Bob Shappell School of Social Work, Tel Aviv University.
J Fam Psychol. 2011 Oct;25(5):688-98. doi: 10.1037/a0024065.
This study examined parental functioning, parental satisfaction, and concern for offspring during their child's military service, among war veterans, some of whom suffered from acute combat-induced stress reaction (CSR) and posttraumatic stress disorder (PTSD). In addition, we examined the additive and interactive contributions of CSR, PTSD and attachment dimensions to parenting measures. The sample consisted of 477 participants divided into two groups: a clinical group of veterans who had been diagnosed with CSR on the battlefield (N = 267), and a matched control group of veterans who did not suffer from CSR (NCSR; N = 210). CSR, PTSD, avoidant-attachment, and anxious-attachment, were all related to lower levels of parental functioning and satisfaction. Veterans who suffered from both CSR and PTSD reported more concern for their offspring during their child's military service compared to veterans with PTSD but without antecedent CSR. Attachment dimensions and specifically attachment-avoidance, made the greatest contribution to parenting measures, followed by posttraumatic symptoms. In addition, attachment-avoidance moderated the relationship between posttraumatic symptoms and parental functioning. Theoretical and clinical implications of these results are discussed.
本研究考察了父母在子女服兵役期间的功能、满意度和对子女的关注，其中一些人患有急性战斗诱发的应激反应（CSR）和创伤后应激障碍（PTSD）。此外，我们还研究了 CSR、PTSD 和依恋维度对养育措施的附加和交互贡献。该样本由 477 名参与者组成，分为两组：一组是在战场上被诊断患有 CSR 的退伍军人（n=267）的临床组，另一组是没有 CSR 的退伍军人（非 CSR，n=210）的匹配对照组。CSR、PTSD、回避型依恋和焦虑型依恋都与较低的父母功能和满意度有关。与仅患有 PTSD 而无 CSR 病史的退伍军人相比，同时患有 CSR 和 PTSD 的退伍军人在子女服兵役期间对子女的关注更多。依恋维度，特别是回避型依恋，对养育措施的贡献最大，其次是创伤后症状。此外，回避型依恋调节了创伤后症状与父母功能之间的关系。讨论了这些结果的理论和临床意义。
