在控制其他应激源后，军事性应激与精神症状之间的关联。

The association between military sexual stress and psychiatric symptoms after controlling for other stressors.

机构信息

Center for Chronic Disease Outcomes Research, Minneapolis VA Medical Center, Minneapolis, MN 55417, USA.

出版信息

J Psychiatr Res. 2010 Dec;44(16):1129-36. doi: 10.1016/j.jpsychires.2010.09.009.

DOI:10.1016/j.jpsychires.2010.09.009

PMID:21115147

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6519726/

Abstract

OBJECTIVE

Several researchers have identified associations between exposure to occupational sexual stressors (e.g., sexual harassment) and severer psychiatric symptoms in military personnel. However, few controlled for participants' exposures to other high-magnitude stressors, which could have confounded results. We examined the unique association between military sexual stress and severity of participants' psychiatric symptoms after controlling for their other high-magnitude stressor experiences. Organizational- and individual-level predictors of military sexual stress were also assessed.

METHOD

We surveyed by mail all active duty troops registered in the Department of Veterans Affairs' Enrollment Database (2001-2003). The questionnaire contained well-validated measures.

RESULTS

Eighty-four percent responded (total sample N = 611); of these 56% reported at least one sexual stressor exposure. A highly significant association between military sexual stress and psychiatric symptoms attenuated by two thirds and lost statistical significance once other stressor experiences were controlled. Besides sociodemographics, the strongest correlates of military sexual stress were working in an environment perceived to tolerate sexual harassment, reporting severer childhood maltreatment, and reporting more high-magnitude stressors. A gender-stratified analysis generated similar findings for men and women.

CONCLUSIONS

Little unique variance in psychiatric symptom reporting was explained by military sexual stressor exposure after controlling for other stressors. Childhood maltreatment and other high-magnitude stressors acted as risk factors for and confounders of military sexual stress. Understanding how and why these stressors inter-relate could lead to better, more effective interventions to reduce them all-and their sequelae. Findings also highlight the need to routinely include men in sexual stress research.

摘要

目的

一些研究人员已经发现，职业性性应激源（例如性骚扰）的暴露与军人更严重的精神症状之间存在关联。然而，很少有研究对参与者接触其他高强度应激源的情况进行控制，这可能会混淆结果。我们在控制了其他高强度应激源的暴露后，研究了军事性应激与参与者精神症状严重程度之间的独特关联。还评估了军事性应激的组织和个体水平预测因素。

方法

我们通过邮件向退伍军人事务部注册的所有现役部队进行了调查（2001-2003 年）。问卷包含了经过充分验证的测量方法。

结果

84%的人做出了回应（总样本 N = 611）；其中 56%的人报告至少有一种性应激源暴露。军事性应激与精神症状之间存在高度显著的关联，但在控制了其他应激源的暴露后，这种关联减弱了三分之二，并且失去了统计学意义。除了社会人口统计学因素外，与军事性应激最相关的因素是在一个被认为容忍性骚扰的环境中工作、报告更严重的童年期虐待以及报告更多的高强度应激源。对男性和女性进行的性别分层分析得出了类似的结果。