Blackburn Laura, Owens Gina P
University of Tennessee-Knoxville.
J Clin Psychol. 2015 Mar;71(3):219-28. doi: 10.1002/jclp.22133. Epub 2014 Sep 30.
The current study examined the relationships among combat exposure, presence of and search for meaning in life, general and social self-efficacy, and both posttraumatic stress disorder (PTSD) and depression symptom severity for a Veteran sample (N = 93).
Participants completed an online survey comprising the Combat Exposure Scale, Meaning in Life Questionnaire, Self-Efficacy Scale, Depression subscale of the Depression, Anxiety, Stress Scales-21, and PTSD Checklist-Specific Stressor version. The majority of participants were male and Caucasian. Participants served in various service eras
To determine factors that predicted PTSD and depression severity, separate hierarchical linear regressions were performed. In the final PTSD model, rank, combat exposure, and general self-efficacy were significant predictors, with officer rank, lower combat exposure, and higher general self-efficacy associated with lower PTSD severity. The interaction between combat exposure and general self-efficacy was also significant, with self-efficacy moderating the relationship between combat exposure and PTSD severity. For depression, rank, presence of meaning in life, and general self-efficacy were significant predictors in the model, with officer rank, higher presence of meaning in life, and general self-efficacy associated with lower depression severity.
A focus on strengthening self-efficacy may assist with lower levels of PTSD and depression symptomatology after combat trauma.
本研究调查了退伍军人样本(N = 93)中战斗暴露、生命意义的存在与追寻、一般自我效能感和社会自我效能感,以及创伤后应激障碍(PTSD)和抑郁症状严重程度之间的关系。
参与者完成了一项在线调查,包括战斗暴露量表、生命意义问卷、自我效能量表、抑郁、焦虑、压力量表 - 21的抑郁分量表,以及PTSD检查表 - 特定应激源版本。大多数参与者为男性和白人。参与者服役于不同的时期。
为了确定预测PTSD和抑郁严重程度的因素,进行了单独的分层线性回归分析。在最终的PTSD模型中,军衔、战斗暴露和一般自我效能感是显著的预测因素,军官军衔、较低的战斗暴露和较高的一般自我效能感与较低的PTSD严重程度相关。战斗暴露和一般自我效能感之间的交互作用也很显著,自我效能感调节了战斗暴露与PTSD严重程度之间的关系。对于抑郁,军衔、生命意义的存在和一般自我效能感是模型中的显著预测因素,军官军衔、较高的生命意义存在和一般自我效能感与较低的抑郁严重程度相关。
关注增强自我效能感可能有助于降低战斗创伤后PTSD和抑郁症状的水平。