A daily diary study of the romantic partner relationship dynamics associated with anger and other posttraumatic stress disorder symptoms.
A daily diary study of the romantic partner relationship dynamics associated with anger and other posttraumatic stress disorder symptoms.
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对与愤怒和其他创伤后应激障碍症状相关的浪漫伴侣关系动态的每日日记研究。
DOI：
10.1002/jts.22921
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发表时间：
2023
影响因子：
3.3
通讯作者：
Campbell,SarahB
中科院分区：
文献类型：
--
作者：
Hyatt,CourtlandS;Halvorson,MaxA;Campbell,SarahB
创伤后应激障碍（PTSD）与消极的人际关系结果有关，但是将特定的PTSD症状与这些结果联系起来的关系过程在细粒度时期内还没有得到很好的理解。目前的研究采用每日日记的方法来调查特定的创伤后应激障碍症状（如愤怒、逃避、再体验、过度觉醒和麻木）与关系功能的近距离指标（如适应行为、披露、亲密）之间的关系。参与者是64对夫妇的成员，每对夫妇包括一名男性服役人员（SM）和一名女性浪漫伴侣（RP），他们完成了两周的创伤后应激障碍症状和关系功能指标的每日评估。结果表明，愤怒在关系动力学中具有某种独特的作用：尽管PTSD症状群的平均水平在双变量水平上与消极的关系结果相关，但在多水平模型中，愤怒的每日波动与适应行为和SM -和RP -报告的亲密关系有独特的关系，b值= - 0.08-0.50)。这些发现强调了在创伤后应激障碍的双重干预中考虑特定创伤后应激障碍症状（如愤怒）的不同作用的重要性；本文讨论了在当代循证治疗的背景下这样做的几种策略。
Posttraumatic stress disorder (PTSD) is linked to negative relationship outcomes, but the relational processes that link specific PTSD symptoms to these outcomes over granular periods are not well understood. The current study used a daily diary methodology to investigate the associations between specific PTSD symptoms (i.e., anger, avoidance, reexperiencing, hyperarousal, and numbing) and proximal indices of relationship functioning (i.e., accommodation behaviors, disclosure, intimacy). Participants were members of 64 couples, each comprising a male service member (SM) and female romantic partner (RP), who completed daily assessments of PTSD symptoms and indices of relationship functioning for 2 weeks. The results suggest a somewhat unique role of anger on relationship dynamics: Although mean levels of PTSD symptom clusters were associated with negative relationship outcomes at the bivariate level, daily fluctuations in anger were uniquely related to accommodation behaviors and SM‐ and RP‐reported intimacy in multilevel models,Bs = −0.08–0.50). These findings highlight the importance of considering the differential role of specific PTSD symptoms, like anger, in dyadic interventions for PTSD; several strategies for doing so in the context of contemporary evidence‐based treatments are discussed.