Manguno-Mire Gina, Sautter Frederic, Lyons Judith, Myers Leann, Perry Dana, Sherman Michelle, Glynn Shirley, Sullivan Greer
VA South Central (VISN 16) Mental Illness Research, Education, and Clinical Center, Little Rock, Arkansas, USA.
J Nerv Ment Dis. 2007 Feb;195(2):144-51. doi: 10.1097/01.nmd.0000254755.53549.69.
Psychological distress among cohabitating female partners of combat veterans with posttraumatic stress disorder (PTSD) was examined in a cross-sectional study using a modified version of the Health Belief Model. A convenience sample of 89 cohabitating female partners of male veterans in outpatient PTSD treatment was interviewed by telephone using a structured interview. Partners endorsed high levels of psychological distress with elevations on clinical scales at or exceeding the 90th percentile. Severe levels of overall psychological distress, depression, and suicidal ideation were prevalent among partners. Multivariate analyses revealed that perceived threat, recent mental health treatment, and level of involvement with veterans predicted global partner psychological distress. Partner burden was predicted by partner self-efficacy, perceived threat, barriers to mental health treatment, and partner treatment engagement. These findings are compelling since they demonstrate that partners of veterans with combat-related PTSD experience significant levels of emotional distress that warrant clinical attention. Psychological distress and partner burden were each associated with a unique combination of predictors, suggesting that although these constructs are related, they have distinct correlates and potentially different implications within the family environment. Future research should examine these constructs separately using causal modeling analyses to identify modifiable targets for interventions to reduce psychological distress among partners of individuals with PTSD.
在一项横断面研究中，使用健康信念模型的修改版，对患有创伤后应激障碍（PTSD）的退伍军人的同居女性伴侣的心理困扰进行了研究。采用结构化访谈通过电话对89名在门诊接受PTSD治疗的男性退伍军人的同居女性伴侣这一便利样本进行了访谈。伴侣们认可高水平的心理困扰，临床量表得分升高至或超过第90百分位数。伴侣中普遍存在严重的总体心理困扰、抑郁和自杀意念。多变量分析显示，感知到的威胁、近期的心理健康治疗以及与退伍军人的参与程度可预测伴侣的总体心理困扰。伴侣自我效能感、感知到的威胁、心理健康治疗的障碍以及伴侣治疗参与度可预测伴侣负担。这些发现很有说服力，因为它们表明，患有与战斗相关PTSD的退伍军人的伴侣经历了显著程度的情绪困扰，值得临床关注。心理困扰和伴侣负担各自与一组独特的预测因素相关，这表明尽管这些构念相关，但它们在家庭环境中有不同的关联因素和潜在的不同影响。未来的研究应使用因果模型分析分别研究这些构念，以确定可改变的干预目标，以减少PTSD患者伴侣的心理困扰。
