Bravo-Mehmedbasic Alma, Kucukalic Abdulah
Department of Psychiatry, University Clinical Center Sarajevo, Bosnia and Herzegovina.
Mater Sociomed. 2011;23(4):210-3. doi: 10.5455/msm.2011.23.210-213.
Recent research studies aim at the examination of predictors of posttraumatic adaptation of war veterans. General aim of our research is an examination of predictors of posttraumatic adaptation of war veterans, who actively participated in combat situations.
Research was conducted on 100 male participants, war veterans who were seeking treatment at the Psychiatric Clinic at the University Clinical Center in Sarajevo. All participants have experienced the combat related traumatic events during the war. Research was based on interviewing and test administration for each participant, using the following instruments: Sociodemographic Questionnaire, List of stresful events, Brief symptom inventory; Manchester Quality of Life and Impact of Events Scale.
Results of study indicate a high presence of war traumatization in our sample and high subjective distress index among examinees. Our results, also indicate the moderate rate of symptoms of PTSD and the presence of general psychopathology was moderate. Average perceived quality of life was in the category of being "relatively unsatisfied". Effects of factors, frequency of experienced traumatic events and general psychiatric treatment were statistically significant on all dependant factors. PTSD symptoms, presence of General Psychopathology and Quality of Life, in addition to the predictors of perceived personal support by others, were statistically significant on dependant factors . Quality of life and general psychopathology were not statistically significant on dependant variables regarding the presence of PTSD symptoms.
Results of our research indicate a high level of traumatization in our sample, but relatively moderate presence of PTSD symptoms and general psychopathology. Participants reported relative dissatisfaction with different aspects of life. Statistically significant predictors in posttraumatic adaptation were: the level of traumatization and help with a general psychiatric treatment. Help of close persons regarding dependant factors, regarding PTSD symptoms, were not statistically significant, but were significant on Quality of life and presence of general psychopathology. Results of this research are relevant in understanding, as to which aspects of posttraumatic adaptation contribute to a better and more distinctive rehabilitation of war veterans, to estimate the need for clinical services and to make other policy recommendations for these populations.
近期的研究旨在考察退伍军人创伤后适应的预测因素。我们研究的总体目标是考察积极参与战斗的退伍军人创伤后适应的预测因素。
对100名男性参与者进行了研究，这些参与者是在萨拉热窝大学临床中心精神病科寻求治疗的退伍军人。所有参与者在战争期间都经历过与战斗相关的创伤事件。研究基于对每位参与者进行访谈和测试，使用以下工具：社会人口学问卷、应激事件清单、简明症状量表、曼彻斯特生活质量量表和事件影响量表。
研究结果表明，我们样本中的战争创伤发生率很高，受测者的主观痛苦指数也很高。我们的结果还表明，创伤后应激障碍症状的发生率为中等，总体精神病理学的发生率也为中等。平均感知生活质量处于“相对不满意”类别。经历创伤事件的频率和一般精神治疗等因素对所有因变量都有统计学意义。创伤后应激障碍症状、总体精神病理学的存在和生活质量，除了他人感知到的个人支持的预测因素外，对因变量都有统计学意义。生活质量和总体精神病理学在创伤后应激障碍症状存在的因变量上没有统计学意义。
我们的研究结果表明，我们样本中的创伤程度很高，但创伤后应激障碍症状和总体精神病理学的存在相对中等。参与者报告对生活的不同方面相对不满意。创伤后适应中具有统计学意义的预测因素是：创伤程度和一般精神治疗的帮助。亲密的人在因变量方面对创伤后应激障碍症状的帮助没有统计学意义，但对生活质量和总体精神病理学的存在有意义。这项研究的结果对于理解创伤后适应的哪些方面有助于退伍军人更好、更有特色的康复、估计临床服务需求以及为这些人群制定其他政策建议具有重要意义。
