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Pretrauma factors of psychiatric history and neuroticism have been important in highlighting vulnerability to posttraumatic stress disorder (PTSD), whereas posttrauma support mechanisms have been associated with positive health and well-being outcomes, particularly in veterans. The relationship between these factors and PTSD has not been the subject of a systematic review in veterans. An online search was conducted, supplemented by reference list and author searches. Two investigators systematically and independently examined eligible studies. From an initial search result of 2,864, 17 met inclusion criteria. A meta-analysis of unit cohesion involving 6 studies found that low unit cohesion was associated with PTSD, standardised mean difference of −1.62, 95% confidence interval (CI) [−2.80, −0.45]. A meta-analysis of social support involving 7 studies found that low social support was associated with PTSD, standardised mean difference of − 12.40, 95% CI [−3.42, −1.38]. Three of 5 studies found a significant relationship between low-family support and PTSD; insufficient data precluded a meta-analysis. Regarding pretrauma vulnerability, 2 studies on psychiatric history and 1 on neuroticism found positive relationships with PTSD. Posttrauma factors of low support were associated with higher reporting of PTSD. Cross-sectional methodology may be inadequate to capture complex relationships between support and PTSD; more longitudinal research is required.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題:支援機制和弱點在海灣戰役、伊拉克和阿富汗戰事退役軍人中的情況:系統化回顧

撮要:誘發PTSD 的弱點有精神病史的創傷前因素和神經質等重要因素,而創傷後支援機制則與正面健康和快樂有相連,特別在退役軍人中。退役軍人系統化回顧文獻中未有對PTSD 和前述因素的關係進行相關回顧。我們進行網上搜尋,並輔以參考表和作者搜尋。兩位獨立研究人員有系統地檢視合適研究,最初搜尋了2864份研究,其中17份符合納入標準。利用6份研究而作出單位內聚力綜合分析顯示:低單位內聚力與PTSD有關連﹝標準平均誤差為 -1.62, 95% CI=﹝-2.80, -0.45)﹞而利用7份研究而作出社會支援綜合分析則發現:低社會支援與PTSD相連﹝標準平均誤差為 -2.40, 95% CI=﹝-3.42, -1.38)﹞五份研究中有3份展示低家庭支援與PTSD有顯著關係,但資料不足以進行綜合分析,關於創傷前弱點,2份精神病史研究和1份神經質研究顯示PTSD有正面關係。創傷後低支援因素與較高PTSD相關,,橫斷研究方法可能不足以檢測支援和PTSD之間複雜私關係,所以更多縱向研究是必須的。

标题:支持机制和弱点在海湾战役、伊拉克和阿富汗战事退役军人中的情况:系统化回顾

撮要:诱发PTSD 的弱点有精神病史的创伤前因素和神经质等重要因素,而创伤后支持机制则与正面健康和快乐有相连,特别在退役军人中。退役军人系统化回顾文献中未有对PTSD 和前述因素的关系进行相关回顾。我们进行网上搜寻,并辅以参考表和作者搜寻。两位独立研究人员有系统地检视合适研究,最初搜寻了2864份研究,其中17份符合纳入标准。利用6份研究而作出单位内聚力综合分析显示:低单位内聚力与PTSD有关连﹝标准平均误差为 -1.62, 95% CI=﹝-2.80, -0.45)﹞而利用7份研究而作出社会支持综合分析则发现:低社会支持与PTSD相连﹝标准平均误差为 -2.40, 95% CI=﹝-3.42, -1.38)﹞五份研究中有3份展示低家庭支持与PTSD有显著关系,但数据不足以进行综合分析,关于创伤前弱点,2份精神病史研究和1份神经质研究显示PTSD有正面关系。创伤后低支持因素与较高PTSD相关,,横断研究方法可能不足以检测支持和PTSD之间复杂私关系,所以更多纵向研究是必须的。