Lee Jennifer E C, Phinney Brigitte, Watkins Kimberley, Zamorski Mark A
Department of National Defence, Ottawa, Ontario, Canada.
Department of Psychology, Carleton University, Ottawa, Ontario, Canada.
J Trauma Stress. 2016 Apr;29(2):124-31. doi: 10.1002/jts.22085. Epub 2016 Mar 8.
Multiple pathways have been suggested to account for the relationship of adverse childhood experiences (ACEs) and well-being in adulthood, including interpersonal difficulties, the underestimation of one's sense of mastery, and a greater propensity to experience stressors later in life. This study was conducted to examine the association between ACEs and mental health in Canadian Armed Forces (CAF) personnel, and the possible mediating roles of social support, mastery, and combat stressors in that relationship. The study consisted of a prospective analysis involving 3,319 CAF members upon their return from an overseas deployment. Results were that ACEs were associated with poorer mental health (β = -.14, p < .001) and that approximately 42.6% of this relationship could be explained by the mediating effects of low social support, low mastery, and a greater number of combat stressors. The full model, including the covariates, ACEs, social support, mastery, and combat stressors as correlates of postdeployment mental health, was statistically significant with adjusted R(2) = .28, F(9, 3309) = 141.96, p < .001. On the whole, results suggested that social support, mastery, and life stressors may be possible targets for interventions to minimize the impact of ACEs on later mental health in military personnel.
人们提出了多种途径来解释童年不良经历(ACEs)与成年后幸福感之间的关系,包括人际关系困难、对自身掌控感的低估,以及日后生活中更容易经历压力源。本研究旨在探讨加拿大武装部队(CAF)人员中ACEs与心理健康之间的关联,以及社会支持、掌控感和战斗压力源在这种关系中可能起到的中介作用。该研究包括一项前瞻性分析,涉及3319名CAF成员从海外部署归来后。结果显示,ACEs与较差的心理健康相关(β = -0.14,p < 0.001),并且这种关系中约42.6%可以由低社会支持、低掌控感和更多战斗压力源的中介作用来解释。完整模型,包括协变量、ACEs、社会支持、掌控感和战斗压力源作为部署后心理健康的相关因素,在统计上具有显著性,调整后的R² = 0.28,F(9, 3309) = 141.96,p < 0.001。总体而言,结果表明社会支持、掌控感和生活压力源可能是干预措施的潜在目标,以尽量减少ACEs对军事人员后期心理健康的影响。