A Daily Diary Study of Posttraumatic Stress Symptoms and Romantic Partner Accommodation.
A Daily Diary Study of Posttraumatic Stress Symptoms and Romantic Partner Accommodation.
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DOI：
10.1016/j.beth.2016.04.006
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发表时间：
2017-03
期刊：
影响因子：
3.7
通讯作者：
Carter SP
中科院分区：
文献类型：
--
作者：
Campbell SB;Renshaw KD;Kashdan TB;Curby TW;Carter SP
很少有人知道浪漫的伴侣症状的住宿在PTSD症状维持的作用。为了探讨创伤后应激障碍（PTSD）症状和浪漫伴侣症状适应随时间的双向关联，军人（n = 64）与PTSD症状和他们的同居异性恋平民浪漫伴侣（n = 64）完成了为期2周的每日日记研究。交叉滞后，自回归模型评估了男性的PTSD症状和伴侣的住宿的稳定性，以及早期PTSD症状与后期住宿的前瞻性关联，反之亦然。分析使用贝叶斯估计提供点估计值（B）和可信区间（CI）。在所有模型中，PTSD症状（总体和个体群集）高度稳定（B = 0.91; CI：0.88-0.95），调节中度稳定（B = 0.48; CI：0.40-0.54）。在所有模型中，早期PTSD症状（总体和集群）与后期调节显著正相关（B = 0.04; CI：0.02-0.07）。相比之下，较早的适应只与后来的情境回避显著相关（B = 0.02; CI：0.00-0.07）。因此，PTSD症状可能导致浪漫伴侣随后的适应行为，但伴侣适应似乎只有助于幸存者未来的情景回避症状。研究结果强化了PTSD症状对关系行为有影响的观点，特别是来自伴侣的调节可能会维持回避行为。临床医生在与幸存者合作时，应注意浪漫伴侣的适应行为。
Little is known about the role of romantic partner symptom accommodation in PTSD symptom maintenance. To explore the bidirectional associations of posttraumatic stress disorder (PTSD) symptoms and romantic partner symptom accommodation over time, military servicemen (n = 64) with symptoms of PTSD and their co-habiting heterosexual civilian romantic partners (n = 64) completed a 2-week daily diary study. Cross-lagged, autoregressive models assessed the stability of men’s PTSD symptoms and partners’ accommodation, as well as the prospective associations of earlier PTSD symptoms with later accommodation and vice versa. Analyses used Bayesian estimation to provide point estimates (b) and Credible Intervals (CIs). In all models, PTSD symptoms (total and individual clusters) were highly stable (b = 0.91; CI: 0.88–0.95), and accommodation was moderately stable (b = 0.48; CI: 0.40–0.54). In all models, earlier PTSD symptoms (total and clusters) were significantly, positively associated with later accommodation (b = 0.04; CI: 0.02–0.07). In contrast, earlier accommodation was significantly associated only with later situational avoidance (b = 0.02; CI: 0.00–0.07). Thus, PTSD symptoms may lead to subsequent accommodating behaviors in romantic partners, but partner accommodation seems to contribute only to survivors’ future situational avoidance symptoms. The findings reinforce the notion that PTSD symptoms have an impact on relationship behaviors, and that accommodation from partners may sustain avoidant behaviors in particular. Clinicians should attend to romantic partners’ accommodating behaviors when working with survivors.