Risk factors for the development versus maintenance of posttraumatic stress disorder

被引：185

作者：

Schnurr, PP ^{[1
]}

Lunney, CA

Sengupta, A

机构：

[1] VA Med Ctr, Dept Vet Affairs, Natl Ctr PTSD 116D, White River Jct, VT 05009 USA

[2] Dartmouth Coll, Hitchcock Med Ctr, Dartmouth Med Sch, Hanover, NH 03756 USA

[3] New Hampshire Dartmouth Psychiat Res Ctr, Lebanon, NH USA

来源：

JOURNAL OF TRAUMATIC STRESS | 2004年 / 17卷 / 02期

关键词：

posttraumatic stress disorder; military veterans; longitudinal course; risk factors;

D O I：

10.1023/B:JOTS.0000022614.21794.f4

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

This study examined risk factors for posttraumatic stress disorder (PTSD) in Vietnam veterans: 68 women and 414 men of whom 88 were White, 63 Black, 80 Hispanic, 90 Native Hawaiian, and 93 Japanese American. Continuation ratio logistic regression was used to compare the predictive power of risk factors for the development versus maintenance of full or partial PTSD. The development of PTSD was related to premilitary, military, and postmilitary factors. The maintenance of PTSD was related primarily to military and postmilitary factors. Multivariate analyses identified different models for development and maintenance. We conclude that development of PTSD is related to factors that occur before, during, and after a traumatic event, whereas failure to recover is related primarily to factors that occur during and after the event.

引用

页码：85 / 95

页数：11

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