Within-unit relationship quality mediates the association between military sexual trauma and posttraumatic stress symptoms in veterans separating from military service.
Within-unit relationship quality mediates the association between military sexual trauma and posttraumatic stress symptoms in veterans separating from military service.
复制标题
单位内关系质量调节退伍军人的军事性创伤和创伤后应激症状之间的关联。
DOI：
10.1037/tra0000118
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Hoff,Rani
中科院分区：
文献类型：
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作者：
Laws,Holly;Mazure,CarolynM;McKee,SherryA;Park,CrystalL;Hoff,Rani
目的探讨军中性创伤（MST）对军人社会功能的影响。然而，在部署期间考虑单位关系可能很重要，因为军事单位的凝聚力和支持可以提供对抗战斗压力的保护作用，并减少患创伤后应激障碍的可能性。方法虽然先前的研究假设社会资源枯竭是MST与创伤后应激症状（PTSS）相关的一个途径，但没有研究对这一理论进行统计检验。本研究考察了MST和PTSS的关联，并评估了单位关系质量下降的潜在中介作用。本研究以退伍军人为研究对象（N= 818，女性328人，男性490人）进行中介分析。结果女性比男性更容易经历MST。正如假设的那样，部署期间的MST经历与较高的PTSS相关。MST经历与军事单位的信任和支持程度相关，这在一定程度上介导了MST与ptsd之间的关联。通过降低单位关系质量的间接效应占总效应的20.4%。虽然回顾性研究设计排除了因果关系检验，但中介研究结果提供了统计证据，证明较低的单位关系质量部分解释了MST和PTSS之间的关联。这一发现与创伤反应的人际理论一致，该理论认为MST的有害影响可能部分是由于其在部署过程中对社会资源的侵蚀。（PsycInfo数据库记录(c) 2020 APA，版权所有）
ObjectiveFew studies have examined the impact of military sexual trauma (MST) on social functioning during deployment. Yet consideration of unit relationships during deployment may be important, given that military unit cohesion and support can provide protective effects against the stress of combat, and reduce the likelihood of developing posttraumatic stress disorder.MethodAlthough prior research has posited that depleted social resources are one pathway through which MST is associated with posttraumatic stress symptoms (PTSS), no studies have statistically tested this theory. This study examined the association of MST and PTSS and evaluated the potential mediating role of decreased unit relationship quality. Mediational analyses were conducted on a sample of veterans following discharge from military service (N= 818; 328 women, 490 men).ResultsWomen were significantly more likely to experience MST than men. As hypothesized, experiences of MST during deployment were associated with higher PTSS. MST experiences were associated with less trust in and support from one’s military unit, which partially mediated the association between MST and PTSS. The indirect effect of MST on PTSS through lower unit relationship quality accounted for 20.4% of the total effect of MST on PTSS.ConclusionsWhile the retrospective study design precludes tests of causality, mediational findings provided statistical evidence that lower unit relationship quality partially explains the association between MST and PTSS. This finding is consistent with interpersonal theories of trauma response suggesting that the deleterious effects of MST may be in part due to its erosion of social resources during deployment.(PsycInfo Database Record (c) 2020 APA, all rights reserved)