跨治疗阶段对退伍军人及其伴侣的家庭功能进行纵向分析。

Longitudinal analyses of family functioning in veterans and their partners across treatment.

机构信息

School of Psychological Science, La Trobe University, Bundoora 3086, Victoria, Australia.

出版信息

J Consult Clin Psychol. 2010 Oct;78(5):611-22. doi: 10.1037/a0020457.

DOI:10.1037/a0020457

PMID:20873897

Abstract

OBJECTIVE

This study evaluated the relations between posttraumatic stress disorder (PTSD) symptoms and poor family functioning in veterans and their partners.

METHOD

Data were collected from Caucasian veterans with PTSD (N = 1,822) and their partners (N = 702); mean age = 53.9 years, SD = 7.36. Veterans completed the Posttraumatic Checklist Military Version (PCL-M) and, along with their partners, completed the McMaster Family Assessment Device (FAD-12). Assessments were conducted at intake into a treatment program at 3 months and 9 months posttreatment.

RESULTS

Structural equation models (SEMs) were developed for veterans as well as for veterans and their partners. Poor family functioning for veterans at intake predicted intrusion (β = .08), hyperarousal (β = .07), and avoidance (β = .09) at 3 months posttreatment. At 3 months posttreatment, family functioning predicted hyperarousal (β = .09) and avoidance (β = .10) at 9 months. For veterans and their partners, family functioning at intake predicted avoidance (β = .07) at 3 months, and poor family functioning at 3 months predicted intrusion (β = .09) and hyperarousal (β = .14) at 9 months. The reverse pathways, with PTSD symptoms predicting poor family functioning, were only evident with avoidance (β = .06).

CONCLUSION

Family functioning may play a role in treatment for veterans.

摘要

目的

本研究评估了创伤后应激障碍（PTSD）症状与退伍军人及其伴侣不良家庭功能之间的关系。

方法

数据来自患有 PTSD 的白种退伍军人（N=1822）及其伴侣（N=702）；平均年龄为 53.9 岁，标准差为 7.36。退伍军人完成了创伤后清单军事版（PCL-M），并与他们的伴侣一起完成了麦克马斯特家庭评估工具（FAD-12）。评估在治疗项目入组时、3 个月和 9 个月时进行。

结果

为退伍军人以及退伍军人及其伴侣建立了结构方程模型（SEM）。入组时退伍军人的家庭功能不良预测了 3 个月时的闯入（β=0.08）、过度唤起（β=0.07）和回避（β=0.09）。3 个月时，家庭功能预测了 9 个月时的过度唤起（β=0.09）和回避（β=0.10）。对于退伍军人及其伴侣，入组时的家庭功能预测了 3 个月时的回避（β=0.07），3 个月时的家庭功能不良预测了闯入（β=0.09）和过度唤起（β=0.14）。仅在回避时，PTSD 症状预测不良家庭功能的反向途径才明显（β=0.06）。