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创伤相关内疚在驻阿富汗/伊拉克/其他地区退伍军人创伤后应激障碍与自杀意念之间的关系中起中介作用。

Trauma-Related Guilt Mediates the Relationship between Posttraumatic Stress Disorder and Suicidal Ideation in OEF/OIF/OND Veterans.

作者信息

Tripp Jessica C, McDevitt-Murphy Meghan E

机构信息

Department of Psychology, The University of Memphis and Memphis Veterans Affairs Medical Center, Memphis, TN, USA.

出版信息

Suicide Life Threat Behav. 2017 Feb;47(1):78-85. doi: 10.1111/sltb.12266. Epub 2016 Jun 7.

Abstract

Posttraumatic stress disorder (PTSD) and trauma-related guilt are risk factors for suicidal ideation (SI) in veterans. Components of trauma-related guilt were examined as serial mediators of the relationship between PTSD and SI. In a sample of 53 OEF/OIF/OND combat veterans, PTSD had an indirect effect on SI through a serial mediation chain of guilt cognitions, distress, and global guilt, suggesting that trauma-related guilt via cognitions, distress, and global guilt is a pathway from PTSD to SI. Attention should be given to assessing and addressing trauma-related guilt in veterans experiencing PTSD to prevent SI.

摘要

创伤后应激障碍(PTSD)和与创伤相关的内疚感是退伍军人自杀意念(SI)的风险因素。与创伤相关的内疚感的组成部分被视为PTSD与SI之间关系的系列中介变量。在一个由53名参加过“持久自由行动”/“伊拉克自由行动”/“新黎明行动”的退伍军人组成的样本中,PTSD通过内疚认知、痛苦和总体内疚感的系列中介链对SI产生间接影响,这表明经由认知、痛苦和总体内疚感的与创伤相关的内疚感是从PTSD到SI的一条途径。对于患有PTSD的退伍军人,应重视评估和处理与创伤相关的内疚感,以预防自杀意念。

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