Early and recent military and nonmilitary stressors associated with posttraumatic stress symptoms among military service members and their spouses.
Early and recent military and nonmilitary stressors associated with posttraumatic stress symptoms among military service members and their spouses.
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DOI：
10.1002/jts.22958
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发表时间：
2023-07
影响因子：
3.3
通讯作者：
Kathrine S. Sullivan;Y. Park;Sabrina M. Richardson;J. Cederbaum;V. Stander;J. Jaccard
中科院分区：
文献类型：
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作者：
Kathrine S. Sullivan;Y. Park;Sabrina M. Richardson;J. Cederbaum;V. Stander;J. Jaccard
军人及其配偶在创伤后应激症状（PTSS）方面与平民同伴存在差异，但暴露于军事应激源并不能充分解释所观察到的差异。利用应激过程框架，本研究考虑了早期和近期军事和非军事应激源与中青年和中青年创伤后应激障碍之间的关系。我们分析了千禧年队列和千禧年队列家庭研究中3314对SM-SP夫妇的数据。考虑协变量，采用多元线性回归和优势分析来考虑SM和SP童年虐待、最近的非军事压力因素（如经济困难）和最近的军事压力因素（如部署）对他们自己和他们的伴侣自我报告的创伤后应激障碍的影响。对于SMs和sp来说，童年虐待是他们自己创伤后应激障碍的最强预测因素，其次是非军事压力因素。军人虐待和非军事应激因素对军人创伤后应激障碍有显著的预测作用，军人虐待对军人创伤后应激障碍有显著的预测作用。虐待也增加了SM（产品项B = 0.92, p = 0.031）和SP（产品项B = 0.75, p = 0.004）非军事压力源的影响。研究结果强调了早期逆境暴露在理解中青年和中青年创伤后应激障碍中的重要作用，因为童年虐待强烈地预测了创伤后应激障碍，并加剧了其他应激因素对创伤后应激障碍的影响。提供者应评估SMs和SPs之间的早期逆境，并考虑在夫妻一级提供服务，因为压力可能在夫妻之间传播。
Disparities in posttraumatic stress symptoms (PTSS) have been observed among military service members (SMs) and spouses (SPs) compared to their civilian peers, but exposure to military stressors does not adequately explain observed differences. Using a stress process framework, this study considered the associations between early and recent military and nonmilitary stressors and PTSS among SMs and SPs. We analyzed data from 3,314 SM-SP dyads in the Millennium Cohort and Millennium Cohort Family Studies. Accounting for covariates, multiple linear regression and dominance analyses were employed to consider the effects of SM and SP childhood maltreatment, recent nonmilitary stressors (e.g., financial difficulties), and recent military stressors (e.g., deployment) on their own and their partner's self-reported PTSS. For both SMs and SPs, childhood maltreatment was the strongest predictor of their own PTSS, followed by nonmilitary stressors. Couple crossover dynamics were evident as SP maltreatment and nonmilitary stressors significantly predicted SM PTSS, and SM maltreatment predicted SP PTSS. Maltreatment also multiplied the effects of SM, product term B = 0.92, p = .031, and SP, product term B = 0.75, p = .004, nonmilitary stressors. The findings emphasize the essential role of exposure to early adversity in understanding PTSS among SMs and SPs, as childhood maltreatment strongly predicted PTSS and exacerbated the effects of other stressors on PTSS. Providers should assess for early adversity among both SMs and SPs and consider the provision of services at the couple level given the potential for the transmission of stress within couples.