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美国海军“科尔”号驱逐舰爆炸事件:分析创伤前存在的因素作为创伤后应激障碍或抑郁症发展的预测指标。

The USS Cole bombing: analysis of pre-existing factors as predictors for development of post-traumatic stress or depressive disorders.

作者信息

Nasky Kevin M, Hines Neil N, Simmer Edward

机构信息

Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708, USA.

出版信息

Mil Med. 2009 Jul;174(7):689-94. doi: 10.7205/milmed-d-04-3608.

Abstract

OBJECTIVE

To determine if pre-existing demographic factors (e.g., age, marital status, military rank) forecasted predisposition or resilience to the development of post-traumatic stress or depressive symptoms in the crew of the USS Cole following the suicide bombing in 2000.

METHOD

The Zung Self-Rating Depression Scale and the Impact of Event Scale-Revised (IES-R) were administered to the crew. Demographic data were also collected and analyzed to discover to what extent, if any, pre-existing demographic factors had on the mean scores of the Zung and IES-R.

RESULTS

The results revealed that higher rank, older age, and male gender were protective factors against developing symptoms of posttraumatic stress; whereas lower rank, younger age, female gender, and having been injured or having had a friend injured or killed were associated with the development of symptoms. Other pre-existing factors examined did not demonstrate any predictive value.

CONCLUSIONS

These findings increase our understanding of which pre-existing demographic factors might portend susceptibility to the development of post-traumatic stress and depressive symptoms, knowledge that we hope can contribute to the U.S. military's ongoing efforts to develop therapeutic interventions better targeted to individual needs.

摘要

目的

确定在2000年“科尔”号驱逐舰自杀式爆炸事件发生前就已存在的人口统计学因素(如年龄、婚姻状况、军衔)是否能预测该舰船员创伤后应激或抑郁症状的易感性或恢复力。

方法

对船员进行zung自评抑郁量表和事件影响量表修订版(IES-R)测评。还收集并分析了人口统计学数据,以发现已存在的人口统计学因素在多大程度上(若有的话)影响zung量表和IES-R量表的平均分。

结果

结果显示,较高军衔、年长和男性是预防创伤后应激症状的保护因素;而较低军衔、年轻、女性以及曾受伤或有朋友受伤或死亡与症状的出现有关。所研究的其他已存在因素未显示出任何预测价值。

结论

这些发现增进了我们对哪些已存在的人口统计学因素可能预示创伤后应激和抑郁症状易感性的理解,我们希望这些知识有助于美国军方持续努力开发更有针对性地满足个体需求的治疗干预措施。

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