Effect of childhood trauma experiences on post-traumatic stress disorder symptoms in military officers at high altitude: mediating role of parent-child alienation

Weihong HAO; Zongpei DAI; Jieying TAN; Xiaomin JIN; Chenxuan JIN; Fei XIE; Qin DAI

doi:10.16016/j.2097-0927.202311104

您当前的位置：

首页 >

文章列表页 >

Effect of childhood trauma experiences on post-traumatic stress disorder symptoms in military officers at high altitude: mediating role of parent-child alienation

Monographic Reports: Monographic study of military mental health training | 更新时间：2026-01-09

- Effect of childhood trauma experiences on post-traumatic stress disorder symptoms in military officers at high altitude: mediating role of parent-child alienation
- Journal of Army Medical University Vol. 46, Issue 14, Pages: 1640-1646(2024)
- 作者机构：
  
  1.400038 重庆，陆军军医大学(第三军医大学)医学心理系心理训练中心
  2.050081 石家庄，陆军军医大学(第三军医大学)士官学校军事护理系
  3.400044 重庆，重庆大学公共管理学院
  4.400038 重庆，陆军军医大学(第三军医大学)护理系野战护理学教研室
- 作者简介：
- 基金信息：
  
  the Applied Basic Project of Special Program of Military Nursing Innovation(2021HL003);the Special Project of Science and Technology Innovation Capacity Promotion of Army Medical University(2021XJS12)
- DOI：10.16016/j.2097-0927.202311104
  CLC： R339.54;R395.2;R821.2
- Received：21 November 2023，
  
  Revised：2024-02-21，
  
  Published：30 July 2024
- 稿件说明：
移动端阅览
Weihong HAO, Zongpei DAI, Jieying TAN, et al. Effect of childhood trauma experiences on post-traumatic stress disorder symptoms in military officers at high altitude: mediating role of parent-child alienation[J]. Journal of Army Medical University, 2024, 46(14): 1640-1646.
DOI：

Weihong HAO, Zongpei DAI, Jieying TAN, et al. Effect of childhood trauma experiences on post-traumatic stress disorder symptoms in military officers at high altitude: mediating role of parent-child alienation[J]. Journal of Army Medical University, 2024, 46(14): 1640-1646. DOI： 10.16016/j.2097-0927.202311104.

摘要

目的

了解高原军官创伤后应激障碍(post-traumatic stress disorder

PTSD)症状的现状

探讨早年创伤经历对高原军官PTSD症状的影响以及亲子疏离的作用。

方法

本研究采用横断面研究设计方案。于2021年10月采用整群抽样法

使用童年期创伤问卷(childhood trauma question

CTQ)、亲子疏离感问卷(inventory of alienation toward parents

IAP)、PTSD自评量表(the post-traumatic stress disorder checklist-civilian version

PCL-C)对238名男性高原军官进行问卷调查

分析亲子疏离在早年创伤经历与PTSD症状间的中介效应。

结果

① 高原军官PTSD症状阳性检出率为8.5%。②有早年创伤经历组的军官PTSD症状阳性检出率为15.6%

显著高于无早年创伤经历组(5.1%

=7.27

0.01)。③PTSD症状、早年创伤经历和亲子疏离之间呈显著正相关(

=0.35~0.76

0.01)。④早年躯体虐待经历(

=1.05

0.001)和亲子疏离(

=0.39

0.01)都正向预测高原军官PTSD症状的严重程度。⑤亲子疏离在早年躯体虐待经历与PTSD症状之间起部分中介作用(

=1.16

95%

: 0.54~1.75)。

结论

有早年创伤经历的高原军官PTSD症状阳性检出率更高、症状更重。早年躯体虐待经历不仅对PTSD症状有直接影响

还会通过亲子疏离间接影响其严重程度。

Abstract

Objective

To explore the current status of post-traumatic stress disorder (PTSD) symptoms among military officers at high altitude

determine the effects of childhood trauma experiences on the symptoms

and investigate the role of parent-child alienation in the process.

Methods

A cross-section study was conducted on 238 male military officers at high altitude subjected with cluster sampling.All of them were surveyed with childhood trauma question (CTQ)

inventor of alienation toward parents (IAP)

and Post-traumatic Stress Disorder Checklist (PCL-C) in October 2021.Then the mediating effect of parent-child alienation on childhood trauma and PTSD symptoms was investigated.

