Family Functioning Predicts Outcomes for Veterans in Treatment for Chronic Posttraumatic Stress Disorder
Family Functioning Predicts Outcomes for Veterans in Treatment for Chronic Posttraumatic Stress Disorder
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DOI：
10.1037/a0015877
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发表时间：
2009-08-01
影响因子：
2.7
通讯作者：
Hopwood, Malcolm
中科院分区：
文献类型：
--
作者：
Evans, Lynette;Cowlishaw, Sean;Hopwood, Malcolm
一个纵向的框架被用来检查竞争的假设（a）是否家庭功能预测创伤后应激障碍（PTSD）症状的变化或（B）是否PTSD症状预测家庭功能的变化。接受治疗计划的退伍军人（N = 311）在3个时间点完成了一系列问卷调查：入院时，从入院到完成治疗计划，以及6个月随访。饮酒和一般心理健康症状也在摄入时进行了测量。采用结构方程模型分析的交叉滞后面板模型表明，家庭功能是治疗后和6个月随访时PTSD症状的中度预测因子。创伤后应激障碍不是一个重要的预测家庭功能的时间和酒精使用，一般的心理健康症状并不影响整体的研究结果。PTSD症状群的进一步分析表明，回避症状群与家庭功能密切相关。针对家庭关系进行治疗可能在未来对患有创伤后应激障碍的退伍军人很重要。
A longitudinal framework was used to examine the competing hypotheses of (a) whether family functioning predicts changes in posttraumatic stress disorder (PTSD) symptoms or (b) whether PTSD symptoms predict changes in family functioning. Veterans (N = 311) admitted to a treatment program completed a series of questionnaires at 3 time points: at intake, from intake to completion of a treatment program, and at the 6-month follow-up. Alcohol use and general mental health symptoms were also measured at intake. A cross-lagged panel model using structural equation modeling analyses indicated that family functioning was a moderate predictor of PTSD symptoms at posttreatment and at the 6-month follow-up. PTSD was not a significant predictor of family functioning across time and alcohol use, and general mental health symptoms did not affect the overall findings. Further analyses of PTSD symptom clusters indicated that the avoidance symptom cluster was most strongly related to family functioning. Targeting family relationships for treatment may be important in the future for veterans with PTSD.