探讨童年创伤、战斗经历和适应力结构对美国伊拉克/阿富汗时代军人和退伍军人的抑郁和自杀意念的影响。
Exploration of the influence of childhood trauma, combat exposure, and the resilience construct on depression and suicidal ideation among U.S. Iraq/Afghanistan era military personnel and veterans.
机构信息
a Durham VA Medical Center; Mid-Atlantic Mental Illness Research, Education, and Clinical Center (MIRECC), Durham VA Medical Center, USA.
出版信息
Arch Suicide Res. 2013;17(2):106-22. doi: 10.1080/13811118.2013.776445.
Abstract
This study evaluated the effect of childhood trauma exposure and the role of resilience on both depressive symptoms and suicidal ideation. The study evaluated 1,488 military personnel and veterans, who served after September 2001, for depressive, suicidal, and PTSD symptoms, combat exposure, childhood trauma exposure, and resiliency. Participants were enrolled as part of an ongoing multicenter study. Outcome measures were depressive symptoms and suicidal ideation. After controlling for the effects of combat exposure and PTSD, results revealed that childhood trauma exposures were significantly associated with depressive symptoms and suicidal ideation. In addition, resilience was negatively associated with depressive symptoms and suicidal ideation, suggesting a potential protective effect. These findings suggest that evaluation of childhood trauma is important in the clinical assessment and treatment of depressive symptoms and suicidal ideation among military personnel and veterans.
摘要
这项研究评估了童年创伤暴露的影响以及韧性在抑郁症状和自杀意念中的作用。该研究评估了 1488 名 2001 年 9 月后服役的军人和退伍军人，评估他们的抑郁、自杀和 PTSD 症状、战斗暴露、童年创伤暴露和适应力。参与者是作为一项正在进行的多中心研究的一部分招募的。结果测量了抑郁症状和自杀意念。在控制了战斗暴露和 PTSD 的影响后，结果显示童年创伤暴露与抑郁症状和自杀意念显著相关。此外，韧性与抑郁症状和自杀意念呈负相关，表明可能具有保护作用。这些发现表明，在评估军人和退伍军人的抑郁症状和自杀意念时，评估童年创伤很重要。
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