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军事心理健康:部署期间日常琐事的作用。

Military mental health: the role of daily hassles while deployed.

作者信息

Heron Elizabeth A, Bryan Craig J, Dougherty Craig A, Chapman William G

机构信息

*342d Training Squadron, Lackland Air Force Base; †National Center for Veterans Studies, The University of Utah, Salt Lake City; and ‡Battelle Scientific Services, Lackland Air Force Base, San Antonio, TX.

出版信息

J Nerv Ment Dis. 2013 Dec;201(12):1035-9. doi: 10.1097/NMD.0000000000000058.

Abstract

This study sought to identify factors contributing to symptoms of depression and posttraumatic stress disorder (PTSD) in recently deployed combat veterans. A sample of 168 active duty military personnel completed measures of combat exposure, deployment-related daily hassles, depression symptoms, and PTSD symptoms at six time points across their deployment: predeployment and 1, 3, 6, and 12 months postdeployment. Mixed-effects linear modeling with repeated measures was used to identify factors associated with depression and PTSD severity over time. Postdeployment depression severity did not change over time, but PTSD severity decreased slightly over time after returning home. Postdeployment depression severity was predicted by past (but not recent) combat exposure, daily hassles, and concurrent PTSD symptoms. Postdeployment PTSD severity was predicted by past and recent combat exposure, concurrent depression symptoms, and male sex. Depression severity mediated the relationship between daily hassles and postdeployment PTSD severity.

摘要

本研究旨在确定导致近期参战退伍军人出现抑郁症状和创伤后应激障碍(PTSD)的因素。168名现役军人在其部署期间的六个时间点(部署前以及部署后1、3、6和12个月)完成了战斗暴露、与部署相关的日常烦恼、抑郁症状和PTSD症状的测量。采用重复测量的混合效应线性模型来确定随时间推移与抑郁和PTSD严重程度相关的因素。部署后抑郁严重程度随时间未发生变化,但回家后PTSD严重程度随时间略有下降。部署后抑郁严重程度可由过去(而非近期)的战斗暴露、日常烦恼以及同时出现的PTSD症状预测。部署后PTSD严重程度可由过去和近期的战斗暴露、同时出现的抑郁症状以及男性性别预测。抑郁严重程度介导了日常烦恼与部署后PTSD严重程度之间的关系。

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