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首页> 外文期刊>Psychological trauma: theory, research, practice and policy >Trajectories of Posttraumatic Stress Symptoms After Civilian or Deployment Traumatic Event Experiences
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Trajectories of Posttraumatic Stress Symptoms After Civilian or Deployment Traumatic Event Experiences

机译:文职或部署创伤事件经验后发现后压力症状的轨迹

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Objective: Growth mixture model studies have observed substantial differences in the longitudinal patterns of posttraumatic stress symptom (PTSS) trajectories. This variability could represent chance iterations of some prototypical trajectories or measurable variability induced by some aspect of the source population or traumatic event experience. Testing the latter, the authors analyzed a nationally representative sample of U.S. Reserve and National Guard members to identify the influence of civilian versus deployment trauma on the number of PTSS trajectories, the nature of these trajectories, and the proportion of respondents in each trajectory. Method: Data were collected from 2010 to 2013 and latent class growth analysis was used to identify different patterns of PTSS in persons exposed to both a civilian and a deployment trauma and to test whether respondents' exposure to civilian trauma developed similar or distinct patterns of response compared to respondents exposed to deployment trauma. Results: PTSS were found to follow 3 trajectories, with respondents predominantly clustered in the lowest symptom trajectory for both trauma types. Covariates associated with each trajectory were similar between the 2 traumas, except number of civilian-related traumatic events; specifically, a higher number of civilian traumatic events was associated with membership in the borderline-stable, compared to low-consistent, trajectory, for civilian traumas and associated with the preexisting chronic trajectory for military traumas. Conclusions: Holding the source population constant, PTSS trajectory models were similar for civilian and deployment-related trauma, suggesting that irrespective of traumatic event experienced there might be some universal trajectory patterns. Thus, the differences in source populations may have induced the heterogeneity observed among prior PTSS trajectory studies. This document is copyrighted by the American Psychological Association or one of its allied publishers. This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
机译:目的:增长混合模型研究观察到创宫应激症状(PTSS)轨迹的纵向模式的显着差异。这种可变性可以代表源人群或创伤事件经验的某些原型轨迹或可测量的变异性的机会迭代。作者,作者分析了后者,分析了美国储备和国民卫队成员的全国代表性样本,以确定民用与部署创伤对PTSS轨迹数,这些轨迹的性质的影响,以及每个轨迹中受访者的比例。方法:从2010年到2013年收集数据,并使用潜在的增长分析来识别暴露于平民和部署创伤的人的不同模式,并测试受访者是否接触平民创伤的接触是相似或截然不同的反应模式与暴露于部署创伤的受访者相比。结果:发现PTSS遵循3个轨迹,受访者主要集群,以创伤类型的最低症状轨迹。与每个轨迹相关的协变量在2个创伤之间相似,除了平民相关的创伤事件数量;具体而言,与平民创伤的低一致性的轨迹相比,较多的民用创伤事件与边界稳定的成员资格相关联。结论:持有源人口常数,PTSS轨迹模型对于平民和部署相关的创伤类似,表明,无论创伤事件如何,都可能存在一些通用轨迹模式。因此,源群体的差异可能诱导在先前的PTSS轨迹研究中观察到的异质性。本文档由美国心理协会或其联盟出版商的文档受版权保护。本文仅用于个人用户的个人使用,并且不得广泛传播。

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