Hiraoka Regina, Meyer Eric C, Kimbrel Nathan A, DeBeer Bryann B, Gulliver Suzy Bird, Morissette Sandra B
Department of Veterans Affairs VISN 17 Center of Excellence for Research on Returning War Veterans, Waco, Texas, USA; Central Texas Veterans Healthcare System, Waco, Texas, USA.
J Trauma Stress. 2015 Apr;28(2):127-33. doi: 10.1002/jts.21995. Epub 2015 Mar 21.
U.S. combat veterans of the Iraq and Afghanistan wars have elevated rates of posttraumatic stress disorder (PTSD) compared to the general population. Self-compassion, characterized by self-kindness, a sense of common humanity when faced with suffering, and mindful awareness of suffering, is a potentially modifiable factor implicated in the development and maintenance of PTSD. We examined the concurrent and prospective relationship between self-compassion and PTSD symptom severity after accounting for level of combat exposure and baseline PTSD severity in 115 Iraq and Afghanistan war veterans exposed to 1 or more traumatic events during deployment. PTSD symptoms were assessed using the Clinician Administered PTSD Scale for DSM-IV (CAPS-IV) at baseline and 12 months (n =101). Self-compassion and combat exposure were assessed at baseline via self-report. Self-compassion was associated with baseline PTSD symptoms after accounting for combat exposure (β = -.59; p < .001; ΔR(2) = .34; f(2) = .67; large effect) and predicted 12-month PTSD symptom severity after accounting for combat exposure and baseline PTSD severity (β = -.24; p = .008; ΔR(2) = .03; f(2) = .08; small effect). Findings suggest that interventions that increase self-compassion may be beneficial for treating chronic PTSD symptoms among some Iraq and Afghanistan war veterans.
与普通人群相比，美国伊拉克和阿富汗战争的退伍军人创伤后应激障碍（PTSD）的发病率更高。自我同情的特点是自我友善、面对痛苦时的共同人性意识以及对痛苦的正念觉察，它是一个可能与PTSD的发生和维持有关的可改变因素。我们在115名在部署期间经历过1次或更多创伤事件的伊拉克和阿富汗战争退伍军人中，在考虑了战斗暴露水平和基线PTSD严重程度后，研究了自我同情与PTSD症状严重程度之间的并发关系和前瞻性关系。在基线和12个月时（n = 101）使用DSM-IV临床医生管理的PTSD量表（CAPS-IV）评估PTSD症状。通过自我报告在基线时评估自我同情和战斗暴露情况。在考虑战斗暴露因素后，自我同情与基线PTSD症状相关（β = -0.59；p < 0.001；ΔR(2) = 0.34；f(2) = 0.67；大效应），并且在考虑战斗暴露和基线PTSD严重程度后预测了12个月时的PTSD症状严重程度（β = -0.24；p = 0.008；ΔR(2) = 0.03；f(2) = 0.08；小效应）。研究结果表明，增加自我同情的干预措施可能对治疗一些伊拉克和阿富汗战争退伍军人的慢性PTSD症状有益。
