Ray Susan L, Vanstone Meredith
The University of Western Ontario, Faculty of Health Sciences, School of Nursing, London, Ontario, Canada.
Int J Nurs Stud. 2009 Jun;46(6):838-47. doi: 10.1016/j.ijnurstu.2009.01.002. Epub 2009 Feb 7.
Although there is a significant amount of literature on veterans with PTSD, there is a limited amount of literature on the impact of PTSD on veterans' family relationships and in turn, how these relationships impact healing from trauma. There is evidence that supportive families and friends are immensely helpful to those recovering from PTSD, but how do the symptoms of PTSD impact family relationships and in turn, impact healing from trauma?
This paper examines the impact of PTSD on veterans' family relationships and the impact of these relationships on healing from trauma.
This is a secondary analysis of a currently unpublished study on contemporary peacekeepers healing from trauma. An interpretative phenomenological approach was used as the methodological framework for the study.
Peacekeepers were recruited from Ontario, although they originated from all over Canada and had experienced active service in many different international locations.
Ten contemporary peacekeepers aged 37-46 who had been deployed to Somalia, Rwanda or the former Yugoslavia were interviewed. The peacekeepers had a variety of ranks, specializations, experience, and service records. Each peacekeeper had been receiving treatment for PTSD for at least 2 years.
Data analysis followed the phenomenological method which seeks to uncover the meanings of phenomena experienced by individuals through the analysis of their descriptions. As the themes evolved for the secondary analysis, the primary researcher returned to the transcripts several times for verification of meaning and to find exemplary quotes.
Two major themes emerged on the impact of PTSD on veterans' family relationships and how these relationships impact healing from trauma: emotional numbing and anger negatively impacts familial relationships; and emotional withdrawal from family support creates a struggle with healing from trauma.
The impact of PTSD on veterans' family relationships, in particular the symptoms of emotional numbing and anger should be heeded. It is recommended that treatment for PTSD include support of the family and interpersonal skills training for military personnel suffering while healing from trauma. Future studies are needed to further explore the impact of PTSD on veterans' family relationships in order to provide the best treatment approaches.
尽管有大量关于创伤后应激障碍(PTSD)退伍军人的文献,但关于PTSD对退伍军人家庭关系的影响以及这些关系如何反过来影响创伤愈合的文献却很有限。有证据表明,支持性的家人和朋友对从PTSD中恢复的人非常有帮助,但PTSD的症状如何影响家庭关系,进而影响创伤愈合呢?
本文探讨PTSD对退伍军人家庭关系的影响以及这些关系对创伤愈合的影响。
这是对一项目前未发表的关于当代维和人员创伤愈合研究的二次分析。采用解释性现象学方法作为该研究的方法框架。
维和人员从安大略省招募,尽管他们来自加拿大各地,并在许多不同的国际地点服过现役。
对10名年龄在37 - 46岁、曾被部署到索马里、卢旺达或前南斯拉夫的当代维和人员进行了访谈。这些维和人员有不同的军衔、专业、经验和服役记录。每位维和人员都接受PTSD治疗至少两年。
数据分析采用现象学方法,该方法旨在通过分析个人描述来揭示他们所经历现象的意义。随着二次分析主题的演变,主要研究者多次返回转录本以核实意义并寻找典型引语。
出现了两个关于PTSD对退伍军人家庭关系的影响以及这些关系如何影响创伤愈合的主要主题:情感麻木和愤怒对家庭关系产生负面影响;从家庭支持中情感退缩给创伤愈合带来困难。
应注意PTSD对退伍军人家庭关系的影响,特别是情感麻木和愤怒的症状。建议对PTSD的治疗包括对家庭的支持以及对创伤愈合过程中受苦的军事人员进行人际交往技能培训。需要进一步研究以进一步探索PTSD对退伍军人家庭关系的影响,以便提供最佳治疗方法。