Do adverse childhood experiences increase the risk of postdeployment posttraumatic stress disorder in US Marines?

被引:83
作者
LeardMann, Cynthia A. [1 ]
Smith, Besa [1 ]
Ryan, Margaret A. K. [1 ]
机构
[1] USN, US Dept Def, Ctr Deployment Hlth Res, Hlth Res Ctr, San Diego, CA 92152 USA
关键词
MENTAL-HEALTH PROBLEMS; VIETNAM VETERANS; HOUSEHOLD DYSFUNCTION; NATIONAL SAMPLE; PTSD SYMPTOMS; COMBAT; ABUSE; MILITARY; ASSOCIATION; TRAUMA;
D O I
10.1186/1471-2458-10-437
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Posttraumatic stress disorder ( PTSD) has been associated with combat intensity, lack of social support, and adverse childhood factors among military personnel in previous studies. It has not been well established if adverse childhood experiences reported predeployment are independently associated with postdeployment PTSD. Methods: Data were evaluated from 8,391 male responders of the Recruit Assessment Program survey at Marine Corps Recruit Depot in San Diego who were deployed in support of military conflicts between September 2001 and June 2004. Using patient medical records to determine PTSD diagnoses, Cox proportional hazard modeling was performed to examine if adverse childhood experiences were independently associated with postdeployment PTSD. Results: After adjustment, those who reported adverse childhood experiences in more than one category were significantly more likely to be diagnosed with postdeployment PTSD. Specifically, childhood physical neglect was mostly strongly associated with postdeployment PTSD. Conclusions: Findings suggest that Marines who experience multiple types of adverse childhood experiences may be at increased risk for postdeployment PTSD. It is possible, however, that these results indicate that men willing to report childhood adverse experiences are also more willing to seek care for PTSD.
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页数:8
相关论文
共 43 条
[1]  
[Anonymous], 1990, PHYS VIOLENCE AM FAM
[2]  
[Anonymous], 1994, DIAGN STAT MAN MENT
[3]   Pain and PTSD symptoms in female veterans [J].
Asmundson, GJG ;
Wright, KD ;
Stein, MB .
EUROPEAN JOURNAL OF PAIN, 2004, 8 (04) :345-350
[4]   INITIAL RELIABILITY AND VALIDITY OF A NEW RETROSPECTIVE MEASURE OF CHILD-ABUSE AND NEGLECT [J].
BERNSTEIN, DP ;
FINK, L ;
HANDELSMAN, L ;
FOOTE, J ;
LOVEJOY, M ;
WENZEL, K ;
SAPARETO, E ;
RUGGIERO, J .
AMERICAN JOURNAL OF PSYCHIATRY, 1994, 151 (08) :1132-1136
[5]  
BREMNER JD, 1993, AM J PSYCHIAT, V150, P235
[6]   Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults [J].
Brewin, CR ;
Andrews, B ;
Valentine, JD .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2000, 68 (05) :748-766
[7]   Childhood adversity and combat as predictors of depression and post-traumatic stress in deployed troops [J].
Cabrera, Oscar A. ;
Hoge, Charles W. ;
Bliese, Paul D. ;
Castro, Carl A. ;
Messer, Stephen C. .
AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2007, 33 (02) :77-82
[8]   Lifetime trauma exposure in veterans with military-related posttraumatic stress disorder: Association with current symptomatology [J].
Clancy, Carolina P. ;
Graybeal, Anna ;
Tompson, Whitney P. ;
Badgett, Kourtni S. ;
Feldman, Michelle E. ;
Calhoun, Patrick S. ;
Erkanli, Alaattin ;
Hertzberg, Michael A. ;
Beckham, Jean C. .
JOURNAL OF CLINICAL PSYCHIATRY, 2006, 67 (09) :1346-1353
[9]  
Dube S. R., 2006, Journal of Adolescent Health, V38, DOI 10.1016/j.jadohealth.2005.06.006
[10]   Childhood abuse, neglect, and household dysfunction and the risk of illicit drug use: The adverse childhood experiences study [J].
Dube, SR ;
Felitti, VJ ;
Dong, M ;
Chapman, DP ;
Giles, WH ;
Anda, RF .
PEDIATRICS, 2003, 111 (03) :564-572