Perceived burden in spouses of National Guard/Reserve service members deployed during Operations Enduring and Iraqi Freedom
Perceived burden in spouses of National Guard/Reserve service members deployed during Operations Enduring and Iraqi Freedom
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DOI：
10.1016/j.janxdis.2010.10.008
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发表时间：
2011-04-01
影响因子：
10.3
通讯作者：
Renshaw, Keith D.
中科院分区：
文献类型：
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作者：
Caska, Catherine M.;Renshaw, Keith D.
患有创伤后应激障碍(PTSD)的退伍军人的配偶经历了更高的心理痛苦。最近的研究表明，配偶对负担的感知可能是造成这种痛苦的一种机制，但这篇文献中有几个空白。除了创伤后应激障碍或亚临床水平的心理困扰之外，还没有研究考察感知到的负担与症状的关系，也很少有研究关注配偶的特征，这些特征可能与他们对负担的感知有关。目前的研究调查了在持久/伊拉克自由行动中部署的130名后备部队士兵的配偶中的这些变量。无论临床严重程度如何，配偶的负担与军人的创伤后应激障碍、抑郁和焦虑症状呈正相关。此外，负担在每种症状与配偶自身心理困扰之间的关系中起到了完全中介作用。此外，负担水平与配偶的神经质、回避性应对和自我效能感显著相关，但只有回避性应对在解释军人痛苦时仍是负担的显著预测因子。这些结果表明，服役人员的症状与配偶的负担和痛苦有关，虽然配偶的个人特征可能与他们对负担的感知有关，但服役人员的症状起着主要作用。(C)2010爱思唯尔有限公司。保留所有权利。
Spouses of combat veterans with posttraumatic stress disorder (PTSD) experience elevated psychological distress. Recent research indicates that spouses' perceptions of burden may be one mechanism of such distress, but there are several gaps in this literature. No research has examined perceived burden in relation to symptoms other than PTSD or subclinical levels of psychological distress, and very little research has focused on characteristics of spouses that may be related to their perceptions of burden. The current study examined these variables in 130 spouses of reserve component troops deployed during Operations Enduring/Iraqi Freedom. Spouses' burden was positively associated with symptoms of PTSD, depression, and anxiety in service members, regardless of clinical severity. Moreover, burden fully mediated the relation between each type of symptom and spouses' own psychological distress. Furthermore, levels of burden were significantly related to spouses' neuroticism, avoidant coping, and self-efficacy, but only avoidant coping remained a significant predictor of burden when accounting for service members' distress. These results suggest that a broad range of service members' symptoms are related to spouses' burden and distress, and although individual characteristics of spouses may be related to their perceptions of burden, service members' symptoms play a primary role. (C) 2010 Elsevier Ltd. All rights reserved.