Minneapolis Veterans Affairs Healthcare System, Minneapolis, MN 55412, USA.
J Fam Psychol. 2011 Aug;25(4):479-87. doi: 10.1037/a0024007.
Relationship adjustment and posttraumatic stress disorder (PTSD) symptoms were assessed across two time points in a sample of 313 married or partnered National Guard soldiers recently returned from combat duty in Iraq. Structural equation modeling using a four-factor model for PTSD found the latent variable dysphoria (reflecting generalized distress including aspects of emotional numbing and arousal) had the strongest independent contribution to predicting relationship adjustment at Time 1 and indirectly predicted poorer relationship adjustment at Time 2. Exploratory analysis of gender differences (n = 33 women; n = 280 men) suggested a different pattern of relations between PTSD factors and relationship adjustment among female soldiers at Time 1, with a trend toward trauma specific avoidance being more highly related to relationship adjustment. Clinical and research implications are discussed.
在一项由 313 名最近从伊拉克作战任务中返回的国民警卫队已婚或伴侣士兵组成的样本中，在两个时间点评估了关系调整和创伤后应激障碍（PTSD）症状。使用 PTSD 的四因素模型进行结构方程建模发现，潜变量苦恼（反映包括情绪麻木和唤醒等方面的一般痛苦）对预测第一时间的关系调整有最强的独立贡献，并间接地预测了第二时间的关系调整较差。对性别差异的探索性分析（n=33 名女性；n=280 名男性）表明，女性士兵在第一时间 PTSD 因素与关系调整之间的关系存在不同模式，创伤特异性回避呈正相关，与关系调整的相关性更强。讨论了临床和研究意义。
