Báo cáo y học: "Risk Factors for Posttraumatic Stress Disorder Among Deployed US Male Marines"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Risk Factors for Posttraumatic Stress Disorder Among Deployed US Male Marines | Phillips et al. BMC Psychiatry 2010 10 52 http 1471-244X 10 52 BMC Psychiatry RESEARCH ARTICLE Open Access RisklFactors for Posttraumatic Stress Disorder Among Deployed US Male Marines Christopher J Phillips 1 Cynthia A LeardMann Gia R Gumbs and Besa Smith1 Abstract Background Combat exposure has been reported as one of the strongest risk factors for postdeployment posttraumatic stress disorder PTSD among military service members. Determining the impact of specific deployment-related exposures on the risk of developing PTSD has not been fully explored. Our study objective was to explore the relationship between specific combat exposures and other life experiences with postdeployment PTSD. Methods This study consisted of male Marines who completed a Recruit Assessment Program RAP survey during recruit training at the Marine Corps Recruit Depot in San Diego California as well as a follow-up survey several years after recruit training. Study participants included those Marines who deployed to the current operations in Iraq or Afghanistan between the baseline and follow-up surveys. Multivariable logistic regression was performed to determine which significant exposures and experiences were associated with postdeployment PTSD. Results Of the 706 study participants screened positive for postdeployment PTSD. Those who reported feeling in great danger of death odds ratio OR 95 confidence interval CI were shot or seriously injured OR 95 CI saw someone wounded or killed OR 95 CI and baseline before recruit training prior violence exposures OR 95 CI were at increased odds for reporting PTSD symptoms. Number of deployments number of close friends or relatives reported at follow-up and enlisted pay grade were also significantly associated with postdeployment PTSD. Conclusions Combat exposures specifically the threat of death serious injury and witnessing injury or death are significant risk .

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