Posttraumatic Stress Symptoms Among National Guard Soldiers Deployed to Iraq: Associations With Parenting Behaviors and Couple Adjustment
Posttraumatic Stress Symptoms Among National Guard Soldiers Deployed to Iraq: Associations With Parenting Behaviors and Couple Adjustment
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DOI：
10.1037/a0020571
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发表时间：
2010-10-01
影响因子：
5.9
通讯作者：
Erbes, Christopher R.
中科院分区：
文献类型：
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作者：
Gewirtz, Abigail H.;Polusny, Melissa A.;Erbes, Christopher R.
目的：在这篇文章中，我们报道了一项为期一年的纵向研究的结果，该研究考察了战斗部署后创伤后应激障碍(PTSD)症状的变化对从伊拉克返回一年的国民警卫队士兵感知的父母养育和夫妇适应的影响。方法：研究对象为来自某旅战斗队的468名陆军国民警卫队父亲(平均年龄36岁；中位服役时间16个月；欧裔美国人89%，非裔美国人5%，西班牙裔美国人6%)。参与者在从伊拉克自由部署行动回国前1个月完成了战区内调查(时间1)，并在部署后1年完成了一次调查(时间2)。两次都收集了Find Checklist-Military版(PCL-M；Weather，Litz，Herman，Huska，&Keane，1993)，只收集了两个评估社会支持的项目。在时间2时，参与者还完成了父母养育的自我报告(阿拉巴马州父母养育问卷-简表；Elga，Waschbusch，Dads，和Sigvaldason，2007)，夫妇适应(二元适应量表-7；Sharpley&Rogers，1984；斯潘尼尔，1976)，亲子关系质量(社会适应量表中的4个项目-自我报告，Weissman&Bothwell，1976)，酗酒(酒精使用障碍识别测试；Babor，Higgins-Bdle，Saunders和Monteiro，2001)，以及评估在部署期间所受伤害的项目。结果：结构方程模型分析表明，创伤后应激障碍症状的增加与较差的夫妻适应能力和较大的育儿挑战有关(均为P<；.001)。此外，创伤后应激障碍症状预测了育儿挑战，而不是它们对夫妇适应的影响。结论：研究结果强调了调查和干预的重要性，以支持受战斗影响的国民警卫队家庭的父母养育和夫妇调整。
Objective: In this article, we report findings from a 1-year longitudinal study examining the impact of change in posttraumatic stress disorder (PTSD) symptoms following combat deployment on National Guard soldiers' perceived parenting and couple adjustment 1 year following return from Iraq. Method: Participants were 468 Army National Guard fathers from a brigade combat team (mean age = 36 years; median deployment length = 16 months; 89% European American, 5% African American, 6% Hispanic American). Participants completed an in-theater survey 1 month before returning home from Operation Iraqi Freedom deployment (Time 1) and again I year postdeployment (Time 2). The FIND Checklist-Military Version (PCL-M; Weathers, Litz, Herman, Huska, & Keane, 1993) was gathered at both times, and 2 items assessing social support were gathered at baseline only. At Time 2, participants also completed self-report measures of parenting (Alabama Parenting Questionnaire-Short Form; Elgar, Waschbusch, Dadds, & Sigvaldason, 2007), couple adjustment (Dyadic Adjustment Scale-7; Sharpley & Rogers, 1984; Spanier, 1976), parent-child relationship quality (4 items from the Social Adjustment Scale-Self-Report; Weissman & Bothwell, 1976), alcohol use (Alcohol Use Disorders Identification Test; Babor, Higgins-Biddle, Saunders, & Monteiro, 2001), and items assessing injuries sustained while deployed. Results: Structural equation modeling analyses showed that increases in PTSD symptoms were associated with poorer couple adjustment and greater perceived parenting challenges at Time 2 (both at p < .001). Furthermore, PTSD symptoms predicted parenting challenges independent of their impact on couple adjustment. Conclusions: Findings highlight the importance of investigating and intervening to support parenting and couple adjustment among combat-affected National Guard families.