Zaidi L Y, Foy D W
National Center for PTSD, Palo Alto VA Medical Center, CA.
J Trauma Stress. 1994 Jan;7(1):33-42. doi: 10.1007/BF02111910.
Current literature on the etiology of combat-related PTSD strongly implicates combat trauma exposure as a primary etiological factor. However, studies of premilitary variables have produced conflicting results, perhaps in part due to methodological inconsistencies and failure to employ standardized measures. The present study examines one premilitary variable, childhood physical abuse history. Using a standardized measure developed by child abuse researchers, forty-five percent of veterans with PTSD were identified as recipients of abusive physical punishment during childhood. A positive correlation between physical abuse history and severity of combat-related PTSD was found. These preliminary findings set the stage for further investigation of the child abuse variable and underscore the need for treatment of veterans with combat-related PTSD which addresses developmental traumagenic events.
当前关于与战斗相关的创伤后应激障碍（PTSD）病因的文献强烈表明，战斗创伤暴露是一个主要的病因因素。然而，对入伍前变量的研究产生了相互矛盾的结果，这可能部分是由于方法上的不一致以及未能采用标准化测量方法。本研究考察了一个入伍前变量，即童年期身体虐待史。使用儿童虐待研究人员开发的标准化测量方法，45%的患有创伤后应激障碍的退伍军人被确定为童年期遭受过虐待性体罚。研究发现身体虐待史与与战斗相关的创伤后应激障碍的严重程度之间存在正相关。这些初步发现为进一步研究儿童虐待变量奠定了基础，并强调了对患有与战斗相关的创伤后应激障碍的退伍军人进行治疗的必要性，这种治疗应解决发育性创伤事件。