Results

① The prevalence of PTSD-positive symptoms was 8.5% among the military officers at high altitude.②The prevalence of PTSD-positive symptoms was 15.6% for the military officers with childhood trauma

which was significantly higher than that of those without childhood trauma (5.1%

Chi

-square=7.27

0.01).③PTSD symptoms

childhood trauma experiences and parent-child alienation were significantly positively correlated with each other (

=0.35~0.76

0.01).④Both childhood physical abuse (

=1.05

0.001) and parent-child alienation (

=0.39

0.01) could positively predict the severity of PTSD symptoms for them.⑤Parent-child alienation played a partial mediating role in the association between physical abuse and PTSD symptoms (

=1.16

95%

: 0.54~1.75).

Conclusion

Military officers at high altitude with childhood trauma have a higher prevalence of PTSD-positive symptoms and more severe symptoms.Childhood physical abuse can not only directly affect PTSD symptoms

but also indirectly affect its severity through parent-child alienation.

关键词

Keywords

references

张伟, 刘增训, 张心华. 对越自卫反击战退役军人创伤后应激障碍患病率及影响因素研究[J]. 精神医学杂志, 2022, 35(4): 407-411. DOI: 10.3969/j.issn.2095-9346.2022.04.015.

ZHANG W, LIU Z X, ZHANG X H. Study on the prevalence and influencing factors of post-traumatic stress disorder in retired soldiers in Vietnam self-defense counterattack[J]. J Psychiatry, 2022, 35(4): 407-411. DOI: 10.3969/j.issn.2095-9346.2022.04.015.

胡光涛, 李学成, 李敏, 等. 汶川地震1周年救援官兵心理应激状况及危险因素分析[J]. 第三军医大学学报, 2010, 32(6): 607-610. DOI: 10.16016/j.1000-5404.2010.06.007.

HU G T, LI X C, LI M, et al . Psychological stress status and related risk factors in rescue troops 1 year after Wenchuan earthquake[J ] . Acta Acad Med Mil Tertiae, 2010, 32(6): 607-610. DOI: 10.16016/j.1000-5404.2010.06.007.

胡光涛, 宋航, 王国威, 等. 急进高海拔环境执行任务汽车兵心理应激及相关因素分析[J]. 现代预防医学, 2015, 42(13): 2338-2340.

HU G T, SONG H, WANG G W, et al . Psychological stress of automotive soldier work in accelerated high altitude environment and relevant factors[J ] . Mod Prev Med, 2015, 42(13): 2338-2340.

宋德宇, 赵梦雪, 胡丰, 等. 4080名常驻高海拔地区军人创伤后应激障碍特点及影响因素[J]. 解放军预防医学杂志, 2017, 35(7): 717-720, 738. DOI: 10.13704/j.cnki.jyyx.2017.07.004.

SONG D Y, ZHAO M X, HU F, et al . Patterns and influencing factors of PTSD among 4080 troops at high altitude[J ] . J Prev Med Chin PLA, 2017, 35(7): 717-720, 738. DOI: 10.13704/j.cnki.jyyx.2017.07.004.

SAYED S, IACOVIELLOB M, CHARNEY D S. Risk factors for the development of psychopathology following trauma[J]. Curr Psychiatry Rep, 2015, 17(8): 612. DOI: 10.1007/s11920-015-0612-y.

沈思彤, 陈沼桦, 孙笑笑, 等. 童年创伤对成年早期心理弹性的影响及动态调节机制: 4年追踪研究[J]. 第三军医大学学报, 2021, 43(4): 359-367. DOI: 10.16016/j.1000-5404.202007160.

SHEN S T, CHEN Z H, SUN X X, et al . Effects of childhood trauma on resilience in early adulthood and its dynamic regulatory mechanisms: a four-year follow-up study[J ] . J Third Mil Med Univ, 2021, 43(4): 359-367. DOI: 10.16016/j.1000-5404.202007160.

王昕. 突发事件下公众心理应激障碍因素影响机制及态势研究[D]. 秦皇岛: 燕山大学, 2017.

WANG X. Research on the mechanism of public psychological stress disorder and the assessment of situation[D]. Qinhuangdao: Yanshan University, 2017.

