O'Toole Brian I, Outram Sue, Catts Stanley V, Pierse Katherine R
Concord Repatriation General Hospital, University of Sydney ANZAC Research Institute, Sydney, NSW, Australia.
J Nerv Ment Dis. 2010 Nov;198(11):841-5. doi: 10.1097/NMD.0b013e3181f98037.
This study assessed psychiatric diagnoses in female partners of Australian Vietnam veterans, compared these with national Australian population statistics, and assessed their relationship with veterans' military service and mental health. Independent assessments of 240 veteran-partner couples used standardized physical and psychiatric diagnostic interviews that permitted comparison with Australian population data. Multivariate regression modeling examined associations of veterans' war service, combat, and psychiatric status with women's mental health. Anxiety disorders and severe recurrent depression were among 11 of 17 psychiatric diagnoses that were significantly in excess of population expectations. Veterans' combat and post-traumatic stress disorder were significant predictors of women's depressive disorder, particularly severe depression. We conclude that veterans' war service and mental health sequelae including post-traumatic stress disorder are associated with higher rates of mental disorder in their female partners 3 decades after the war.
本研究评估了澳大利亚越战退伍军人女性伴侣的精神疾病诊断情况，将其与澳大利亚全国人口统计数据进行比较，并评估了这些情况与退伍军人军事服役及心理健康之间的关系。对240对退伍军人-伴侣夫妇进行了独立评估，采用标准化的身体和精神疾病诊断访谈，以便与澳大利亚人口数据进行比较。多变量回归模型研究了退伍军人的战争服役、战斗经历和精神疾病状况与女性心理健康之间的关联。焦虑症和严重复发性抑郁症在17种精神疾病诊断中的11种中显著高于人群预期。退伍军人的战斗经历和创伤后应激障碍是女性抑郁症尤其是严重抑郁症的重要预测因素。我们得出结论，退伍军人的战争服役及包括创伤后应激障碍在内的心理健康后遗症与战后30年其女性伴侣中更高的精神疾病发病率相关。
