Calhoun Patrick S, Beckham Jean C, Bosworth Hayden B
Health Services Research, VA Medical Center, Durham, North Carolina 27705, USA.
J Trauma Stress. 2002 Jun;15(3):205-12. doi: 10.1023/A:1015251210928.
Caregiver burden and psychological distress were examined in a sample of 71 partners of Vietnam War combat veterans. Partners of patients (n = 51) diagnosed with posttraumatic stress disorder (PTSD) experienced more caregiver burden and had poorer psychological adjustment than did partners of veterans without PTSD (n = 20). Among PTSD caregivers, patient PTSD symptom severity and level of interpersonal violence were associated with increased caregiver burden. When accounting for patient PTSD symptom severity, hostility, presence of major depression, level of interpersonal violence, and health complaints, only PTSD severity was uniquely associated with caregiver burden. Caregiver sociodemographic factors including age, race, education, and the availability of social support, did not moderate the relationship between PTSD symptom severity and caregiver burden. Caregiver burden was strongly related to spouse psychological adjustment.
对71名越战退伍军人的伴侣进行了调查，以研究照护者负担和心理困扰情况。被诊断患有创伤后应激障碍（PTSD）的患者的伴侣（n = 51）比没有PTSD的退伍军人的伴侣（n = 20）承受着更多的照护者负担，并且心理调适状况更差。在患有PTSD的照护者中，患者的PTSD症状严重程度和人际暴力水平与照护者负担增加有关。在考虑患者的PTSD症状严重程度、敌意、是否存在重度抑郁、人际暴力水平和健康问题后，只有PTSD严重程度与照护者负担存在独特关联。照护者的社会人口学因素，包括年龄、种族、教育程度和社会支持的可获得性，并未调节PTSD症状严重程度与照护者负担之间的关系。照护者负担与配偶的心理调适密切相关。
