Gallaway Michael Shayne, Fink David S, Millikan Amy M, Mitchell Mary M, Bell Michael R
Behavioral and Social Health Outcomes Program (BSHOP), US Army Institute of Public Health, US Army Public Health Command, Aberdeen Proving Ground, MD 21010, USA.
J Nerv Ment Dis. 2013 Jul;201(7):572-8. doi: 10.1097/NMD.0b013e318298296a.
This study evaluated the association between cumulative combat exposures and negative behavioral and psychiatric conditions. A total of 6128 active-duty soldiers completed a survey approximately 6 months after their unit's most recent combat deployment. The soldiers self-reported combat exposures and behavioral and psychiatric conditions. Multivariable logistic regression was used to assess the association between cumulative combat exposures and behavioral and psychiatric outcomes. In comparison with the referent group of soldiers not previously deployed, the soldiers categorized as having the highest cumulative combat exposures were significantly associated with self-reporting a history of behavioral and psychiatric diagnoses, problematic alcohol misuse, aggression, criminal behavior, and physical altercations with a significant other. The magnitude and the consistency of the association among the soldiers with the highest number of combat exposures suggest that the number of cumulative combat deployment exposures is an important consideration for identifying and treating high-risk soldiers and units returning from combat.
本研究评估了累积战斗暴露与负面行为及精神状况之间的关联。共有6128名现役士兵在其所在部队最近一次战斗部署约6个月后完成了一项调查。士兵们自行报告了战斗暴露情况以及行为和精神状况。采用多变量逻辑回归来评估累积战斗暴露与行为和精神结果之间的关联。与此前未部署过的士兵参照组相比，被归类为累积战斗暴露程度最高的士兵与自我报告有行为和精神诊断史、酒精滥用问题、攻击性、犯罪行为以及与重要他人发生肢体冲突显著相关。战斗暴露次数最多的士兵之间关联的程度和一致性表明，累积战斗部署暴露次数是识别和治疗从战斗中归来的高危士兵和部队时的一个重要考量因素。
