Operational Stress Injury Clinic.
Psychol Trauma. 2020 May;12(4):413-421. doi: 10.1037/tra0000493. Epub 2019 Jul 18.
Among a sample of 341 treatment-seeking veterans and currently serving Canadian Forces members, our objectives were to identify factors of deployment experiences and determine whether they were related to the severity of posttraumatic stress disorder (PTSD) symptom clusters and depressive, anxiety, and alcohol use symptom severity.
Participants completed questionnaires during intake to an outpatient mental health clinic. Factor analysis was used to determine factors of deployment experiences and which mental health conditions were associated with the factors.
Exploratory factor analysis grouped experiences into 3 factors: (a) combat, (b) exposure to injury or death, and (c) potential moral injury and atrocity. Potential moral injury and atrocity was significantly associated with all outcomes except for alcohol use disorder, and combat was significantly associated with the arousal PTSD symptom cluster and depressive symptom severity.
Our study demonstrates the association between combat experiences and PTSD symptom, depression, and anxiety severity. Clinically, it stresses the importance of evaluating specific traumatic events to improve treatment outcomes. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
在一个由 341 名寻求治疗的退伍军人和现役加拿大军队成员组成的样本中，我们的目标是确定部署经历的因素，并确定这些因素是否与创伤后应激障碍（PTSD）症状群和抑郁、焦虑和酒精使用症状的严重程度有关。
参与者在门诊心理健康诊所就诊时完成了问卷调查。采用因子分析来确定部署经历的因素，以及哪些心理健康状况与这些因素有关。
探索性因子分析将经历分为 3 个因素：（a）战斗，（b）接触伤害或死亡，以及（c）潜在的道德伤害和暴行。潜在的道德伤害和暴行与除酒精使用障碍以外的所有结果都显著相关，而战斗与警觉性 PTSD 症状群和抑郁症状严重程度显著相关。
我们的研究表明战斗经历与 PTSD 症状、抑郁和焦虑严重程度之间存在关联。临床上，这强调了评估特定创伤事件以改善治疗结果的重要性。
