Suzanne Dworak-Peck School of Social Work.
Department of Psychiatry and Behavioral Sciences.
Psychol Addict Behav. 2022 Mar;36(2):144-156. doi: 10.1037/adb0000781. Epub 2021 Sep 16.
Prior work has linked exposure to multiple types of trauma (i.e., polyictimization) to increased risk of negative behavioral health outcomes compared with exposure to any single event. However, few studies have attempted to understand how polyvictimization theory relates specifically to veterans' experiences and behavioral health outcomes. The present study assessed heterogeneity in reports of childhood trauma, combat trauma, and military sexual trauma.
We recruited 1,230 veterans outside of traditional Veterans Health Administration settings to participate in a study assessing behavioral health. On average, participants were 34.5 years old with the majority identifying as White (79.3%) and male (88.7%). We used latent class analysis to extract classes of traumatic experience exposure including childhood trauma, combat trauma, and military sexual trauma.
Five classes emerged: (a) (b) ; (c) (d) and (e) . Overall, veterans in profiles that endorsed multiple trauma types (i.e., polyvictimization) evidenced greater symptoms of depression, posttraumatic stress disorder, and hazardous alcohol or cannabis use. Further, women were overly represented in profiles that included multiple victimization typologies, especially when profiles included elevated endorsement of military sexual trauma.
A polyvictimization framework was partially supported, with differential effects on behavioral health outcomes noted across trauma experiences. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
先前的研究将多种类型的创伤（即，多创伤）暴露与单一事件暴露相比，与负面行为健康结果的风险增加联系起来。然而，很少有研究试图了解多创伤理论如何具体与退伍军人的经历和行为健康结果相关。本研究评估了童年创伤、战斗创伤和军事性创伤报告中的异质性。
我们在传统退伍军人健康管理局环境之外招募了 1230 名退伍军人参加一项评估行为健康的研究。参与者的平均年龄为 34.5 岁，其中大多数为白人（79.3%）和男性（88.7%）。我们使用潜在类别分析提取包括童年创伤、战斗创伤和军事性创伤在内的创伤暴露类别。
出现了五个类别：(a) ; (b) ; (c) ; (d) 和 (e) 。总体而言，在多个创伤类型（即多创伤）上得到认可的退伍军人表现出更多的抑郁、创伤后应激障碍和危险的酒精或大麻使用症状。此外，在包括多种创伤类型的特征中，女性的比例过高，尤其是在包括军事性创伤的特征中，女性的比例过高。
部分支持多创伤框架，在创伤经历方面注意到行为健康结果的差异影响。（心理信息数据库记录（c）2022 年 APA，保留所有权利）。
