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The association of resilience on psychiatric, substance use, and physical health outcomes in combat trauma-exposed military service members and veterans.

Authors
  • Sheerin, Christina M1
  • Amstadter, Ananda B1
  • Kurtz, Erin D2, 3
  • Bountress, Kaitlin E1
  • Stratton, Kelcey J4
  • McDonald, Scott D2, 3, 5
  • Mid-Atlantic Va Mirecc Workgroup,1, 2, 3, 4, 5
  • 1 Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, VA, USA.
  • 2 Psychology Service, Hunter Holmes McGuire VA Medical Center, Richmond, VA, USA.
  • 3 Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA.
  • 4 Resiliency and Well-Being Services, University of Michigan, Ann Arbor, MI, USA.
  • 5 Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA, USA.
Type
Published Article
Journal
European journal of psychotraumatology
Publication Date
Jan 01, 2019
Volume
10
Issue
1
Pages
1625700–1625700
Identifiers
DOI: 10.1080/20008198.2019.1625700
PMID: 31263518
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

目的:尽管战斗暴露与一系列精神病有关,但许多退伍军人并未发展出精神病理。韧性(resilience)是一种多方面的结构,可降低患病和精神病理学的风险;然而,很少有研究探讨了在战斗暴露后韧性与更广泛的健康结果之间的关系。确定韧性与其他风险和保护因素的关联仍然很重要。方法:在派遣到伊拉克和阿富汗的战斗暴露退伍军人(N = 1046)的样本中,我们研究了一种探索相对心理韧性(基于差异的精神病韧性; DBPR)的定量方法,并检验了韧性与降低风险相关的假设用于精神病诊断计数,物质使用和身体健康结果,以及其他已知相关变量的关联(例如,战斗暴露,社会支持)。结果:在最终模型中,结果表明在考虑其他相关风险和保护因素后,DBPR与当前精神病诊断计数(β = −0.57,p <.001),酒精使用(β = −0.16,p <.001),药物使用(β = −0.13,p <.001))和身体健康问题(β = −0.42,p <.001)呈负相关。结论:结果扩展了该定量韧性结构的法则网,包括进了其他相关的健康结果,并证明了与物质使用结果相比,韧性可能对精神和身体健康问题有更多的缓冲关系。.

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