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道德伤害事件与抑郁症:探讨反刍思维在社区中曾参加过战斗部署的退伍军人中的作用。

Morally Injurious Events and Depression: Examining the Role of Rumination Among Combat-Deployed Military Veterans in the Community.

作者信息

Thomas Emmanuel D, Weiss Nicole H, Forkus Shannon R, Contractor Ateka A

机构信息

University of Rhode Island.

University of North Texas, Denton, TX, USA.

出版信息

Int J Stress Manag. 2024 May;31(2):162-166. doi: 10.1037/str0000319. Epub 2024 Jan 1.

DOI:10.1037/str0000319
PMID:39479368
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11521364/
Abstract

While depression remains a common psychological disorder among combat military veterans, there is a need to investigate factors that relate to the development and maintenance of this disorder. Potentially morally injurious events (PMIEs), perceived transgressions against one's moral code, is associated with depression. This relationship may be influenced by level of engagement in brooding rumination. Therefore, the current study sought to examine the moderating role of rumination in the association between PMIEs and depression. Two hundred three participants were included in the study (77.7% male, 72.2% White), with a mean age of 35.08 years ( = 8.09). Findings indicated that the association between PMIEs and depression was stronger at higher levels of rumination, suggesting that military veterans who are exposed to PMIEs and engage in more repetitive thoughts centered around negative emotions are at a higher risk for experiencing more severe depression symptoms.

摘要

虽然抑郁症在参战退伍军人中仍然是一种常见的心理障碍,但有必要调查与这种障碍的发生和持续存在相关的因素。潜在的道德伤害事件(PMIEs),即对个人道德准则的感知违反,与抑郁症有关。这种关系可能会受到沉思反刍程度的影响。因此,本研究旨在探讨反刍在PMIEs与抑郁症之间的关联中所起的调节作用。该研究纳入了203名参与者(77.7%为男性,72.2%为白人),平均年龄为35.08岁(标准差=8.09)。研究结果表明,在反刍程度较高时,PMIEs与抑郁症之间的关联更强,这表明接触到PMIEs并进行更多围绕负面情绪的重复性思考的退伍军人,出现更严重抑郁症状的风险更高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8aba/11521364/54d3ce20539a/nihms-1954990-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8aba/11521364/54d3ce20539a/nihms-1954990-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8aba/11521364/54d3ce20539a/nihms-1954990-f0001.jpg

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本文引用的文献

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Online crowdsourcing to study trauma and mental health symptoms in military populations: A case for Amazon's Mechanical Turk (MTurk) platform.在线众包研究军事人群中的创伤和心理健康症状:亚马逊土耳其机器人(MTurk)平台的一个案例。
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反刍思维作为战斗受伤退伍军人道德伤害与心理健康问题之间关联的中介因素
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"I knew it was wrong the moment I got the order": A narrative thematic analysis of moral injury in combat veterans.“我收到命令的那一刻就知道这是错的”:对参战老兵精神创伤的叙事主题分析。
Psychol Trauma. 2019 May;11(4):396-405. doi: 10.1037/tra0000364. Epub 2018 May 3.
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Moral injury in U.S. combat veterans: Results from the national health and resilience in veterans study.美国退伍军人的道德损伤:退伍军人健康与恢复力全国性研究的结果
Depress Anxiety. 2017 Mar 29. doi: 10.1002/da.22614.
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Sleep problems may mediate associations between rumination and PTSD and depressive symptoms among OIF/OEF veterans.睡眠问题可能在 OIF/OEF 退伍军人的反刍思维和 PTSD 及抑郁症状之间的关联中起中介作用。
Psychol Trauma. 2015 Jan;7(1):76-84. doi: 10.1037/a0036937. Epub 2014 Jun 16.