Dorresteijn Sasja, Gladwin Thomas Edward, Eekhout Iris, Vermetten Eric, Geuze Elbert
Military Mental Health Research Centre, Ministry of Defense, Utrecht, The Netherlands.
Department of Psychology and Counselling, University of Chichester, Chichester, UK.
Eur J Psychotraumatol. 2019 Jan 14;10(1):1558705. doi: 10.1080/20008198.2018.1558705. eCollection 2019.
: Childhood trauma and combat-related trauma are both associated with decreased psychosocial functioning. Coping strategies play an important role in the adjustment to traumatic events. : The present study examined childhood trauma and the mediating role of coping strategies in adult psychological symptoms in a non-clinical military population after deployment to Afghanistan. Additionally, the moderating role of coping strategies in vulnerability to combat events was explored. : Participants ( = 932) were drawn from a prospective study assessing psychological complaints (SCL-90), early trauma (ETISR-SF), combat-related events and coping strategies (Brief COPE). Mediation analyses via joint significance testing and moderation analyses were performed. : Childhood trauma is related to adult symptoms of general anxiety, depression and problems concerning interpersonal sensitivity through the mediation of self-blame as a coping strategy. Some evidence was found that self-blame moderated vulnerability to combat-related events resulting in psychological complaints, specifically symptoms of anxiety and depression. : Military personnel should be made aware of self-criticizing maladaptive belief systems when dealing with aversive events. Negative beliefs about oneself and distorted trauma-related cognitions may have a basis in childhood events. Self-blame cognitions may be a potential mechanism of change in empirically supported trauma interventions such as cognitive processing therapy.
童年创伤和与战斗相关的创伤都与心理社会功能下降有关。应对策略在适应创伤性事件中起着重要作用。：本研究调查了在部署到阿富汗后的非临床军事人群中，童年创伤以及应对策略在成人心理症状中的中介作用。此外，还探讨了应对策略在易受战斗事件影响方面的调节作用。：参与者（n = 932）来自一项前瞻性研究，该研究评估心理主诉（SCL - 90）、早期创伤（ETISR - SF）、与战斗相关的事件和应对策略（简易应对方式问卷）。通过联合显著性检验进行中介分析，并进行调节分析。：童年创伤通过作为应对策略的自责的中介作用，与成人的一般焦虑、抑郁症状以及人际敏感性问题相关。有证据表明，自责调节了对与战斗相关事件的易感性，从而导致心理主诉，特别是焦虑和抑郁症状。：军事人员在应对厌恶事件时应意识到自我批评的适应不良信念系统。关于自己的负面信念和与创伤相关的扭曲认知可能源于童年事件。自责认知可能是认知加工疗法等经验支持的创伤干预措施中潜在的改变机制。
