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首页> 外文期刊>Psychological trauma: theory, research, practice and policy >Sex Differences in Mental Health Symptoms and Substance Use and Their Association With Moral Injury in Veterans
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Sex Differences in Mental Health Symptoms and Substance Use and Their Association With Moral Injury in Veterans

机译：心理健康症状和物质使用的性差异及其与退伍军人道德伤害的关联

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Objective: This study examines potential sex differences in 3 types of experiences (i.e., atrocities of war, cognitive and emotional changes from combat, and leadership failure or betrayal) that may result in moral injury (i.e.. guilt, shame. inability to forgive one's self, inability to forgive others, and withdrawn behavior associated with these three types of experiences). In addition, we examine whether moral injury results in different associations with mental health and substance use outcomes for female versus male veterans. We expected more symptoms of depression and anxiety for women and more symptoms of hazardous alcohol use and drug abuse for men. Also, we examined sex as a moderator between moral injury and outcomes, expecting stronger relationships between moral injury and symptoms of depression and anxiety among women and stronger associations between moral injury and alcohol use and drug abuse symptoms for men. Method: Participants (n = 256; 60.9% [n = 156] males) were a community sample of recent-era military personnel who completed a measure of morally injurious experiences (MIEs) and associated moral injury. Results: After correcting for Type I error rate, sex was not associated with mental health or substance use. Further, no Sex x Moral Injury interactions were present; however, moral injury significantly positively predicted all negative mental health symptoms (depression, anxiety, suicidality, and posttraumatic stress disorder [PTSD]) and hazardous alcohol use, but not drug abuse symptoms. Conclusions: Results reveal the need for improved screening and treatment of moral injury and integrated treatments that may assess moral injury and associated disorders.
机译：目的：本研究审查了3种类型的经验（即，战争的暴行，战争认知和情绪变化的潜在性差异可能导致道德损伤（即有罪，羞耻。无法原谅一个人自我，无法原谅他人，并撤回与这三种类型的经历相关的行为）。此外，我们检查道德损伤是否导致与女性与男性退伍军人的心理健康和物质使用结果不同。我们预计抑郁症和焦虑的症状和对男性的危险酒精使用和药物滥用的更多症状。此外，我们认为性行为作为道德伤害和结果之间的主持人，期待妇女道德伤害和抑郁症症状与妇女抑郁症状和呼吸症状之间的关系，以及男性的伤害和酗酒症状的较强的协会。方法：参与者（n = 256; 60.9％[n = 156]男性是近期时代军事人员的社区样本，他完成了衡量道德上有害的经历（MIES）和相关的道德伤害。结果：纠正I型错误率后，性别与心理健康或物质使用无关。此外，没有存在性别X道德损伤相互作用;然而，道德损伤显着呈现出所有负面心理健康症状（抑郁症，焦虑，自由性和术前应激障碍[PTSD]）和危险的酒精使用，但不能滥用药物滥用症状。结论：结果揭示了改善筛查和治疗道德损伤和综合治疗的需求，可评估道德损伤和相关疾病。

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