Abstract：
UNASSIGNED: This column first reviews evidence that veterans have poorer response to trauma-focused therapies for PTSD compared to civilians. We then consider several explanations for this trend, starting with gender as a possible confounding variable. We also examine other hypotheses, including the effects of the military acculturation process, the unique influences of military traumas, such as combat and military sexual traumas, and the roles of traumatic brain injuries (TBIs) and moral injury. Future research, we conclude, must determine whether gender explains the differences in trauma-focused therapy response. If so, then the underlying reasons must be further explored. If not, then we must determine the unique characteristics of the veteran population that make it more resistant to treatment. Mining these elements will help us adapt our trauma-focused therapies to better help this population and close the response-rate gap.
摘要：
■本专栏首先回顾的证据表明，与平民相比，退伍军人对创伤为重点的创伤后应激障碍疗法的反应较差。然后我们考虑对这种趋势的几种解释，从性别开始作为一个可能的混杂变量。我们还研究了其他假设，包括军事文化适应过程的影响，军事创伤的独特影响，比如战斗和军事性创伤，以及创伤性脑损伤（TBI）和道德伤害的作用。未来的研究，我们得出结论，必须确定性别是否可以解释以创伤为中心的治疗反应的差异。如果是,那么根本原因就必须进一步探讨。如果不是,然后我们必须确定退伍军人的独特特征，使其对治疗更具抵抗力。挖掘这些元素将帮助我们适应以创伤为重点的疗法，以更好地帮助这一人群并缩小反应率差距。
