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Portuguese War Veterans: Moral Injury and Factors Related to Recovery From PTSD

机译:葡萄牙退伍军人:精神伤害和与从创伤后应激障碍中恢复有关的因素

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This study explored the factors to which a sample of Portuguese war veterans attributed their recovery from posttraumatic stress disorder (PTSD). Participants were a sample of veterans (N = 60) with mental sequelae of the Portuguese Colonial War: 30 suffered from chronic PTSD (unrecovered) and 30 veterans with remission from PTSD (recovered). Two semistructured interviews were conducted. Analysis of the interviews was conducted using the Thematic and Categorical Analysis. Results showed that unrecovered participants reported higher postwar betrayal, appraisal of hostile societal homecoming, social stigmatization, lack of personal resources (mental fatigue and restriction of coping strategies), and reduced perceived social support. Recovered participants verbalized some capability for self-awareness of their own mental states and/or awareness of others' mental states (mentalization ability), a wider repertoire of coping strategies, and higher perceived social support. The authors discussed that recovery from PTSD among veterans can be related to the assimilation of moral injury by developing higher mentalization abilities.
机译:这项研究探索了葡萄牙退伍军人样本归因于他们从创伤后应激障碍(PTSD)中恢复的因素。参与者是葡萄牙殖民战争后遗症的退伍军人样本(N = 60):30名患有慢性创伤后应激障碍(未康复)和30例退伍后的创伤后应激障碍(康复)。进行了两次半结构化访谈。采访分析使用主题和类别分析进行。结果表明,未康复的参与者报告了战后的背叛,对敌对的社会归宿的评估,社会的污名化,缺乏个人资源(精神疲劳和应对策略的限制)以及感知的社会支持减少。恢复的参与者说出了一些自我意识和/或他人心理状态意识的能力(心理化能力),更广泛的应对策略,以及更高的感知社会支持。作者讨论说,退伍军人中从PTSD康复可能与通过提高更高的心理能力来同化精神伤害有关。

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