Emotional Disclosure and Posttraumatic Stress Symptoms: Veteran and Spouse Reports
Emotional Disclosure and Posttraumatic Stress Symptoms: Veteran and Spouse Reports
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DOI：
10.1037/a0035162
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发表时间：
2014-05-01
影响因子：
4
通讯作者：
Renshaw, Keith D.
中科院分区：
文献类型：
--
作者：
Hoyt, Tim;Renshaw, Keith D.
最近的研究表明，退伍军人的自我表露与创伤后应激症状之间存在关系。然而，之前的研究并没有在披露之前控制创伤后应激障碍（PTSD）症状，这使得这种关联的方向性受到质疑。持久自由行动（OEF）和伊拉克自由行动（OIF）来自犹他州国民警卫队和预备役的退伍军人（n = 81）和服务人员的伴侣（n = 80）在部署后的两个不同时间点完成了战斗暴露、创伤后应激障碍症状、社会支持和情绪披露的调查措施。即使在控制先前的PTSD症状和感知到的社会支持的情况下，在没有共同战斗经历的情况下，更多地向支持人物透露有关战斗部署的积极情绪预示着较低的PTSD症状。相比之下，即使在控制之前的PTSD症状的情况下，向同样经历过战斗的支持人物透露更多信息也预示着更严重的PTSD症状。披露与战斗部署有关的积极情绪可能是防止创伤后应激症状发展和维持的一种保护因素，特别是当这种披露包括没有共同部署经历的个人时。
Recent research has shown a relationship between self-disclosure and symptoms of posttraumatic stress in combat veterans. However, previous research has not controlled for posttraumatic stress disorder (PTSD) symptoms prior to disclosure, leaving the directionality of this association in question. Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) veteran service members from the Utah National Guard and Reserves (n = 81) and partners of service members (n = 80) completed survey measures of combat exposure, PTSD symptoms, social support, and emotional disclosure at two separate time points after deployment. Greater disclosure of positive emotions regarding combat deployment to support figures without shared combat exposure predicted lower symptoms of PTSD, even when controlling for prior symptoms of PTSD and perceived social support. In contrast, greater disclosure to support figures who also experienced combat predicted greater symptoms of PTSD, even when controlling for prior PTSD symptoms. Disclosure of positive emotions associated with combat deployment may serve as a protective factor against the development and maintenance of posttraumatic stress symptoms, particularly when that disclosure includes individuals without shared deployment experiences.