Donovan B S, Padin-Rivera E, Dowd T, Blake D D
Cleveland Department of Veterans Affairs Medical Center, Brecksville, Ohio 44141, USA.
J Trauma Stress. 1996 Apr;9(2):361-8. doi: 10.1007/BF02110668.
This study assessed the predictive validity of combat factors and selected premilitary variables (i.e., childhood physical abuse, substance abuse in the family of origin, or being raised in a nonadaptive or noncohesive family) on posttraumatic stress disorder (PTSD) group membership. In addition, it assessed the correlation of combat exposure and selected premilitary variables with the severity of PTSD symptomology. Ninety-three male Vietnam combat veterans with PTSD were compared to 82 male Vietnam combat veterans without the disorder. The results of two hierarchical logit analyses identified combat exposure as the best predictor of PTSD group membership. However, physical punishment was also found to significantly predict group membership when entered first in the analyses. Furthermore, multiple regression analyses conducted with the PTSD group alone found that both combat exposure and physical abuse predicted greater PTSD symptomology. These findings suggest that childhood physical abuse as well as military trauma should be addressed in the assessment and treatment of chronic PTSD patients.
本研究评估了战斗因素以及选定的入伍前变量（即童年期身体虐待、原生家庭中的物质滥用，或在适应不良或缺乏凝聚力的家庭中成长）对创伤后应激障碍（PTSD）分组的预测效度。此外，还评估了战斗暴露及选定的入伍前变量与PTSD症状严重程度之间的相关性。将93名患有PTSD的男性越战退伍军人与82名未患该疾病的男性越战退伍军人进行了比较。两次分层逻辑分析的结果确定战斗暴露是PTSD分组的最佳预测因素。然而，在分析中首先纳入时，体罚也被发现能显著预测分组情况。此外，仅对PTSD组进行的多元回归分析发现，战斗暴露和身体虐待均能预测更严重的PTSD症状。这些发现表明，在慢性PTSD患者的评估和治疗中，应关注童年期身体虐待以及军事创伤。
