Engel C C, Engel A L, Campbell S J, McFall M E, Russo J, Katon W
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle 98195.
J Nerv Ment Dis. 1993 Nov;181(11):683-8. doi: 10.1097/00005053-199311000-00006.
The purpose of this research was to study the association between precombat sexual and physical abuse and combat-related posttraumatic stress disorder (PTSD) symptoms in a clinical sample of male and female Desert Storm veterans. Two hundred ninety-seven veterans provided data on precombat sexual and physical abuse, precombat psychiatric problems, sociodemographics, Desert Storm combat exposure, and PTSD symptomatology using the Mississippi Scale. Men reported significantly higher levels of combat exposure, and women described significantly more frequent precombat abuse. Precombat-abused veterans reported more frequent precombat psychiatric histories. Analysis of covariance revealed that gender significantly modified the impact of precombat abuse on combat-related and other PTSD symptomatology after adjusting for precombat psychiatric history and level of combat exposure. Specifically, females describing precombat abuse reported much greater PTSD symptomatology than did females denying precombat abuse. These results in conjunction with previous research suggest that a relationship between precombat abuse and combat-related PTSD may exist. Prospective, longitudinal studies of both men and women are needed.
本研究的目的是在沙漠风暴行动的男性和女性退伍军人临床样本中，研究战前性虐待和身体虐待与战斗相关创伤后应激障碍（PTSD）症状之间的关联。297名退伍军人使用密西西比量表提供了有关战前性虐待和身体虐待、战前精神问题、社会人口统计学、沙漠风暴行动战斗暴露情况以及PTSD症状学的数据。男性报告的战斗暴露水平显著更高，而女性描述的战前虐待更为频繁。有战前虐待经历的退伍军人报告有更频繁的战前精神病史。协方差分析显示，在调整战前精神病史和战斗暴露水平后，性别显著改变了战前虐待对战斗相关及其他PTSD症状学的影响。具体而言，描述有战前虐待经历的女性报告的PTSD症状比否认有战前虐待经历的女性要严重得多。这些结果与先前的研究表明，战前虐待与战斗相关PTSD之间可能存在关联。需要对男性和女性进行前瞻性纵向研究。
