School of Psychological Science, La Trobe University, Bundoora 3086, Victoria, Australia.
J Consult Clin Psychol. 2010 Oct;78(5):611-22. doi: 10.1037/a0020457.
This study evaluated the relations between posttraumatic stress disorder (PTSD) symptoms and poor family functioning in veterans and their partners.
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.
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).
Family functioning may play a role in treatment for veterans.
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。
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。
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）。
家庭功能可能在退伍军人的治疗中起作用。
