权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Gender Differences in OEF/OIF Veterans’ Partnerships and PTSD Symptomology

OEF/OIF 退伍军人伙伴关系中的性别差异和 PTSD 症状

基本信息

批准号：
9312130
负责人：
Holly Beth Laws
金额：
--
依托单位：
VA CONNECTICUT HEALTHCARE SYSTEM
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-10-01 至 2018-09-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9312130
关键词：
Address Affect Area Attention Behavior Caring Cereals Characteristics Clinical Conflict (Psychology)Couples Data Analyses Development Disclosure Disease Distress Divorce Eligibility Determination Emotional Evaluation Family Family Relationship Family Research Family member Family psychotherapy Female Freedom Gender General Population Goals Health Personnel Healthcare Holly Individual Intervention K-Series Research Career Programs Laws Life Link Marriage Measurement Measures Mental Depression Mental Health Mentors Mentorship Meta-Analysis Military Personnel Outcome Patient Self-Report Pattern Persons Policies Post-Traumatic Stress Disorders Process Provider Psychotherapy Publishing Recovery Reporting Research Research Personnel Resources Self Disclosure Services Social support Spouses Symptoms Time Training Training Activity Trauma Treatment outcome Veterans Woman Work career cohort combat coping design emotional disclosure expectation experience gender difference health care service utilization health related quality of life improved intimate partner violence male men novel operation psychosocial screening social symptomatology tool treatment adherence

项目摘要

Research has shown that Veterans experience better clinical outcomes and are more consistently engaged in mental health treatment when their families are involved in their mental health care. While recent changes in Department of Veterans Affairs (VA) policy place greater emphasis on family involvement in Veterans' mental health care, rates of family psychotherapy provision remain low (under four percent) and have not increased as a proportion of total mental health care service use. More troubling, rates of family psychotherapy for female Veterans are declining as a proportion of service use, despite preliminary evidence that women may benefit most from family involvement. The proposed project will identify patterns of behaviors within marital and cohabitating partnerships that support Veterans' recovery from PTSD and successful family reintegration post-deployment, paying particular attention to gender differences in these associations. Further understanding of the basic processes within partnerships that facilitate or hinder Veterans' reintegration will help providers more effectively engage families in Veterans' mental health care. The proposed mentored career development award (CDA-1) application details a two-year plan that will provide training to advance candidate Dr. Holly Laws toward a career as an independent researcher at the VA. The project aims to identify patterns of behavior within marital and cohabiting partnerships that are related to male and female Veterans' recovery from PTSD and successful family reintegration as they separate from military service. To accomplish this goal, Dr. Laws will leverage her expertise in dyadic (or two-person) multilevel data analysis and will integrate training in three new areas: 1) VA family research and psychotherapy initiatives, 2) gender differences in Veterans' experiences, and 3) PTSD course, treatment, and evaluation. Mentors expert in these areas will guide Dr. Laws' training activities, provide project mentorship, and support her professional development as an early career VA family researcher. Research that includes both Veterans and their partners is only beginning to be conducted regularly, with a majority of prior research relying on Veterans' self-reports of their relationships and well-being. This means that VA clinicians have a mandate to include Veterans' families members (most often spouses or partners) in their mental health care, with only limited research indicating how partners' unique characteristics and perspectives can help Veterans' mental health treatment. Further, there are no published studies that compare the partnerships of female Veterans to those of male Veterans. The proposed study aims to address these two gaps in the current research on Veteran couples by examining how relationship qualities such as distress, trauma disclosure, and conflict relate to PTSD symptoms and family reintegration in Veterans after discharge from military service. The specific contributions of this project are twofold. First, it will differentiate partnership processes as reported by Veterans from those reported by their partners. By disentangling these perspectives, findings can be used to inform Veteran- and partner-specific intervention and engagement strategies in couples' psychotherapy. Second, this project will identify gender differences in how relationship qualities relate to male Veterans' versus female Veterans' well- being. Results from the proposed work will inform a CDA-2 proposal to apply these findings in the development of an evaluation and screening tool that incorporates gender-specific information to meet the differential family engagement needs of male versus female Veterans. A more fine-grained understanding of how processes within partnership relate to the well-being of male and female Veterans could inform targeted psychosocial interventions to change maladaptive patterns within partnerships, or to reinforce those associated with Veterans' improved well-being.

研究表明，退伍军人的临床结果更好，而且更稳定当他们的家人参与他们的心理健康护理时，他们从事心理健康治疗。虽然是最近的退伍军人事务部(VA)政策的变化更加强调家庭参与退伍军人的心理保健、家庭心理治疗率仍然很低(不到4%)和在精神卫生保健服务使用总量中所占比例没有增加。更令人不安的是，家庭出生率尽管有初步证据表明，女性退伍军人的心理治疗在服务使用中的比例正在下降女性可能从家庭参与中受益最多。拟议的项目将确定行为模式在婚姻和同居伙伴关系中支持退伍军人从创伤后应激障碍和成功的家庭中恢复在部署后重返社会，特别注意这些协会中的性别差异。进一步了解伙伴关系中促进或阻碍退伍军人重新融入社会的基本程序将帮助提供者更有效地让家庭参与退伍军人的心理健康护理。拟议的辅导职业发展奖(CDA-1)申请详细说明了一项为期两年的计划，该计划将提供培训，帮助候选人霍莉·劳斯博士成为退伍军人管理局的独立研究员。该项目旨在确定婚姻和同居伙伴关系中与以下方面相关的行为模式男性和女性退伍军人从创伤后应激障碍中恢复并成功地重新融入家庭服兵役。为了实现这一目标，劳斯博士将利用她在二人(或两人)方面的专长。多层次数据分析，并将整合三个新领域的培训：1)退伍军人家庭研究和心理治疗倡议，2)退伍军人经历的性别差异，以及3)创伤后应激障碍的病程、治疗和评估。这些领域的专家导师将指导劳博士的培训活动，提供项目指导和支持作为一名早期职业生涯的退伍军人家庭研究员，她的专业发展。包括退伍军人和他们的伴侣在内的研究才刚刚开始定期进行，之前的大部分研究都依赖于退伍军人对他们的关系和幸福感的自我报告。这意味着退伍军人临床医生有权包括退伍军人的家庭成员(通常是配偶或在他们的心理健康护理方面，只有有限的研究表明，伴侣的独特特征而观点可以帮助退伍军人的心理健康治疗。此外，目前还没有已发表的研究表明比较女性退伍军人和男性退伍军人的伙伴关系。这项拟议的研究旨在通过以下方式解决目前对退伍军人夫妇的研究中的这两个差距探讨诸如痛苦、创伤披露和冲突等人际关系品质与创伤后应激障碍的关系退伍军人退役后的症状和家庭团聚。具体贡献这个项目有两个方面。首先，它将把退伍军人报告的伙伴关系进程与那些由他们的伴侣报告。通过理清这些观点，研究结果可以用来向退伍军人提供信息夫妻心理治疗中的针对伴侣的干预和参与策略。第二，这个项目将确定男性退伍军人和女性退伍军人在关系质量方面的性别差异是存在的。拟议工作的结果将成为CDA-2提案的依据，以便将这些发现应用于开发评估和筛选工具，其中纳入了针对性别的信息，以满足不同家庭的需求男性退伍军人与女性退伍军人的参与需求。更细粒度地了解流程是如何在与男性和女性退伍军人的福祉有关的伙伴关系内，可以向目标心理社会提供信息采取干预措施，以改变伙伴关系内的不适应模式，或加强与退伍军人的幸福感得到改善。