Rudenstine Sasha, Cohen Greg, Prescott Marta, Sampson Laura, Liberzon Israel, Tamburrino Marijo, Calabrese Joseph, Galea Sandro
Department of Epidemiology, Columbia University, 722 West 168th Street, Room 1505, New York, NY 10032.
Department of Psychiatry, University of Michigan, 2215 Fuller Road, Ann Arbor, MI 48105.
Mil Med. 2015 Sep;180(9):972-8. doi: 10.7205/MILMED-D-14-00626.
This article examines the relationship between childhood adversity and postdeployment new-onset psychopathology among a sample of U.S. National Guard personnel deployed during Operation Iraqi Freedom and Operation Enduring Freedom with no history of post-traumatic stress disorder (PTSD) or depression. We recruited a sample of 991 Ohio Army National Guard soldiers and conducted structured interviews to assess traumatic event exposure, a history of childhood adversity, and postdeployment depression, and PTSD, consistent with the Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition. We assessed childhood adversity by using questions from the Childhood Adverse Events Survey. In multivariable logistic models, a history of any childhood adversity was significantly associated with new-onset depression, but not PTSD, postdeployment. This finding suggests that a history of childhood adversity is predisposing for new-onset depression, among U.S. National Guard soldiers who were deployed with no prior history of PTSD or depression. This highlights the centrality of childhood experience for the production of mental health among soldiers.
本文考察了在伊拉克自由行动和持久自由行动期间部署的、无创伤后应激障碍（PTSD）或抑郁症病史的美国国民警卫队人员样本中，童年逆境与部署后新发精神病理学之间的关系。我们招募了991名俄亥俄陆军国民警卫队士兵样本，并进行了结构化访谈，以评估创伤事件暴露、童年逆境史以及部署后的抑郁症和PTSD，这与《精神疾病诊断与统计手册（第四版）》一致。我们通过使用童年不良事件调查中的问题来评估童年逆境。在多变量逻辑模型中，任何童年逆境史都与部署后新发抑郁症显著相关，但与PTSD无关。这一发现表明，在无PTSD或抑郁症既往史的美国国民警卫队士兵中，童年逆境史易引发新发抑郁症。这凸显了童年经历在士兵心理健康产生过程中的核心地位。
