Muaj Kev Teeb Meem ntawm Kev Loj Lub Cev thiab Kev Puas Hlwb ntawm Kev Tshav Ntuj hauv Kev Ua Tsov Rog Kev Ncaj Ncees
Siv cov ntaub ntawv qhib los ntawm tsoom fwv teb chaws txoj kev tshawb fawb txog cov ntaub ntawv kho mob rau cov tub rog ntawm American Civil War (1860-1865) hu ua Early Indicators of Next Levels, Disease, and Death Project, cov kws tshawb fawb pom tau hais tias muaj kev pheej hmoo ntawm kev muaj mob tom qab Kev Ua Tsov Rog Tsov Rog, nrog rau kev ploj tuag, kev mob plab, thiab kev mob hlwb thoob plaws hauv lawv lub neej.
Nyob rau hauv ib qhov project funded by National Institutes of Aging, cov tub rog cov ntaub ntawv cov ntaub ntawv los ntawm tag nrho cov ntawm 15,027 servicemen los ntawm 303 tuam txhab ntawm Union Army khaws cia nyob rau hauv Teb Chaws Asmeskas Tebchaws Archives tau phim rau cov ntaub ntawv nyiaj laus thiab tus kws phais cov lus ceeb toom ntawm ntau yam kev kuaj mob. Muaj li ntawm 43 feem pua ntawm cov txiv neej muaj teeb meem mob hlwb thoob plaws hauv lawv lub neej, qee yam uas tau lees paub tias muaj feem xyuam nrog ntsig txog kev nyuab siab ntxhov plawv (PTSD). Feem ntau tshwj xeeb tshaj yog cov txiv neej uas tau sau npe hauv cov hnub nyoog qis dua 17. Roxane Cohen Silver thiab cov npoj yaig nyob hauv University of California, Irvine tau luam tawm lawv qhov kev tshwm sim rau Lub Ob Hlis 2006 ntawm Issues of General Psychiatry .
Kev tshawb fawb ntawm PTSD rau hnub tim tau muaj kev sib raug zoo ntawm kev ua tsov rog rau kev rov muaj teeb meem ntawm kev puas siab puas ntsws thiab kev noj qab nyob zoo rau lub cev xws li kab mob plawv thiab kub siab thiab mob plab hnyuv. Cov kev tshawb fawb no tsis tuaj yeem nkag mus rau kev noj qab haus huv mus sij hawm ntev, vim lawv tau npaj rau cov tub rog uas tsis ntev los no.
Cov kws tshawb fawb kawm txog cov teeb meem niaj hnub no hais txog cov teeb meem ntawm kev noj qab haus huv yav dhau los yog muaj hnub nyoog hauv txoj cai, muaj kev sib raug zoo rau kev ua phem, raug txim hauv kev ua tsov ua rog thiab raug mob.
Kev raug mob ntawm American Civil War
Tsov rog tsov rog yog ib qho teeb meem tshwj xeeb rau cov tub rog Asmeskas.
Cov tub rog tub rog feem ntau tau sau npe hauv cov tub hluas ntxhais hluas; ntawm 15 thiab 20 feem pua ntawm cov tub rog Union Union tau teev npe thaum nruab nrab ntawm hnub nyoog 9 thiab 17. Txhua lub koom haum Union tau tsim los ntawm 100 tus txiv neej tau sib sau los ntawm cov zej zog thaj chaw, thiab feem ntau yog cov neeg hauv tsev neeg thiab cov phooj ywg. Lub tuam txhab loj - 75 feem pua ntawm cov tuam txhab hauv cov qauv no poob ntawm tsib thiab 30 feem pua ntawm lawv cov neeg ua hauj lwm - ze li ntawm txhais tau tias kev poob tsev los yog cov phooj ywg. Cov txiv neej yeej paub nrog tus yeeb ncuab, uas muaj qee zaum muaj cov neeg hauv tsev neeg los yog tus neeg paub. Thaum kawg, qhov teeb meem tsis sib haum ze, nrog rau kev sib ntaus los ntawm kev sib ntaus sib tua uas tsis muaj kev sib tshuam los yog lwm yam kev thaiv, yog ib lub tswv yim zoo tshaj thaum lub caij ua rog.
