Green M A, Berlin M A
University of Michigan, Department of Psychiatry, Ann Arbor 48109.
J Clin Psychol. 1987 Nov;43(6):643-9. doi: 10.1002/1097-4679(198711)43:6<643::aid-jclp2270430602>3.0.co;2-r.
Sixty Vietnam veterans from a midwestern VA Medical Center were surveyed to determine the relationship between symptoms of Post-Traumatic Stress Disorder (PTSD) and five psychosocial variables: Intensity of combat experienced in Vietnam, current subjective impact of the previously experienced stress of Vietnam experiences, current level of life stress, extent and nature of social support available to the veteran during the first year of return from Vietnam, and pre-service psychosocial functioning. A stepwise discriminant function analysis revealed that combat intensity, current impact of the previously experienced events in Vietnam, and current level of life stress correctly classified 75% of the total cases. These findings were supported by other lines of analyses, including tests of correlation and stepwise regression analysis. Current levels of life stress, especially disruption in interpersonal relationships, also were associated significantly with PTSD symptoms. These findings are consistent with previous reports on the etiology and correlates of PTSD symptoms and suggest the existence of a quantifiable constellation of symptoms associated with psychological sequelae of severely stressful trauma.
对来自中西部一家退伍军人事务部医疗中心的60名越南退伍军人进行了调查,以确定创伤后应激障碍(PTSD)症状与五个社会心理变量之间的关系:在越南经历的战斗强度、先前越南经历的压力当前的主观影响、当前生活压力水平、退伍军人从越南返回后的第一年可获得的社会支持的程度和性质,以及入伍前的社会心理功能。逐步判别函数分析显示,战斗强度、先前在越南经历的事件的当前影响以及当前生活压力水平正确分类了75%的总病例。这些发现得到了其他分析方法的支持,包括相关性检验和逐步回归分析。当前的生活压力水平,尤其是人际关系的破裂,也与PTSD症状显著相关。这些发现与先前关于PTSD症状的病因和相关因素的报告一致,并表明存在一组与严重应激创伤的心理后遗症相关的可量化症状群。