JANSSEN P G J, VAN EST L A C, HILBINK M, et al . Social cognitive performance in posttraumatic stress disorder: a meta-analysis[J ] . J Affect Disord, 2022, 297: 35-44. DOI: 10.1016/j.jad.2021.09.082.

MCILVEEN R, MITCHELL R, CURRAN D, et al . Exploring the relationship between alienation appraisals, trauma, posttraumatic stress, and depression[J ] . Psychol Trauma, 2022, 14(6): 998-1006. DOI: 10.1037/tra0000523.

赵幸福, 张亚林, 李龙飞, 等. 中文版儿童期虐待问卷的信度和效度[J]. 中国临床康复, 2005, 9(20): 105-107.

ZHAO X F, ZHANG Y L, LI L F, et al . Reliability and validity of the Chinese version of childhood trauma questionnaire[J ] . Chin J Clin Rehabil, 2005, 9(20): 105-107.

DAI Q, YANG G, HU C, et al . The alienation of affection toward parents and influential factors in Chinese left-behind children[J ] . Eur Psychiatry, 2017, 39: 114-122. DOI: 10.1016/j.eurpsy.2016.07.008.

张祥龙. 代际时间: 家的哲学身份: 与孙向晨教授商榷[J]. 探索与争鸣, 2021(10): 60-66, 178.

ZHANG X L. Intergenerational time: the philosophical identity of family—deliberate with Professor SunXiangchen[J]. Explor Free Views, 2021(10): 60-66, 178.

熊明瑞, 刘倩, 付瑶. 父母冲突对成年子女婚姻态度的作用: 亲子关系的中介以及家庭结构的附加影响[J]. 中国临床心理学杂志, 2022, 30(4): 830-836. DOI: 10.16128/j.cnki.1005-3611.2022.04.015.

XIONG M R, LIU Q, FU Y. The influence ofinterparental conflict on emerging adults' marital attitude: parent-child relationship as a mediator and the additional impact of family structure[J]. Chin J Clin Psychol, 2022, 30(4): 830-836. DOI: 10.16128/j.cnki.1005-3611.2022.04.015.

王倩, 姚欣, 靳海峰, 等. 陆军某部官兵创伤后应激障碍患病情况及其与功能性胃肠病的关系[J]. 解放军医学杂志, 2018, 43(2): 172-180. DOI: 10.11855/j.issn.0577-7402.2018.02.14.

WANG Q, YAO X, JIN H F, et al . The prevalence of post traumatic stress disorder in an army unit and its relationship with functional gastrointestinal disorders[J ] . Med J Chin PLA, 2018, 43(2): 172-180. DOI: 10.11855/j.issn.0577-7402.2018.02.14.

王卫东, 胡以松. COVID-19疫情暴发后中国成人创伤后应激障碍流行及弱势群体[J]. 中华疾病控制杂志, 2022, 26(6): 703-708. DOI: 10.16462/j.cnki.zhjbkz.2022.06.015.

WANG W D, HU Y S. Post-traumatic stress disorder prevalence and vulnerable groups after the outbreak of COVID-19 in Chinese adults[J]. Chin J Dis Contr Prev, 2022, 26(6): 703-708. DOI: 10.16462/j.cnki.zhjbkz.2022.06.015.

ALCANTARA-ZAPATA D E, LUCERO N, GREGORIO N D, et al . Women's mood at high altitude. sexual dimorphism in hypoxic stress modulation by the tryptophan-melatonin axis[J ] . Front Physiol, 2022, 13: 1099276. DOI: 10.3389/fphys.2022.1099276.

SHARMA R, CRAMER N P, PERRY B, et al . Chronic exposure to high altitude: synaptic, astroglial and memory changes[J ] . Sci Rep, 2019, 9: 16406. DOI: 10.1038/s41598-019-52563-1.

FELITTI V J, ANDA R F, NORDENBERG D, et al . Relationship of childhood abuse and house hold dysfunction to many of the leading causes of death in adults. The Adverse Childhood Experiences (ACE) Study[J ] . Am J Prev Med, 1998, 14(4): 245-258. DOI: 10.1016/s0749-3797(98)00017-8.

JAKSIC N, TUDOR L, NEDIC ERJAVEC G, et al . Childhood trauma types and symptom severity in Croatian war veterans suffering from post-traumatic stress disorder (PTSD)[J ] . Psychiatry Res, 2020, 284: 112762. DOI: 10.1016/j.psychres.2020.112762.

