Smith Brian N, Taverna Emily C, Fox Annie B, Schnurr Paula P, Matteo Rebecca A, Vogt Dawne
National Center for PTSD Women's Health Sciences Division and VA Boston Healthcare System.
Department of Psychiatry, Boston University School of Medicine.
Clin Psychol Sci. 2017 Jul;5(4):664-682. doi: 10.1177/2167702617705672. Epub 2017 May 31.
Exposure to stressors during military deployment puts veterans at risk for reduced post-military quality of life. Stress-related mental health problems may lead to decreased well-being within work and family domains, yet few studies have explored associations in the context of gender. We examined relationships between deployment stressors and post-military functioning and satisfaction in the domains of work and family, with a focus on PTSD, depression, and alcohol misuse symptomatology as potential mediators. Participants included 522 male and female Iraq and Afghanistan War veterans assessed longitudinally. Structural equation models supported several direct and indirect pathways linking deployment stressors to work and family outcomes for both men and women. PTSD had an important role in these associations. Depression also played a significant role, particularly for women. These findings build on prior research by elucidating potential gender-specific risk, which may be applied to better tailor services to veterans' unique needs.
军事部署期间暴露于应激源会使退伍军人面临军事生涯结束后生活质量下降的风险。与压力相关的心理健康问题可能导致工作和家庭领域的幸福感降低，但很少有研究探讨性别背景下的关联。我们研究了部署应激源与军事生涯结束后的工作和家庭功能及满意度之间的关系，重点关注创伤后应激障碍（PTSD）、抑郁症和酒精滥用症状作为潜在中介因素。参与者包括522名接受纵向评估的伊拉克和阿富汗战争退伍军人，男女皆有。结构方程模型支持了几条直接和间接途径，将部署应激源与男性和女性的工作及家庭结果联系起来。PTSD在这些关联中起重要作用。抑郁症也发挥了重要作用，尤其是对女性而言。这些发现基于先前的研究，阐明了潜在的性别特异性风险，可用于更好地根据退伍军人的独特需求定制服务。
