Brenner Lisa A, Betthauser Lisa M, Bahraini Nazanin, Lusk Jaimie L, Terrio Heidi, Scher Ann I, Schwab Karen A
Veterans Integrated Service Network 19 Mental Illness Research, Education, and Clinical Center.
Defense and Veterans Brain Injury Center.
Rehabil Psychol. 2015 Aug;60(3):277-85. doi: 10.1037/rep0000048. Epub 2015 Jul 6.
PURPOSE/OBJECTIVE: The purpose of this study was to qualitatively explore exposure to deployment-related physical and/or emotional trauma and associated symptoms among Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) soldiers. Interviews also focused on in-theater- and reintegration-related experiences.
RESEARCH METHOD/DESIGN: OEF/OIF soldiers (N = 103) participated in semistructured interviews, and a qualitative descriptive methodology was used to analyze the data.
Themes were identified regarding (a) common experiences related to emotional and physical traumas and associated symptoms and strategies for coping and making meaning of experiences and (b) how combat and reintegration experiences affected soldiers' senses of self, relationships with others, and functioning.
CONCLUSIONS/IMPLICATIONS: Themes identified support a rethinking of deployment-related mild traumatic brain injury and posttraumatic stress disorder as discrete conditions. Dimensional versus categorical models should be considered. The findings also highlight experiences and potentially meaningful constructs (e.g., moral injury, moral repair) that can be used to inform research and clinical efforts aimed at improving the lives of those who have served.
目的/目标:本研究的目的是定性探索持久自由行动/伊拉克自由行动(OEF/OIF)士兵所遭受的与部署相关的身体和/或情感创伤及相关症状。访谈还聚焦于战区及重返社会相关经历。
研究方法/设计:OEF/OIF士兵(N = 103)参与了半结构化访谈,并采用定性描述方法分析数据。
确定了以下主题:(a)与情感和身体创伤及相关症状相关的常见经历,以及应对和理解经历的策略;(b)战斗和重返社会经历如何影响士兵的自我认知、与他人的关系及功能。
结论/启示:所确定的主题支持重新思考将与部署相关的轻度创伤性脑损伤和创伤后应激障碍视为离散病症。应考虑维度模型与分类模型。研究结果还突出了一些经历和可能有意义的概念(如道德损伤、道德修复),可用于为旨在改善服役人员生活的研究和临床工作提供信息。