{"title":"以色列女性退伍军人中适应不良型人格特征对创伤后应激障碍和抑郁症状的影响。","authors":"Gadi Zerach, Ehud Shem Tov, Sharon Shati","doi":"10.1037/tra0001779","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Exposure to potentially traumatic events during military service is associated with mental health problems such as posttraumatic stress disorder (PTSD) and depression symptoms. However, knowledge regarding the implications of maladaptive personality traits in psychopathology among female veterans is sparse. The present study aims to use the <i>Diagnostic and Statistical Manual of Mental Disorders</i>, fifth edition-an alternative model of personality disorder, to examine associations between maladaptive personality traits, PTSD and depression symptoms, among female Israeli veterans.</p><p><strong>Method: </strong>A volunteer sample of female Israeli combat veterans (<i>n</i> = 616) and noncombat veterans (<i>n</i> = 484) responded to self-report questionnaires in a cross-sectional study.</p><p><strong>Results: </strong>Combat veterans reported higher levels of combat exposure and PTSD symptoms, but not depressive symptoms, than noncombat veterans. Combat veterans also reported lower levels of negative affectivity but higher levels of disinhibition than noncombat veterans. All five traits were positive predictors of PTSD and depression symptoms, with psychoticism constituting the strongest predictor. A moderated-mediation analysis indicated four traits (negative affectivity, detachment, disinhibition, and psychoticism) that had a moderating effect on the relationship between combat exposure and PTSD symptoms, and two of the traits (antagonism and disinhibition) that had a moderate effect on the relationship between combat exposure and depressive symptoms.</p><p><strong>Conclusions: </strong>Maladaptive personality traits play an important role in psychological distress following female veterans' combat service. Future prospective research is necessary to determine the temporal associations between preenlistment maladaptive personality traits and postdeployment mental health of veterans. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":20982,"journal":{"name":"Psychological trauma : theory, research, practice and policy","volume":" ","pages":"1525-1533"},"PeriodicalIF":2.3000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The contribution of maladaptive personality traits to PTSD and depression symptoms among Israeli female veterans.\",\"authors\":\"Gadi Zerach, Ehud Shem Tov, Sharon Shati\",\"doi\":\"10.1037/tra0001779\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>Exposure to potentially traumatic events during military service is associated with mental health problems such as posttraumatic stress disorder (PTSD) and depression symptoms. However, knowledge regarding the implications of maladaptive personality traits in psychopathology among female veterans is sparse. The present study aims to use the <i>Diagnostic and Statistical Manual of Mental Disorders</i>, fifth edition-an alternative model of personality disorder, to examine associations between maladaptive personality traits, PTSD and depression symptoms, among female Israeli veterans.</p><p><strong>Method: </strong>A volunteer sample of female Israeli combat veterans (<i>n</i> = 616) and noncombat veterans (<i>n</i> = 484) responded to self-report questionnaires in a cross-sectional study.</p><p><strong>Results: </strong>Combat veterans reported higher levels of combat exposure and PTSD symptoms, but not depressive symptoms, than noncombat veterans. Combat veterans also reported lower levels of negative affectivity but higher levels of disinhibition than noncombat veterans. All five traits were positive predictors of PTSD and depression symptoms, with psychoticism constituting the strongest predictor. A moderated-mediation analysis indicated four traits (negative affectivity, detachment, disinhibition, and psychoticism) that had a moderating effect on the relationship between combat exposure and PTSD symptoms, and two of the traits (antagonism and disinhibition) that had a moderate effect on the relationship between combat exposure and depressive symptoms.</p><p><strong>Conclusions: </strong>Maladaptive personality traits play an important role in psychological distress following female veterans' combat service. Future prospective research is necessary to determine the temporal associations between preenlistment maladaptive personality traits and postdeployment mental health of veterans. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>\",\"PeriodicalId\":20982,\"journal\":{\"name\":\"Psychological trauma : theory, research, practice and policy\",\"volume\":\" \",\"pages\":\"1525-1533\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psychological trauma : theory, research, practice and policy\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1037/tra0001779\",\"RegionNum\":2,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/8/29 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychological trauma : theory, research, practice and policy","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1037/tra0001779","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/8/29 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
摘要
目的：服兵役期间遭受的潜在创伤事件与创伤后应激障碍（PTSD）和抑郁症状等心理健康问题有关。然而，有关适应不良人格特质对女性退伍军人精神病理学影响的知识却很少。本研究旨在使用《精神疾病诊断与统计手册》第五版--人格障碍的替代模型，研究以色列女性退伍军人中适应不良型人格特征、创伤后应激障碍和抑郁症状之间的关联：在一项横断面研究中，以色列女性参战退伍军人（616 人）和非参战退伍军人（484 人）的志愿者样本对自我报告问卷进行了回答：与非战斗退伍军人相比，参战退伍军人报告的战斗暴露和创伤后应激障碍症状水平更高，但抑郁症状却不高。与非战斗老兵相比，参战老兵的消极情绪水平较低，但抑制水平较高。所有这五种特质都是创伤后应激障碍和抑郁症状的积极预测因子，其中精神病性是最强的预测因子。调节-中介分析表明，四种性格特征（消极情绪、疏离、抑制和精神病性）对战斗暴露与创伤后应激障碍症状之间的关系具有调节作用，其中两种性格特征（对抗和抑制）对战斗暴露与抑郁症状之间的关系具有温和作用：结论：适应不良的人格特质在女性退伍军人服役后的心理困扰中起着重要作用。未来有必要开展前瞻性研究，以确定退伍军人入伍前适应不良人格特质与部署后心理健康之间的时间关联。(PsycInfo Database Record (c) 2024 APA, 版权所有）。
The contribution of maladaptive personality traits to PTSD and depression symptoms among Israeli female veterans.
Objective: Exposure to potentially traumatic events during military service is associated with mental health problems such as posttraumatic stress disorder (PTSD) and depression symptoms. However, knowledge regarding the implications of maladaptive personality traits in psychopathology among female veterans is sparse. The present study aims to use the Diagnostic and Statistical Manual of Mental Disorders, fifth edition-an alternative model of personality disorder, to examine associations between maladaptive personality traits, PTSD and depression symptoms, among female Israeli veterans.
Method: A volunteer sample of female Israeli combat veterans (n = 616) and noncombat veterans (n = 484) responded to self-report questionnaires in a cross-sectional study.
Results: Combat veterans reported higher levels of combat exposure and PTSD symptoms, but not depressive symptoms, than noncombat veterans. Combat veterans also reported lower levels of negative affectivity but higher levels of disinhibition than noncombat veterans. All five traits were positive predictors of PTSD and depression symptoms, with psychoticism constituting the strongest predictor. A moderated-mediation analysis indicated four traits (negative affectivity, detachment, disinhibition, and psychoticism) that had a moderating effect on the relationship between combat exposure and PTSD symptoms, and two of the traits (antagonism and disinhibition) that had a moderate effect on the relationship between combat exposure and depressive symptoms.
Conclusions: Maladaptive personality traits play an important role in psychological distress following female veterans' combat service. Future prospective research is necessary to determine the temporal associations between preenlistment maladaptive personality traits and postdeployment mental health of veterans. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
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
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