Yuav kom ntsuas cov kev cuam tshuam dab tsi los ntawm Civil War cov tub rog, cov kws tshawb fawb tau siv qhov sib txawv ntawm cov feem pua ntawm cov lag luam uas poob los sawv cev rau tus neeg raug mob. Cov kws tshawb fawb tau pom tias cov tub rog cov koom haum nrog cov feem pua ntawm cov tub rog tua, cov qub tub rog tau 51 feem pua feem ntau yuav muaj mob plawv, mob plab hnyuv thiab mob hlwb.
Cov Tub Txib Yav Qis Tau Nyuaj Siab
Txoj kev tshawb pom pom tias cov tub rog hluas tshaj plaws (hnub nyoog 9-17 ntawm kev tso npe) tau 93% feem ntau dua li cov laus tshaj (hnub nyoog 31 los yog laus dua) rau kev mob hlwb thiab lub cev.
Cov tub rog yau kuj tseem yuav pom cov kab mob ntawm cov kab mob hauv plawv ib leeg thiab nrog rau kev mob plab, thiab muaj feem ntau tuag ntxov. Yav dhau los POWs tau muaj kev pheej hmoo siab ntawm kev teeb meem ntawm lub hlwb thiab lub cev thiab kev tuag ntxov.
Ib qho teeb meem uas cov neeg tshawb nrhiav tau muab piv rau cov kab mob thaum lawv tau kaw thaum lub sijhawm tom qab ib nrab ntawm xyoo 19th rau cov kab mob hnub no. Post-traumatic distress syndrome tsis pom zoo los ntawm cov kws kho mob - txawm tias lawv tau paub tias cov tub rog tau pom ib qib siab ntawm 'mob ntsws' uas lawv tau hais tias 'mob siab lub siab' syndrome.
Cov Menyuam Yaus thiab Cov Hluas hauv kev sib ntaus
Harvard Psychologist Roger Pitman, sau ntawv hauv kev sau ntawv xov xwm hauv kev tshaj tawm, sau hais tias feem cuam tshuam rau cov tub rog hluas yuav tsum yog kev txhawj xeeb tam sim ntawd, txij li "lawv lub hlwb tsis paub qab hau thiab tsis muaj peev xwm tswj hwm qhov kev xav ua rau ntau qhov laj thawj rau kev xav ntawm cov me nyuam thiab cov tub ntxhais hluas ua haujlwm hauv kev sib ntaus los. " Txawm hais tias kab mob tsis yog ib tus neeg, nws hais tias senior tshawb nrhiav Roxane Cohen Silver, "Kuv tau kawm li cas cov tib neeg daws nrog kev puas siab ntsws ntawm kev ua neej ntawm txhua yam rau nees nkaum xyoo thiab cov kev tshawb pom no zoo ib yam ntawm cov ntaub ntawv ntawm cov ntawv nyeem kev noj qab hauv lub cev thiab lub paj hlwb ntawm kev puas tshuaj muaj zog. "
Boston University psychologist Terence M. Keane, Tus Thawj Coj ntawm Lub Chaw Hauv Teb Chaws rau PTSD, tau tshaj tawm tias qhov kev tshawb fawb "zoo tshaj plaws yog lub caij nyoog thiab muaj nuj nqis heev rau peb txoj kev to taub txog cov teeb meem ntawm kev ua rog ntev." Joseph Boscarino, Senior Investigator nyob rau hauv Geisinger Health System, ntxiv "Muaj qee tus detractors uas hais tias PTSD [Tom qab tsis muaj kev ntxhov siab tsis zoo] tsis muaj los yog tau ua dua ntxiv lawm. Cov kev tshawb fawb xws li cov no ua rau nyuaj rau tsis lees paub lub sij hawm ntev teebmeem ntawm kev ua tsov rog ntawm kev puas hlwb puas ntsoog. "
> Qhov chaw
> Judith Pizarro, Roxane Cohen Silver, thiab JoAnn Prause. 2006. Lub Cev thiab Cov Kev Xiam Hlwb Noj Qab Haushuv Cov Kev Ua Tsov Rog Thoob Tawm Ntawm Cov Neeg Ua Tsov Rog Vev Tseg. Archives ntawm General Psychiatry 63: 193-200.
Ib nqe lus luv luv ntawm tsab xov xwm no tau tshwm sim hauv Science 311: 927. Lub Ob Hlis 17, 2006