向以色列国防军战斗应激反应小组寻求帮助的退伍军人的躯体化和分离与创伤后应激障碍严重程度之间的联系。

IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Military Medicine Pub Date : 2024-11-05 DOI:10.1093/milmed/usae118
Nizan Shabat, Uzi Bechor, Nirit Yavnai, Lucian Tatsa-Laur, Leah Shelef
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引用次数: 0

摘要

简介:本研究旨在研究向以色列国防军战斗应激反应股(CSRU)寻求帮助的退伍士兵的分离症状和躯体症状之间的关系,以及它们如何可能导致创伤后应激障碍的严重程度:这项横断面研究包括 1305 名退役义务兵、职业军人和预备役军人,他们在入院接受 CSRU 评估时填写了自我报告问卷。研究的因变量包括两个创伤后应激障碍测量指标(CAPS 和 PCL-5)。自变量是分离体验量表和症状简明量表。此外,还对背景和服务相关变量进行了研究:斯皮尔曼相关性表明,躯体化程度越高,PCL 和 CAPS 中的创伤后应激障碍程度就越高。躯体化与解离之间存在明显的正相关(r = 0.544;P 结论:虽然解离与躯体化有直接关系,但躯体化与创伤后应激障碍之间也存在明显的正相关:虽然 PCL 或 CAPS 的临床评估中直接提到了解离,但却没有提到躯体化。高功能战斗人员有时会通过躯体表达他们的痛苦。我们的研究结果建议将严重的躯体症状作为创伤后应激障碍的诊断标准。
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The Link Between Somatization and Dissociation and PTSD Severity in Veterans Who Sought Help From the IDF Combat Stress Reaction Unit.

Introduction: This study aimed to examine the relationships between dissociative and somatic symptoms and how they might contribute to PTSD severity among ex-soldiers who sought help from the IDF Combat Stress Reaction Unit (CSRU).

Materials and methods: This cross-sectional study included 1,305 former compulsory, career, and reserve soldiers, who filled out self-report questionnaires on admission for evaluation at the CSRU. The study's dependent variables included two posttraumatic stress disorder measures (CAPS and PCL-5). The independent variables were the Dissociative Experience Scale and Brief Symptom Inventory. Background and service-related variables were also examined.

Results: Spearman correlation revealed that the higher the level of somatization is, the higher the level of PTSD via PCL and CAPS. A significant positive association was found between somatization and dissociation (r = 0.544; P < 0.001). The higher the somatization level, the more severe the dissociation. A multivariate logistic regression analysis to predict severe PTSD revealed that the longer the time elapsed from the traumatic event (OR = 1.019, P = 0.015), the higher the risk for severe PTSD. The most prominent variables were dissociation (OR = 6.420, P < 0.001) and somatization (OR = 4.792, P < 0.001). The entire model reached 40.8% of the shared variance in the regression.

Conclusions: While there is direct reference to dissociation in the clinical assessment by PCL or CAPS, there is no such reference to somatization. Highly functioning combatants sometimes express their distress somatically. Our findings suggest regarding severe somatic symptoms as diagnostic criteria for PTSD.

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来源期刊
Military Medicine
Military Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
2.20
自引率
8.30%
发文量
393
审稿时长
4-8 weeks
期刊介绍: Military Medicine is the official international journal of AMSUS. Articles published in the journal are peer-reviewed scientific papers, case reports, and editorials. The journal also publishes letters to the editor. The objective of the journal is to promote awareness of federal medicine by providing a forum for responsible discussion of common ideas and problems relevant to federal healthcare. Its mission is: To increase healthcare education by providing scientific and other information to its readers; to facilitate communication; and to offer a prestige publication for members’ writings.
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