Johnson D R, Lubin H, Rosenheck R, Fontana A, Southwick S, Charney D
National Center for PTSD, VA Medical Center, West Haven, Connecticut 06516, USA.
J Trauma Stress. 1997 Apr;10(2):259-77. doi: 10.1023/a:1024830229391.
This study reports on the development of a self-report measure of the homecoming experience among Vietnam veterans with posttraumatic stress disorder (PTSD). The West Haven Homecoming Stress Scale (WHHSS), measuring Frequency of Events, Intensity of Feelings, and Level of Support during the first 6 months after return from overseas, and within the past 6 months, was collected from 247 veterans who were receiving inpatient treatment for PTSD. Homecoming Stress was the most significant predictor of current PTSD symptomatology superseding combat exposure, childhood and civilian traumas, and stressful life events. A factor analysis resulted in four orthogonal factors: Shame, Negative Interpersonal Interaction, Social Withdrawal, and Resentment. Homecoming Stress was unchanged over the course of a 4 month inpatient program.
本研究报告了一种针对患有创伤后应激障碍（PTSD）的越南退伍军人返乡经历的自我报告测量方法的开发情况。从247名因PTSD接受住院治疗的退伍军人中收集了西黑文返乡压力量表（WHHSS），该量表测量海外归来后头6个月以及过去6个月内事件发生频率、感受强度和支持水平。返乡压力是当前PTSD症状最显著的预测因素，超过了战斗暴露、童年和 civilian 创伤以及生活应激事件。因子分析产生了四个正交因子：羞耻、负面人际互动、社交退缩和怨恨。在为期4个月的住院治疗项目过程中，返乡压力没有变化。 （注：原文中“civilian traumas”这里的“civilian”可能有误，推测应该是“civil”，但按要求未做修改。）
