Solomon Zahava, Helvitz Hedva, Zerach Gadi
Tel-Aviv University, Tel-Aviv, Israel.
Aging Ment Health. 2009 May;13(3):405-13. doi: 10.1080/13607860802459856.
To examine the contribution of posttraumatic stress disorder (PTSD) and physical health to subjective age among war veterans.
The sample included 502 veterans of the first Lebanon War who were assessed 20 years after the war by a series of self-report questionnaires. Data analyses included descriptive statistics, hierarchical and logistic regressions.
Veterans with PTSD reported older subjective age than veterans without PTSD. Furthermore, both PTSD and general physical health contributed to subjective age, above and beyond chronological age and negative life events. Among the physical health problems, memory problems and weight gain were found to contribute to older age identity. In addition, the relation between general physical health and subjective age was stronger among veterans without PTSD than among veterans with PTSD.
Possible explanations, clinical implications for integrative therapy for elderly PTSD victims, and recommendations for future research are presented.
探讨创伤后应激障碍(PTSD)和身体健康对战时退伍军人主观年龄的影响。
样本包括502名第一次黎巴嫩战争的退伍军人,战后20年通过一系列自陈问卷进行评估。数据分析包括描述性统计、分层回归和逻辑回归。
患有创伤后应激障碍的退伍军人报告的主观年龄比未患创伤后应激障碍的退伍军人更大。此外,创伤后应激障碍和总体身体健康状况都对主观年龄有影响,这种影响超出了实际年龄和负面生活事件的影响。在身体健康问题中,记忆问题和体重增加被发现与年龄认同感增强有关。此外,总体身体健康状况与主观年龄之间的关系在未患创伤后应激障碍的退伍军人中比在患有创伤后应激障碍的退伍军人中更强。
文中提出了可能的解释、对老年创伤后应激障碍受害者综合治疗的临床意义以及对未来研究的建议。