Behavioral and Social Health Outcomes Program, US Army Institute of Public Health, US Army Public Health Command, Aberdeen Proving Ground, Maryland, USA.
Aggress Behav. 2012 Sep-Oct;38(5):357-67. doi: 10.1002/ab.21436. Epub 2012 Jul 2.
There are a growing number of studies that have approximated levels of aggression and associated outcomes among combat veterans returning from Iraq and Afghanistan using brief screening assessments. However, further research to evaluate the relative role of combat exposures and overt physical behaviors is required to further elucidate potential associations between military service, combat deployment, and overt physical aggression. The purpose of the current study was to assess the prevalence of self-reported physical aggression in a sample of US Army soldiers using an adaptation of the Revised Conflict Tactics Scale (CTS2), and examine factors associated with higher levels of aggression. A population-based cross-sectional study was conducted at a single US Army Installation within a sample of active duty US Army soldiers (n = 6,128) from two large units. Anonymous surveys were collected 6 months following deployment to measure overt aggressive behaviors, posttraumatic stress disorder, anxiety, depression, traumatic brain injury, and misuse of alcohol. There were a relatively higher number of minor and severe physical overt aggressive actions reported among soldiers who previously deployed, notably highest among deployed soldiers reporting the highest levels of combat intensity. Soldiers screening positive for the misuse of alcohol were also significantly more likely to report relatively higher levels of physical aggression. This study quantified overt aggressive behaviors and associated factors, showing increasing combat exposures may result in increased physical aggression. Clinicians treating service members returning from combat may consider assessing relative levels of combat.
越来越多的研究使用简短的筛查评估来估计从伊拉克和阿富汗返回的参战退伍军人的攻击水平和相关结果。然而，需要进一步的研究来评估战斗暴露和明显身体行为的相对作用，以进一步阐明军事服务、战斗部署和明显身体攻击之间的潜在关联。本研究的目的是使用修订后的冲突策略量表（CTS2）的改编版评估美国陆军士兵中自我报告的身体攻击的流行率，并检查与更高水平的攻击性相关的因素。在一个美国陆军基地内，对来自两个大型部队的现役美国陆军士兵（n = 6128）进行了一项基于人群的横断面研究。在部署后 6 个月收集匿名调查，以衡量明显的攻击性行为、创伤后应激障碍、焦虑、抑郁、创伤性脑损伤和酒精滥用。在之前部署过的士兵中，报告了相对较多的轻微和严重的身体明显攻击行为，在报告战斗强度最高的士兵中最高。筛查出酒精滥用的士兵也更有可能报告相对较高水平的身体攻击。这项研究量化了明显的攻击行为和相关因素，表明战斗暴露的增加可能导致身体攻击的增加。治疗从战斗中返回的现役军人的临床医生可能会考虑评估相对的战斗水平。
