Peterson Alan L
Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.
Research and Development Service, South Texas Veterans Health Care System, San Antonio, Texas, USA.
J Trauma Stress. 2022 Feb;35(1):338-340. doi: 10.1002/jts.22764. Epub 2021 Nov 19.
Soumoff et al. (2021) reported on a sample of 2,217 injured military service members and found that somatic symptom severity was more predictive of the development of probable posttraumatic stress disorder (PTSD) symptoms than injury severity. PTSD has been described as one of the invisible wounds of war, suggesting that many military service members with PTSD may suffer in silence because some symptoms-such as psychological and somatic symptoms-are often not observable by others. In contrast, friends, family, fellow service members, and health care providers often ask military service members with visible, physical wounds what happened, prompting a discussion of their injury and the events that contributed to it. I posit that the findings reported by Soumoff et al. may be an example of the differences that can occur in the course of natural recovery in military service members suffering from visible versus invisible wounds of war and further hypothesize that the repeated conversations that often occur after physical injuries in military service members may foster natural recovery from the co-occurring invisible, psychological wounds of war.
苏莫夫等人(2021年)报告了2217名受伤军人的样本,发现躯体症状严重程度比损伤严重程度更能预测创伤后应激障碍(PTSD)症状的出现。创伤后应激障碍被描述为战争的无形创伤之一,这表明许多患有创伤后应激障碍的军人可能默默承受痛苦,因为一些症状——如心理和躯体症状——往往不易被他人察觉。相比之下,朋友、家人、战友和医疗服务提供者经常会询问有明显身体伤口的军人发生了什么事,从而引发对他们的伤势以及造成伤势的事件的讨论。我认为,苏莫夫等人报告的研究结果可能是一个例子,说明在患有可见与不可见战争创伤的军人自然恢复过程中可能出现的差异,并进一步推测,军人身体受伤后经常进行的反复交谈可能有助于从同时出现的无形心理战争创伤中自然恢复。