ADAMS J, MRUG S, KNIGHT D C. Characteristics of child physical and sexual abuse as predictors of psychopathology[J]. Child Abuse Negl, 2018, 86: 167-177. DOI: 10.1016/j.chiabu.2018.09.019.

李林锋, 文建, 王宁, 等. 高原某部队军事训练伤的调查分析与运动康复建议[J]. 陆军军医大学学报, 2023, 45(7): 720-725. DOI: 10.16016/j.2097-0927.202301060.

LI L F, WEN J, WANG N, et al . Survey analysis of military training injuries and recommendations for sport rehabilitation in a unit at high altitude[J ] . J Army Med Univ, 2023, 45(7): 720-725. DOI: 10.16016/j.2097-0927.202301060.

SANDWEISS D A, SLYMEN D J, LEARDMANN C A, et al . Preinjury psychiatric status, injury severity, and postdeployment posttraumatic stress disorder[J ] . Arch Gen Psychiatry, 2011, 68(5): 496-504. DOI: 10.1001/archgenpsychiatry.2011.44.

王鑫强, 霍俊妤, 张大均, 等. 农村留守与非留守儿童的心理健康、虐待经历比较及其关系研究: 基于两维四象心理健康结构的分析与对策建议[J]. 中国特殊教育, 2018(1): 58-64. DOI: 10.3969/j.issn.1007-3728.2018.01.011.

WANG X Q, HUO J Y, ZHANG D J, et al . The relationship between mental health and child abuse and their difference between left-at-home children and those living with their parents in rural areas: an analysis based on the two-dimensional four-fact mental health structure[J ] . Chin J Spec Educ, 2018(1): 58-64. DOI: 10.3969/j.issn.1007-3728.2018.01.011.

王鑫峰, 欧阳伟, 王延赏. 童年时期亲子关系对中老年人健康的影响: 基于CHARLS数据的实证分析[J]. 南方人口, 2022, 37(6): 52-65. DOI: 10.3969/j.issn.1004-1613.2022.06.005.

WANG X F, OUYANG W, WANG Y S. The influence of parent-child relationship in childhood on the health of mid-aged and older adults: an empirical research based on the data of China health and retirement longitudinal survey[J]. South China Popul, 2022, 37(6): 52-65. DOI: 10.3969/j.issn.1004-1613.2022.06.005.

靖开元, 杨艳贞, 孙淑娟, 等. 军人家庭复原力和心理健康的关系: 一项交叉滞后研究[J]. 陆军军医大学学报, 2024, 46(3): 209-214. DOI: 10.16016/j.2097-0927.202307099.

JING K Y, YANG Y Z, SUN S J, et al . Relationship between family resilience and mental health among military personnel: a cross lagged analysis[J ] . J Army Med Univ, 2024, 46(3): 209-214. DOI: 10.16016/j.2097-0927.202307099.

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Protective effects of mitochondrial fission inhibitor, Mdivi-1, on traumatic shock rats at high altitude

Effect of depression on sleep quality in high-altitude recruits during new training: longitudinal moderation of negative cognitive processing bias

Intervention effects of mindfulness-based stress reduction training on post-traumatic stress disorder in traffic accident survivors

Effect of different emotional regulation strategies on anxiety in military personnel serving in high-altitude regions: a cross-lagged analysis

Developmental characteristics of depressive symptoms and their relationship with mental toughness in military personnel serving in high-altitude regions

Related Author

Yue WU

Yu ZHU

Yuanqun ZHOU

Qinghui LI

Xiaoyong PENG

Xinming XIANG

Liangming LIU

Tao LI

Related Institution

State Key Laboratory of Trauma, Burns and Combined Injuries, Department of War Wound Shock and Transfusion, Institute of Surgery Research, Army Medical Center of PLA

Department of General Medicine, Shigatse Branch (No. 953 Hospital of PLA) of Second Affiliated Hospital, Army Medical University (Third Military Medical University), Shigatse, Tibet Autonomous Region

Faculty of Medical Psychology, Army Medical University (Third Military Medical University)

First Ward of Early Intervention, Jinzi Mountain Hospital of Chongqing Mental Health Center

Department of Neurology, the Second Affiliated Hospital of Chongqing Medical University

⁰