Daily Posttraumatic Stress Disorder Symptom Accommodation and Relationship Functioning in Military Couples.
Daily Posttraumatic Stress Disorder Symptom Accommodation and Relationship Functioning in Military Couples.
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DOI：
10.1111/famp.12393
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发表时间：
2019-12
期刊：
影响因子：
3.9
通讯作者：
Renshaw KD
中科院分区：
文献类型：
--
作者：
Campbell SB;Renshaw KD
浪漫伴侣对创伤幸存者创伤后应激障碍（PTSD）症状的适应（例如，承担任务，幸存者避免参与社会退缩）与伴侣和幸存者的关系满意度较低有关。关于伴侣的适应性与关系功能的其他方面（如亲密关系）的联系，我们知之甚少。64名患有亚临床PTSD的男性退伍军人及其伴侣参加了α 2周日记研究。退伍军人完成了PTSD症状的夜间测量，而女性伴侣完成了当天进行的适应行为的夜间测量。双方都报告了每晚的亲密感。多水平模型显示，适应性与亲密感显著负相关，对伴侣的影响（t =-8.70）比对退伍军人的影响（t =-5.40）更大，当退伍军人的日常PTSD症状水平较低（t =-7.43）而不是较高（t =-5.20）时，其影响更大。治疗师应该考虑将适应行为作为亲密关系的潜在障碍，特别是当退伍军人的创伤后应激障碍症状不太严重时。分离行为是行为伴侣疗法的理想治疗对象。
Romantic partners’ accommodation of trauma survivors’ posttraumatic stress disorder (PTSD) symptoms (e.g., taking on tasks, survivors avoid participating in social withdrawal) is associated with lower relationship satisfaction for both partners and survivors. Little is known about associations of partner accommodation with other aspects of relationship functioning, like intimacy. Sixty-four male military veterans with at least subclinical PTSD and their partners participated in α 2-week daily diary study. Veterans completed nightly measures of PTSD symptoms, while female partners completed nightly measures of accommodating behaviors performed that day. Both partners reported feelings of intimacy each night. Multilevel models revealed that accommodation was significantly, negatively associated with feelings of intimacy, with stronger effects for partners (t = −8.70) than for veterans (t = −5.40), and stronger effects when veterans had lower (t = −7.43) rather than higher (t = −5.20) levels of daily PTSD symptoms. Therapists should consider accommodating behaviors as a potential impediment to relationship intimacy, particularly when veterans have less severe symptoms of PTSD. Accommodating behaviors are an ideal treatment target in behavioral couple therapies.
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