Department of Health and Well-Being, IDF's Medical Corps, Israel Defense Forces, Ramat Gan 6195001, Israel.
School of Social Sciences, The Academic College of Tel Aviv-Yaffo, Tel Aviv Yaffo 6195001, Israel.
Int J Environ Res Public Health. 2023 Aug 5;20(15):6530. doi: 10.3390/ijerph20156530.
Feeling out of control during a traumatic event may evoke behavioral self-blame (BSB) to avoid feeling helpless following trauma by restoring one's sense of control. BSB is a common, persistent, and treatment-resistant post-traumatic stress symptom. The present study investigates the etiology and risk factors of BSB following a traumatic event and the reasons for its persistence over time.
Subjects were a group of 546 Israeli ex-combat soldiers (M age = 24.93 ± 5.657) registered in an Israel Defense Forces (IDF) combat reaction clinic. All completed the Peritraumatic Dissociative Experiences Questionnaire (PDEQ), the Brief Symptom Inventory (BSI), and the PTSD Checklist for the DSM-5 (PCL-5). Item 10 of the PCL-5 served to measure BSB. The PDEQ and BSI measured distress and feeling out of control during the event. We used descriptive analyses of the data, -test, and linear regression analysis to reveal the relationship between the research variables.
Feeling out of control during a traumatic event often increases BSB and post-traumatic stress symptoms. A significant correlation emerged between continuing distress characterizing individuals who experience a persistent lack of control and BSB. Female combat soldiers were at a higher risk of BSB than their male counterparts.
Loss of control experienced during a traumatic event may result in persistent long-term feelings of lack of control over one's behavior.
在创伤性事件中感到失控可能会引发行为自责（BSB），通过恢复控制感来避免因创伤而感到无助。BSB 是一种常见的、持续存在的、且治疗抵抗的创伤后应激症状。本研究调查了创伤后 BSB 的病因和风险因素，以及其随时间持续存在的原因。
研究对象为以色列国防军（IDF）战斗反应诊所登记的 546 名以色列前作战士兵（M 年龄=24.93±5.657）。所有人都完成了创伤前分离体验问卷（PDEQ）、简明症状量表（BSI）和 DSM-5 创伤后应激障碍检查表（PCL-5）。PCL-5 的第 10 项用于衡量 BSB。PDEQ 和 BSI 测量了事件期间的痛苦和失控感。我们使用数据描述性分析、t 检验和线性回归分析来揭示研究变量之间的关系。
创伤期间的失控感常常会增加 BSB 和创伤后应激症状。在经历持续缺乏控制的个体中，持续的痛苦特征与 BSB 之间存在显著相关性。女性战斗士兵比男性战斗士兵更容易出现 BSB。
创伤事件中经历的失控可能导致长期持续缺乏对自身行为的控制感。
