε4 genotype, and age on cognitive functioning.创伤后应激障碍、载脂蛋白 E4 基因型与年龄对认知功能的交互作用。
Int J Geriatr Psychiatry. 2023 Feb;38(2):e5888. doi: 10.1002/gps.5888.
10
Family Involvement in PTSD Treatment: Perspectives from a Nationwide Sample of Veterans Health Administration Clinicians.家庭参与创伤后应激障碍治疗：退伍军人健康管理局临床医生全国范围内样本的观点。
Adm Policy Ment Health. 2022 Nov;49(6):1019-1030. doi: 10.1007/s10488-022-01214-1. Epub 2022 Aug 5.
本文引用的文献
1
The consistency of combat exposure reporting and course of PTSD in Vietnam War veterans.越战老兵战斗暴露报告的一致性与创伤后应激障碍病程
J Trauma Stress. 2007 Feb;20(1):3-13. doi: 10.1002/jts.20191.
2
Prospective study of posttraumatic stress disorder symptoms and coronary heart disease in the Normative Aging Study.规范老化研究中创伤后应激障碍症状与冠心病的前瞻性研究。
Arch Gen Psychiatry. 2007 Jan;64(1):109-16. doi: 10.1001/archpsyc.64.1.109.
3
The psychological risks of Vietnam for U.S. veterans: a revisit with new data and methods.越南战争对美国退伍军人的心理风险：运用新数据和方法的重新审视。
Science. 2006 Aug 18;313(5789):979-82. doi: 10.1126/science.1128944.
4
Longitudinal analysis of the relationship between symptoms and quality of life in veterans treated for posttraumatic stress disorder.对接受创伤后应激障碍治疗的退伍军人症状与生活质量之间关系的纵向分析。
J Consult Clin Psychol. 2006 Aug;74(4):707-13. doi: 10.1037/0022-006X.74.4.707.
5
Posttraumatic stress disorder in primary care one year after the 9/11 attacks.9·11 袭击事件一年后初级保健中的创伤后应激障碍
Gen Hosp Psychiatry. 2006 May-Jun;28(3):213-22. doi: 10.1016/j.genhosppsych.2006.02.002.
6
Posttraumatic stress disorder and late-onset smoking in the Vietnam era twin registry.越南时代双胞胎登记处中的创伤后应激障碍与迟发性吸烟
J Consult Clin Psychol. 2006 Feb;74(1):186-90. doi: 10.1037/0022-006X.74.1.186.
7
Posttraumatic stress disorder and mortality among U.S. Army veterans 30 years after military service.美国陆军退伍军人服役30年后的创伤后应激障碍与死亡率
Ann Epidemiol. 2006 Apr;16(4):248-56. doi: 10.1016/j.annepidem.2005.03.009. Epub 2005 Aug 15.
8
Risk factors for partner violence among a national sample of combat veterans.全国战斗退伍军人样本中伴侣暴力的风险因素。
J Consult Clin Psychol. 2005 Feb;73(1):151-9. doi: 10.1037/0022-006X.73.1.151.
9
Posttraumatic stress disorder and physical illness: results from clinical and epidemiologic studies.创伤后应激障碍与躯体疾病：临床及流行病学研究结果
Ann N Y Acad Sci. 2004 Dec;1032:141-53. doi: 10.1196/annals.1314.011.
10
Lifetime and 12-month prevalence of psychiatric disorders in 8,169 male Vietnam War era veterans.8169名越战时期男性退伍军人精神疾病的终生患病率和12个月患病率。
Mil Med. 2004 Nov;169(11):896-902. doi: 10.7205/milmed.169.11.896.
Zotero 插件