男性和女性退伍军人在服役前、服役期间和服役后的饮酒情况及创伤暴露情况。
Alcohol use and trauma exposure among male and female veterans before, during, and after military service.
作者信息
Kelley Michelle L, Runnals Jennifer, Pearson Matthew R, Miller Marinell, Fairbank John A, Brancu Mira
机构信息
Department of Psychology, Old Dominion University, Norfolk, VA 23529, USA.
出版信息
Drug Alcohol Depend. 2013 Dec 1;133(2):615-24. doi: 10.1016/j.drugalcdep.2013.08.002. Epub 2013 Aug 13.
BACKGROUND
The present study examined lifespan and combat-related trauma exposure as predictors of alcohol use among male and female veterans. Posttraumatic stress and depressive symptoms were examined as mediators of the effects of trauma exposure on alcohol use.
METHODS
Data were examined from 1825 (1450 male, 375 female) veterans and active duty service members who took part in a multi-site research study conducted through the Department of Veterans Affairs Mid-Atlantic Mental Illness Research, Education and Clinical Center (VISN 6 MIRECC).
RESULTS
For both men and women, depressive symptoms significantly mediated the effects of non-combat trauma exposure experienced before, during and after the military, as well as combat-exposure, on alcohol use. With posttraumatic stress symptoms, the models for men and women differed. For men, the effects of non-combat trauma exposure during and after military service, and combat exposure, on alcohol use were mediated by PTSD symptoms; however, for women, PTSD symptoms did not mediate these relationships.
CONCLUSION
Findings are discussed in the context of potential gender differences in response to trauma such as use of alcohol to cope with traumatic events.
背景
本研究考察了男性和女性退伍军人的寿命及与战斗相关的创伤暴露情况，以此作为酒精使用的预测因素。创伤后应激症状和抑郁症状被视为创伤暴露对酒精使用影响的中介变量。
方法
数据来自1825名退伍军人及现役军人（1450名男性，375名女性），他们参与了通过退伍军人事务部中大西洋精神疾病研究、教育与临床中心（VISN 6 MIRECC）开展的一项多地点研究。
结果
对于男性和女性而言，抑郁症状均显著介导了军事服役之前、期间和之后经历的非战斗创伤暴露以及战斗暴露对酒精使用的影响。对于创伤后应激症状，男性和女性的模型有所不同。对于男性，军事服役期间及之后的非战斗创伤暴露以及战斗暴露对酒精使用的影响由创伤后应激障碍症状介导；然而，对于女性，创伤后应激障碍症状并未介导这些关系。
结论
研究结果在应对创伤（如使用酒精来应对创伤事件）的潜在性别差异背景下进行了讨论。
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