军队性创伤通过过去一年亲密伴侣暴力经历对创伤后应激障碍症状群的不同间接影响。

IF 2.3 Q2 PSYCHIATRY
Traumatology Pub Date : 2024-03-01 Epub Date: 2020-02-27 DOI:10.1037/trm0000242
Colin T Mahoney, Danielle R Shayani, Katherine M Iverson
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引用次数: 0

摘要

在军队服役的女性是遭受军队性创伤(MST)和亲密伴侣暴力(IPV)的高风险人群,这两种创伤都与创伤后应激障碍(PTSD)症状有关。为了更好地了解经历多种形式的人际暴力所造成的心理影响,我们有必要确定近期的 IPV 经历会如何不同程度地增加有 MST 史的女性出现特定创伤后应激障碍症状群的风险。我们的目的是利用结构方程模型来确定过去一年的 IPV 经历是否会介导 MST 经历与创伤后应激障碍症状群(即内隐、回避、认知/情绪的负面改变、过度焦虑)之间的关系。我们在相隔 12 个月的两个时间点对美国女性退伍军人进行了邮寄调查。在 198 名参与者中,108 名女性(54.5%)在时间 1 报告了 MST,73 名女性(36.9%)在时间 2 报告了过去一年中的 IPV 经历。创伤后应激障碍症状的严重程度从无症状到超过可能被诊断为创伤后应激障碍的诊断临界值不等。过去一年的 IPV 经历对创伤后应激障碍回避症状和创伤后应激障碍认知/情绪症状负性改变之间的关联有明显的中介作用。入侵症状或过度焦虑症状没有发现明显的中介效应。这些研究结果可以为适当的筛查、评估、检测和干预提供循证实践信息,包括初级和二级预防工作,从而有针对性地减少人际暴力女性幸存者未来的暴力经历。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Differential Indirect Effects of Military Sexual Trauma on Posttraumatic Stress Disorder Symptom Clusters via Past-Year Intimate Partner Violence Experiences.

Women who serve in the military are at high risk for experiencing military sexual trauma (MST) and intimate partner violence (IPV), both of which are associated with symptoms of posttraumatic stress disorder (PTSD). To improve understanding of the psychological effects of experiencing multiple forms of interpersonal violence, it is important to identify the ways in which recent IPV experiences differentially increase the risk of specific PTSD symptom clusters for women with a history of MST. We aimed to identify if past-year IPV experiences mediate the relation between MST experiences and PTSD symptom clusters (i.e., intrusions, avoidance, negative alterations in cognitions/mood, hyperarousal) using structural equation modeling. A mail survey was administered to a sample of US female veterans at two time points 12 months apart. Among 198 participants, 108 women (54.5%) reported MST at Time 1, and 73 women (36.9%) reported IPV experiences in the past year at Time 2. PTSD symptom severity ranged from asymptomatic to beyond the diagnostic cutoff for a probable PTSD diagnosis. Past-year IPV experiences significantly mediated the association between MST history and PTSD avoidance symptoms, and MST history and PTSD negative alterations in cognitive/mood symptoms. No significant mediating effect was found for intrusion symptoms or hyperarousal symptoms. These findings can inform evidence-based practices for appropriate screening, assessment, detection, and intervention, including primary and secondary prevention efforts to instrumentally reduce future experiences of violence for female survivors of interpersonal violence.

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来源期刊
Traumatology
Traumatology Nursing-Nursing (all)
CiteScore
5.40
自引率
3.10%
发文量
84
期刊介绍: The purpose of this peer-reviewed Journal is to disseminate new and original contributions to the traumatology field as quickly as possible to subscribers after they emerge from the field. This requires a dedicated Editorial Board, ad hoc reviewers, and contributors who are willing to contribute their time without charge. Contributions focus on theoretical formulations, research, treatment, prevention, education, training, medical, and legal and policy concerns. The Journal serves as the primary reference for professionals who study and treat people exposed to highly stressful and traumatic events.
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