Youssef Nagy A, Green Kimberly T, Beckham Jean C, Elbogen Eric B
Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Mid-Atlantic Mental Illness Research, Education, Durham, NC, USA.
Ann Clin Psychiatry. 2013 Feb;25(1):59-66.
This study prospectively evaluated the correlation and role of resilience and resilience factors in predicting suicidal ideation and attempts in veterans.
In this 3-year longitudinal study, 178 Iraq and Afghanistan war veterans were evaluated for a number of clinical and demographic variables. Longitudinal follow-up was performed at approximately 3 years.
Resilience at the initial assessment predicted lower suicidality at follow-up, controlling for suicidality at the initial assessment, suggesting a protective effect for resilience. With respect to specific domains of resilience, secure relationships and positive acceptance of change significantly predicted lower suicidality.
These findings have important implications for clinical care and for guiding future research efforts to increase resilience among returning soldiers.
本研究前瞻性评估了复原力及复原力因素在预测退伍军人自杀意念和自杀未遂方面的相关性及作用。
在这项为期3年的纵向研究中,对178名伊拉克和阿富汗战争退伍军人的一系列临床和人口统计学变量进行了评估。约3年后进行纵向随访。
在控制初始评估时的自杀倾向后,初始评估时的复原力可预测随访时较低的自杀倾向,提示复原力具有保护作用。关于复原力的特定领域,安全的人际关系和对变化的积极接受显著预测较低的自杀倾向。
这些发现对临床护理以及指导未来旨在提高退伍军人复原力的研究工作具有重要意义。