PTSD Symptom Increases in Iraq-Deployed Soldiers: Comparison With Nondeployed Soldiers and Associations With Baseline Symptoms, Deployment Experiences, and Postdeployment Stress

被引:178
作者
Vasterling, Jennifer J. [1 ,2 ]
Proctor, Susan P. [1 ,3 ,4 ]
Friedman, Matthew J. [5 ,6 ,7 ]
Hoge, Charles W. [8 ]
Heeren, Timothy [9 ]
King, Lynda A. [1 ,10 ]
King, Daniel W. [1 ,10 ]
机构
[1] VA Boston Healthcare Syst, VA Natl Ctr PTSD, Boston, MA 02130 USA
[2] Boston Univ, Sch Med, Dept Psychiat, Boston, MA 02118 USA
[3] USA, Environm Med Res Inst, Natick, MA 01760 USA
[4] Boston Univ, Sch Publ Hlth, Dept Environm Hlth, Boston, MA USA
[5] VA Natl Ctr PTSD, White River Jct, VT USA
[6] Dartmouth Coll, Hitchcock Med Ctr, Dartmouth Med Sch, Dept Psychiat, Hanover, NH 03756 USA
[7] Dartmouth Coll, Hitchcock Med Ctr, Dartmouth Med Sch, Dept Pharmacol, Hanover, NH 03756 USA
[8] USA, Med Res & Mat Command, Dept Psychiat & Behav Sci, Walter Reed Army Inst Res, Silver Spring, MD USA
[9] Boston Univ, Sch Publ Hlth, Dept Biostat, Boston, MA USA
[10] Boston Univ, Dept Psychol, Boston, MA 02215 USA
关键词
MENTAL-HEALTH PROBLEMS; GULF-WAR VETERANS; UK ARMED-FORCES; POSTTRAUMATIC-STRESS; RISK-FACTORS; MILITARY PERSONNEL; DISORDER; COMBAT; POPULATION; CHECKLIST;
D O I
10.1002/jts.20487
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
This prospective study examined: (a) the effects of Iraq war deployment versus non-deployment on pre- to postdeployment change in PTSD symptoms and (b) among deployed soldiers, associations of deployment/postdeployment stress exposures and baseline PTSD symptoms with PTSD symptom change. Seven hundred seventy-four U.S. Army soldiers completed self-report measures of stress exposure and PTSD symptom severity before and after Iraq deployment and were compared with 309 soldiers who did not deploy. Deployed soldiers, compared with non-deployed soldiers, reported increased PTSD symptom severity from Time 1 to Time 2. After controlling for baseline symptoms, deployment-related stressors contributed to longitudinal increases in PTSD symptoms. Combat severity was more strongly associated with symptom increases among active duty soldiers with higher baseline PTSD symptoms.
引用
收藏
页码:41 / 51
页数:11
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