Department of Clinical Psychology, Fuller Theological Seminary, Pasadena, California 91101, USA.
J Trauma Stress. 2012 Feb;25(1):102-5. doi: 10.1002/jts.21655. Epub 2012 Feb 10.
Military combat often presents service members with a dual burden of coping with traumas of various types while also grappling with the deaths of close personal friends. At present, much less is known about the effects of bereavement in the context of war compared to other combat-related stressors. Studying a sample of combat veterans from the National Vietnam Veterans Readjustment Study (NVVRS), we examined the contribution of combat loss in psychological functioning and posttraumatic stress disorder (PTSD). When controlling for gender, age, ethnicity, educational background, exposure to nonbereavement combat stressors, and recent bereavement experiences, combat loss was uniquely associated with past and current functional impairments among the veterans, βs = .07 and .06, respectively, but was not related to the severity of PTSD. These findings highlight that combat loss might act as a uniquely challenging stressor among many service members and more empirical research is needed on this topic.
军事战斗常常使军人面临双重负担，既要应对各种类型的创伤，又要应对亲密朋友的死亡。目前，与其他与战斗相关的应激源相比，人们对战争背景下丧亲的影响知之甚少。本研究通过对全国越南退伍军人适应研究（NVVRS）中的战斗老兵样本进行研究，考察了战斗损失对心理功能和创伤后应激障碍（PTSD）的影响。在控制性别、年龄、种族、教育背景、非丧亲战斗应激源暴露和近期丧亲经历后，战斗损失与退伍军人过去和现在的功能障碍显著相关，βs 分别为.07 和.06，但与 PTSD 的严重程度无关。这些发现强调了战斗损失可能是许多军人面临的一个独特的挑战应激源，需要对此进行更多的实证研究。
