Booth-Kewley Stephanie, Highfill-McRoy Robyn M, Larson Gerald E, Garland Cedric F
Department of Behavioral Science and Epidemiology, Naval Health Research Center, San Diego, CA 92106-3521, USA.
J Nerv Ment Dis. 2010 Feb;198(2):91-8. doi: 10.1097/NMD.0b013e3181cc45e9.
The objective of this longitudinal study was to determine psychosocial predictors of military misconduct in a cohort of Marine Corps war veterans. The study included data from 20,746 male Marines who completed a life history questionnaire during initial basic training and were subsequently deployed to a combat zone. Associations between psychosocial variables, psychiatric diagnoses, and subsequent misconduct outcomes were analyzed using Cox proportional hazards regression. The strongest predictors of misconduct outcomes (bad conduct discharges and military demotions) were psychiatric diagnoses and young age at first combat deployment. The results indicate that combat-related psychological disorders may manifest in numerous harmful ways, including impulsive, disruptive, and antisocial behavior. We recommend that the association between misconduct and psychiatric disorders be more explicitly acknowledged in research and treatment efforts involving military war veterans and other trauma victims.
这项纵向研究的目的是确定一组海军陆战队退伍军人中军事不当行为的心理社会预测因素。该研究纳入了20746名男性海军陆战队员的数据，他们在初始基础训练期间完成了一份生活史问卷，随后被部署到战区。使用Cox比例风险回归分析心理社会变量、精神疾病诊断与随后不当行为结果之间的关联。不当行为结果（不良行为开除和军事降职）的最强预测因素是精神疾病诊断和首次战斗部署时的年轻年龄。结果表明，与战斗相关的心理障碍可能以多种有害方式表现出来，包括冲动、破坏和反社会行为。我们建议在涉及军事退伍军人和其他创伤受害者的研究和治疗工作中，更明确地认识到不当行为与精神疾病之间的关联。
