Psychiatric Department of Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina.
Psychiatr Danub. 2012 Sep;24(3):280-6.
Along with primary traumatization, wives of PTSD-diagnosed war veterans often become victims of the altered and dysfunctional state of their partners, which adds to the severity of symptoms of primary traumatization and furthers the development of other mental disorders. The aim of this study was to compare the effects of primary and secondary traumatization in wives of PTSD-diagnosed war veterans and wives of war veterans without PTSD.
The experimental group consisted of 154 wives whose veteran husbands had been treated in Mostar Clinical Hospital for psychotrauma-induced PTSD. The control group was formed of 77 wives of war veterans who do not suffer from PTSD. The research used a general demographic questionnaire, the Harvard Trauma Questionnaire (HTQ) and the MINI International Neuropsychiatric Interview.
Wives of veterans with chronic PTSD experienced a significantly greater number of traumatic events (t=2.66; p=0.008) and had higher scores of PTSD symptoms (t=8.93; p<0.001). A significantly larger number of these women reported chronic somatic diseases (χ²=4.553; p=0.033). Furthermore, wives of PTSD-affected veterans significantly more frequently met criteria for current depression episode (χ²=20.65; p<0.001), past depression episode (χ²=24.40; p<0.001), depression with melancholic features (χ²=19.20; p<0.001), dysthymia (χ²=7.15; p=0.007), panic disorder with agoraphobia (χ²=5.28; p=0.022), PTSD (χ²=18.39; ss=1; p<0.001) and generalized anxiety disorder (χ²=19.58; p<0.001). This group also showed a higher level of suicidality (χ²=8.95; p=0.003).
The findings of this research show how mental difficulties experienced by wives of PTSD-diagnosed war veterans affect the interrelationship of their primary and secondary traumatization.
除了原发性创伤外，患有 PTSD 的退伍军人的妻子通常也成为其伴侣异常和功能失调状态的受害者，这增加了原发性创伤症状的严重程度，并进一步导致其他精神障碍的发展。本研究的目的是比较 PTSD 诊断的退伍军人的妻子和没有 PTSD 的退伍军人的妻子的原发性和继发性创伤的影响。
实验组由 154 名在莫斯塔尔临床医院接受 PTSD 所致心理创伤治疗的 PTSD 诊断退伍军人的妻子组成。对照组由 77 名没有 PTSD 的退伍军人的妻子组成。研究使用一般人口统计学问卷、哈佛创伤问卷（HTQ）和 MINI 国际神经精神病学访谈。
患有慢性 PTSD 的退伍军人的妻子经历了更多的创伤事件（t=2.66；p=0.008），并且 PTSD 症状评分更高（t=8.93；p<0.001）。这些女性中报告患有慢性躯体疾病的人数显著更多（χ²=4.553；p=0.033）。此外，患有 PTSD 的退伍军人的妻子更频繁地符合当前抑郁发作（χ²=20.65；p<0.001）、过去抑郁发作（χ²=24.40；p<0.001）、忧郁特征的抑郁发作（χ²=19.20；p<0.001）、心境恶劣障碍（χ²=7.15；p=0.007）、伴广场恐怖症的惊恐障碍（χ²=5.28；p=0.022）、PTSD（χ²=18.39；ss=1；p<0.001）和广泛性焦虑障碍（χ²=19.58；p<0.001）的诊断标准。该组还表现出更高的自杀倾向（χ²=8.95；p=0.003）。
这项研究的结果表明，患有 PTSD 诊断的退伍军人的妻子所经历的精神困难如何影响他们的原发性和继发性创伤的相互关系。
