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部署前感知到的童年家庭凝聚力可前瞻性地调节美国现役士兵在战区出现战争区精神病理学症状的风险。

Perceived childhood family cohesiveness prior to deployment prospectively moderates risk for war-zone psychopathology in theater among deployed U.S. soldiers.

作者信息

Cobb Adam R, Hughes Jordan A, Lee Han-Joo, Telch Michael J

机构信息

Department of Psychology, University of Texas at Austin.

Department of Psychology, University of Wisconsin-Milwaukee.

出版信息

Psychol Trauma. 2024 Aug 15. doi: 10.1037/tra0001760.

Abstract

OBJECTIVE

Several studies have demonstrated robust protective effects of childhood family support and cohesiveness on adult stress-related psychopathology. However, there is little evidence regarding the prospective relationship between the perceived childhood family environment and the in-theater emergence of war-zone stress-related psychological symptoms. The present report is from data collected from the Texas Combat PTSD Risk Project, which aims to identify risk and resilience factors at predeployment that predict the subsequent impact of war-zone stressors in terms of psychological symptom emergence in U.S. soldiers deployed to Iraq.

METHOD

Soldiers ( = 150) completed a battery of standardized interview and self-report assessments at predeployment, including a measure of perceived childhood family cohesion. Once deployed, soldiers completed monthly web-based self-report assessments of war-zone stressors, posttraumatic stress symptoms, depression, and anxiety.

RESULTS

Consistent with predictions, greater perceived childhood family cohesiveness prior to deployment robustly mitigated subsequent in-theater symptoms. However, contrary to predictions, childhood family cohesiveness did not reliably moderate the linkage between war-zone stressors and in-theater symptoms.

CONCLUSIONS

Consistent with a wealth of other evidence demonstrating protective stress resilience effects of childhood family cohesion that extend across the lifespan, the present findings suggest they also extend to the war-zone environment among deployed soldiers. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

摘要

目的

多项研究表明,童年时期的家庭支持和凝聚力对成年后与压力相关的精神病理学具有强大的保护作用。然而,关于童年时期感知到的家庭环境与战区压力相关心理症状在战区出现之间的前瞻性关系,几乎没有证据。本报告来自德克萨斯战斗创伤后应激障碍风险项目收集的数据,该项目旨在确定部署前的风险和恢复力因素,这些因素可预测战区压力源对部署到伊拉克的美国士兵心理症状出现的后续影响。

方法

士兵(n = 150)在部署前完成了一系列标准化访谈和自我报告评估,包括一项关于童年时期感知到的家庭凝聚力的测量。一旦部署,士兵们每月完成基于网络的关于战区压力源、创伤后应激症状、抑郁和焦虑的自我报告评估。

结果

与预测一致,部署前更高的童年时期感知到的家庭凝聚力有力地减轻了随后在战区出现的症状。然而,与预测相反,童年时期的家庭凝聚力并没有可靠地调节战区压力源与战区症状之间的联系。

结论

与大量其他证据一致,这些证据表明童年家庭凝聚力的保护性压力恢复力效应贯穿一生,目前的研究结果表明,这些效应也延伸到了部署士兵的战区环境。(PsycInfo数据库记录(c)2024美国心理学会,保留所有权利)

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