Effect of childhood trauma experiences on post-traumatic stress disorder symptoms in military officers at high altitude:mediating role of parent-child alienation
10.16016/j.2097-0927.202311104
- VernacularTitle: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
- Author:
Weihong HAO
1
,
2
;
Zongpei DAI
;
Jieying TAN
;
Xiaomin JIN
;
Chenxuan JIN
;
Fei XIE
;
Qin DAI
Author Information
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
- Keywords:
post-traumatic stress disorder;
childhood trauma;
parent-child alienation;
military officers;
high altitude
- From:
Journal of Army Medical University
2024;46(14):1640-1646
- CountryChina
- Language:Chinese
-
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 ①The 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,P＜0.01).③ PTSD symptoms,childhood trauma experiences and parent-child alienation were significantly positively correlated with each other(r=0.35～0.76,P＜0.01).④ Both childhood physical abuse(β=1.05,P＜0.001)and parent-child alienation(β=0.39,P＜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(β=1.16,95％CI: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.
