Associations among combat exposure, adverse childhood experiences, moral injury, and posttraumatic growth in a large cohort of post-9/11 veterans.

IF 2.7 2区心理学 Q2 PSYCHIATRY

Psychological trauma : theory, research, practice and policy Pub Date : 2024-10-10 DOI:10.1037/tra0001793

Keith R Aronson, Nicole R Morgan, Carly E Doucette, Kimberly J McCarthy, Katie E Davenport, Daniel F Perkins

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引用次数: 0

Abstract

Objective: Post-9/11 veterans experienced more deployments, combat exposure, and disability than earlier military cohorts. Those in the military are also more likely to have experienced adverse childhood experiences. Despite these traumatic exposures, a substantial number of veterans report experiencing personal growth, development, and maturity from their military service.

Method: This longitudinal survey study (n = 5,245) examined the degree to which posttraumatic growth (PTG) was present among post-9/11 veterans. Several components of PTG were examined, including relating to others, seeing new possibilities, personal strength, spiritual growth, and appreciation for life.

Results: Respondents rated their degree of personal growth and new appreciation of life most highly, while spiritual growth and appreciation of others were the least highly rated. Female veterans reported greater PTG. Veterans who experienced traumatic events (i.e., combat exposure, adverse childhood experiences), screened positive for posttraumatic stress disorder, and moral injury reported greater PTG than those who had not experienced those events or screened positive for posttraumatic stress disorder. Veterans reporting higher levels of social support and personal resilience were less likely to experience PTG. Veterans with other protective factors were more likely to experience PTG.

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9/11 事件后一大批退伍军人的战斗经历、不良童年经历、精神伤害和创伤后成长之间的关联。

目标：与早期的军人群体相比，"9-11 "事件后的退伍军人经历了更多的部署、战斗和残疾。军队中的退伍军人也更有可能经历过不良的童年经历。尽管经历了这些创伤，但仍有相当数量的退伍军人表示在服兵役期间经历了个人成长、发展和成熟：这项纵向调查研究（n = 5,245）考察了 9/11 事件后退伍军人的创伤后成长（PTG）程度。研究考察了创伤后成长的几个组成部分，包括与他人的关系、看到新的可能性、个人力量、精神成长和对生活的感激：结果：受访者对个人成长程度和对生活的新认识评价最高，而对精神成长和对他人的感激评价最低。女性退伍军人的个人成长程度更高。经历过创伤事件（即战斗经历、不良童年经历）、创伤后应激障碍筛查呈阳性以及受到精神伤害的退伍军人比没有经历过这些事件或创伤后应激障碍筛查呈阳性的退伍军人报告的 PTG 更高。社会支持和个人复原力较高的退伍军人经历 PTG 的可能性较小。具有其他保护因素的退伍军人更有可能经历 PTG：结论："9.11 "事件后的退伍军人在面对各种创伤时都会出现 PTG。(PsycInfo Database Record (c) 2024 APA，保留所有权利）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychological trauma : theory, research, practice and policy Multiple-

CiteScore

11.20

自引率

3.20%

发文量

427

期刊介绍： Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence