早年创伤经历对高原军官创伤后应激障碍症状的影响：亲子疏离的中介作用

郝维红; 代宗佩; 谭洁滢; 金晓敏; 金晨璇; 谢菲; 戴琴

doi:10.16016/j.2097-0927.202311104

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早年创伤经历对高原军官创伤后应激障碍症状的影响：亲子疏离的中介作用

专题报道：军事心理健康训练 | 更新时间：2026-01-09

- 早年创伤经历对高原军官创伤后应激障碍症状的影响：亲子疏离的中介作用
- Effect of childhood trauma experiences on post-traumatic stress disorder symptoms in military officers at high altitude: mediating role of parent-child alienation
- 陆军军医大学学报 2024年46卷第14期页码：1640-1646
- 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：
  
  [戴琴，E-mail: daiqin101@hotmail.comDAI Qin, E-mail: daiqin101@hotmail.com
- 基金信息：
  
  军事护理创新专项应用基础项目(2021HL003);陆军军医大学科技创新能力提升专项军事医学项目(2021XJS12)
- DOI：10.16016/j.2097-0927.202311104
  中图分类号： R339.54;R395.2;R821.2
- 收稿：2023-11-21，
  
  修回：2024-02-21，
  
  纸质出版：2024-07-30
- 稿件说明：
移动端阅览
郝维红, 代宗佩, 谭洁滢, 等. 早年创伤经历对高原军官创伤后应激障碍症状的影响：亲子疏离的中介作用[J]. 陆军军医大学学报, 2024,46(14):1640-1646.

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.
郝维红, 代宗佩, 谭洁滢, 等. 早年创伤经历对高原军官创伤后应激障碍症状的影响：亲子疏离的中介作用[J]. 陆军军医大学学报, 2024,46(14):1640-1646. DOI： 10.16016/j.2097-0927.202311104.

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

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