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适应不良人格特质对以色列女性退伍军人创伤后应激障碍和抑郁症状的影响。

The contribution of maladaptive personality traits to PTSD and depression symptoms among Israeli female veterans.

作者信息

Zerach Gadi, Shem Tov Ehud, Shati Sharon

机构信息

Department of Psychology, Ariel University.

出版信息

Psychol Trauma. 2024 Aug 29. doi: 10.1037/tra0001779.

DOI:10.1037/tra0001779
PMID:39207430
Abstract

OBJECTIVE

Exposure to potentially traumatic events during military service is associated with mental health problems such as posttraumatic stress disorder (PTSD) and depression symptoms. However, knowledge regarding the implications of maladaptive personality traits in psychopathology among female veterans is sparse. The present study aims to use the , fifth edition-an alternative model of personality disorder, to examine associations between maladaptive personality traits, PTSD and depression symptoms, among female Israeli veterans.

METHOD

A volunteer sample of female Israeli combat veterans ( = 616) and noncombat veterans ( = 484) responded to self-report questionnaires in a cross-sectional study.

RESULTS

Combat veterans reported higher levels of combat exposure and PTSD symptoms, but not depressive symptoms, than noncombat veterans. Combat veterans also reported lower levels of negative affectivity but higher levels of disinhibition than noncombat veterans. All five traits were positive predictors of PTSD and depression symptoms, with psychoticism constituting the strongest predictor. A moderated-mediation analysis indicated four traits (negative affectivity, detachment, disinhibition, and psychoticism) that had a moderating effect on the relationship between combat exposure and PTSD symptoms, and two of the traits (antagonism and disinhibition) that had a moderate effect on the relationship between combat exposure and depressive symptoms.

CONCLUSIONS

Maladaptive personality traits play an important role in psychological distress following female veterans' combat service. Future prospective research is necessary to determine the temporal associations between preenlistment maladaptive personality traits and postdeployment mental health of veterans. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

摘要

目的

在军事服役期间接触潜在创伤性事件与心理健康问题相关,如创伤后应激障碍(PTSD)和抑郁症状。然而,关于适应不良人格特质在女性退伍军人心理病理学中的影响的知识却很匮乏。本研究旨在使用《精神疾病诊断与统计手册》第五版——人格障碍的替代模型,来检验以色列女性退伍军人中适应不良人格特质、PTSD和抑郁症状之间的关联。

方法

在一项横断面研究中,对以色列女性战斗退伍军人(n = 616)和非战斗退伍军人(n = 484)的志愿者样本进行了自我报告问卷调查。

结果

与非战斗退伍军人相比,战斗退伍军人报告的战斗暴露水平和PTSD症状更高,但抑郁症状并非如此。战斗退伍军人还报告说,与非战斗退伍军人相比,他们的消极情感水平较低,但去抑制水平较高。所有五种特质都是PTSD和抑郁症状的正向预测因子,其中精神病性是最强的预测因子。一项调节中介分析表明,四种特质(消极情感、疏离、去抑制和精神病性)对战斗暴露与PTSD症状之间的关系有调节作用,两种特质(敌对性和去抑制)对战斗暴露与抑郁症状之间的关系有中等程度的影响。

结论

适应不良人格特质在女性退伍军人战斗服役后的心理困扰中起重要作用。未来有必要进行前瞻性研究,以确定入伍前适应不良人格特质与退伍军人部署后心理健康之间的时间关联。(PsycInfo数据库记录(c)2024美国心理学会,保留所有权利)

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