PTSD symptoms, disclosure, and relationship distress: explorations of mediation and associations over time.
PTSD symptoms, disclosure, and relationship distress: explorations of mediation and associations over time.
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DOI：
10.1016/j.janxdis.2013.06.007
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发表时间：
2013-06
影响因子：
10.3
通讯作者：
Renshaw KD
中科院分区：
文献类型：
--
作者：
Campbell SB;Renshaw KD
创伤后应激障碍（PTSD）的情感麻木症状与退伍军人及其浪漫伴侣的关系满意度呈负相关。许多人推测，这种关联的一个机制可能是退伍军人的披露减少，但以前的研究缺乏适当的数据来验证这一假设。在OIF/OEF时代的224名国民警卫队服务成员（SM）和214名浪漫伴侣的样本中，我们测量了SM的PTSD症状。四到六个月后，我们评估了双方的报告SM的情绪披露和双方的关系满意度（83 SM和91合作伙伴完成时间2）。在路径分析中，短信的情感麻木与他们后来的关系满意度呈负相关。此外，SM的情绪麻木与双方的SM的情绪披露报告呈负相关。最后，自我监控者的情感麻木通过减少情感表露对双方的关系满意度产生了显著或接近显著的间接影响。研究结果表明，在研究PTSD背景下的夫妇功能或通过联合干预治疗PTSD时，考虑伴侣双方的看法非常重要。
Emotional numbing symptoms of posttraumatic stress disorder (PTSD) are negatively associated with relationship satisfaction in combat veterans and their romantic partners. Many speculate that one mechanism of this association may be decreased disclosure by veterans, but previous studies lacked appropriate data to test this hypothesis. In a sample of 224 OIF/OEF-era National Guard service members (SMs) and 214 of their romantic partners, we measured SMs’ PTSD symptoms. Four to six months later, we assessed both partners’ reports of SMs’ emotional disclosure and both partners’ relationship satisfaction (83 SMs and 91 partners completed Time 2). In a path analysis, SMs’ emotional numbing was negatively associated with their later relationship satisfaction. Furthermore, SMs’ emotional numbing was negatively associated with both partners’ reports of SMs’ emotional disclosure. Finally, SMs’ emotional numbing exerted significant or nearly significant indirect effects on both partners’ relationship satisfaction via decreased emotional disclosure. The findings demonstrated the importance of accounting for both partners’ perceptions when studying couple functioning in the context of PTSD or treating PTSD via conjoint intervention.
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