创伤类型或创伤事件数量对寻求治疗的退伍军人创伤后应激障碍诊断及症状严重程度的影响

The Impact of Trauma Type or Number of Traumatic Events on PTSD Diagnosis and Symptom Severity in Treatment Seeking Veterans.

作者信息

Jakob Jeanne M D, Lamp Kristen, Rauch Sheila A M, Smith Erin R, Buchholz Katherine R

机构信息

*Palo Alto University, Palo Alto, CA; †Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI; ‡Atlanta VA Medical Center, Decatur; §Emory University School of Medicine, Atlanta, GA; and ∥VA Ann Arbor Healthcare System, Ann Arbor, MI.

出版信息

J Nerv Ment Dis. 2017 Feb;205(2):83-86. doi: 10.1097/NMD.0000000000000581.

DOI:10.1097/NMD.0000000000000581

PMID:28129258

Abstract

Trauma history and increased exposure to combat and sexual trauma may account for heightened rates of PTSD among military populations. This study assessed trauma type and exposure history, diagnostic impressions, and PTSD severity in a large clinical dataset (n = 2463) of veterans presenting for PTSD evaluation at a Midwestern VA Medical Center between the years 2006 and 2013. The degree of lifetime trauma exposure was pronounced, with approximately 76% of the sample reporting exposure to at least four traumatic events. Higher numbers of lifetime trauma and higher levels of combat exposure were associated with more severe PTSD symptoms. Sexual trauma and combat trauma were more predictive of PTSD than other trauma types. Sexual trauma was associated with more severe PTSD than combat and other trauma.

摘要

创伤史以及更多地暴露于战斗和性创伤之中，可能是导致军人中创伤后应激障碍（PTSD）发病率升高的原因。本研究在一个大型临床数据集中（n = 2463）评估了创伤类型和暴露史、诊断印象以及PTSD严重程度，该数据集来自2006年至2013年间在中西部一家退伍军人事务部医疗中心接受PTSD评估的退伍军人。终生创伤暴露程度显著，约76%的样本报告称至少经历过四次创伤事件。更多的终生创伤经历和更高水平的战斗暴露与更严重的PTSD症状相关。与其他创伤类型相比，性创伤和战斗创伤对PTSD的预测性更强。与战斗和其他创伤相比，性创伤与更严重的PTSD相关。