The Impact of Reported Direct and Indirect Killing on Mental Health Symptoms in Iraq War Veterans

被引：224

作者：

Maguen, Shira ^{[1
,2
]}

Lucenko, Barbara A. ^{[3
]}

Reger, Mark A. ^{[4
,5
]}

Gahm, Gregory A. ^{[4
,5
]}

Litz, Brett T. ^{[6
,7
,8
]}

Seal, Karen H. ^{[2
]}

Knight, Sara J. ^{[2
]}

Marmar, Charles R. ^{[2
]}

机构：

[1] San Francisco VA Med Ctr, PTSD Program 116 P, San Francisco, CA 94121 USA

[2] Univ Calif San Francisco, San Francisco, CA 94143 USA

[3] Madigan Army Med Ctr, Tacoma, WA 98431 USA

[4] Def Ctr Excellence Psychol Hlth, Natl Ctr Telehlth & Technol, Tacoma, WA USA

[5] Def Ctr Traumat Brain Injury, Natl Ctr Telehlth & Technol, Tacoma, WA USA

[6] Boston Healthcare Syst, Dept Vet Affairs, Natl Ctr PTSD, Boston, MA USA

[7] Massachusetts Vet Epidemiol Res & Informat Ctr, Boston, MA USA

[8] Boston Univ, Sch Med, Boston, MA 02118 USA

来源：

JOURNAL OF TRAUMATIC STRESS | 2010年 / 23卷 / 01期

关键词：

SCREEN; PHQ-9; PTSD;

D O I：

10.1002/jts.20434

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

This study examined the mental health impact of reported direct and indirect killing among 2,797 U.S. soldiers returning from Operation Iraqi Freedom. Data were collected as part of a postdeployment screening program at a large Army medical facility. Overall, 40% of soldiers reported killing or being responsible for killing during their deployment. Even after controlling for combat exposure, killing was a significant predictor of posttraumatic disorder (PTSD) symptoms, alcohol abuse, anger, and relationship problems. Military personnel returning from modern deployments are at risk of adverse mental health conditions and related psychosocial functioning related to killing in war. Mental health assessment and treatment should address reactions to killing to optimize readjustment following deployment.

引用

页码：86 / 90

页数：5

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