Research and Knowledge Centre, Danish Veteran Centre, Ringsted, Denmark.
School of Psychology, University of Ulster at Coleraine Campus, Coleraine, Northern Ireland, UK.
J Anxiety Disord. 2015 May;32:89-94. doi: 10.1016/j.janxdis.2015.03.007. Epub 2015 Mar 28.
While longitudinal posttraumatic stress responses are known to be heterogeneous, little is known about predictors of those responses. We investigated if locus of control (LOC) and coping style are associated with long-term PTSD-trajectories after exposure to combat. Six hundred and seventy five Israeli soldiers with or without combat stress reaction (CSR) from the Lebanon war were assessed 1, 2, and 20 years after the war. Combat exposure, LOC, and coping style were then investigated as covariates of the trajectories of resilience, recovery, delayed onset, and chronicity. Symptomatic trajectories in the CSR and the non-CSR group were significantly associated to varying degrees with perceived life threat during combat (ORs: 1.76-2.53), internal LOC (0.77-0.87), emotional coping style (0.28-0.34), and low use of problem-focused coping (2.12-3.11). In conclusion, assessment of LOC and coping can aid prediction of chronic PTSD outcomes of combat exposure.
虽然已知创伤后应激反应的纵向变化具有异质性，但对于这些反应的预测因素知之甚少。我们研究了在经历战斗后，控制源（LOC）和应对方式是否与长期 PTSD 轨迹有关。675 名来自黎巴嫩战争的以色列士兵，无论是否患有战斗应激反应（CSR），在战争结束后 1、2 和 20 年进行了评估。然后，将战斗暴露、LOC 和应对方式作为弹性、恢复、延迟发作和慢性轨迹的协变量进行了研究。CSR 和非 CSR 组的症状轨迹与战斗期间感知到的生命威胁（OR：1.76-2.53）、内部 LOC（0.77-0.87）、情绪应对方式（0.28-0.34）和问题解决应对方式的低使用率（2.12-3.11）显著相关。总之，评估 LOC 和应对方式可以帮助预测战斗暴露后慢性 PTSD 的结局。
