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退伍军人与伴侣关于亲密伴侣攻击行为报告之间的一致性。

Agreement between veteran and partner reports of intimate partner aggression.

作者信息

LaMotte Adam D, Taft Casey T, Reardon Annemarie F, Miller Mark W

机构信息

Behavioral Science Division, National Center for PTSD, VA Boston Healthcare System.

出版信息

Psychol Assess. 2014 Dec;26(4):1369-74. doi: 10.1037/pas0000018. Epub 2014 Sep 29.

Abstract

We examined intimate partner aggression (IPA) reporting concordance between veterans and their partners and investigated relationship satisfaction, posttraumatic stress disorder (PTSD) symptoms, and relationship attributions as correlates of IPA reporting discrepancies. The sample consisted of 239 veterans of different service eras and their intimate partners. Veterans and partners reported their physical and psychological IPA perpetration and victimization over the past 6 months. Methodological improvements over prior concordance studies included the use of clinician-assessed PTSD symptoms and the assessment of relationship attributions via observational coding of couples' conflict interactions. Results suggested low to moderate levels of agreement between veterans and partners and indicated that relationship satisfaction was associated with reporting less IPA than one's partner reported, replicating prior concordance findings. Previous concordance findings with self-reported PTSD symptoms were also reproduced in the current study using clinician-assessed PTSD symptoms. Veterans' PTSD symptoms were associated with reporting less IPA than their partners reported and partners' PTSD symptoms were associated with reporting more IPA than the veterans reported. Additionally, we found an association between relationship attributions and reporting discrepancies. For both dyad members, making more positive and less negative relationship attributions was associated with reporting less IPA than one's partner reported. Findings underscore the difficulty of obtaining objective self-reports of adverse behavior and highlight factors that may influence such reports. Clinically, this information could be used to better identify cases in which obtaining collateral reports of IPA are particularly warranted.

摘要

我们研究了退伍军人与其伴侣之间亲密伴侣攻击行为(IPA)报告的一致性,并调查了关系满意度、创伤后应激障碍(PTSD)症状以及关系归因作为IPA报告差异的相关因素。样本包括239名不同服役时期的退伍军人及其亲密伴侣。退伍军人和伴侣报告了他们在过去6个月中的身体和心理IPA实施情况及受害情况。与之前的一致性研究相比,方法上的改进包括使用临床医生评估的PTSD症状以及通过对夫妻冲突互动的观察编码来评估关系归因。结果表明退伍军人和伴侣之间的一致性处于低到中等水平,并表明关系满意度与报告的IPA少于伴侣报告的情况相关,这与之前的一致性研究结果一致。在本研究中,使用临床医生评估的PTSD症状也重现了之前关于自我报告PTSD症状的一致性研究结果。退伍军人的PTSD症状与报告的IPA少于其伴侣报告的情况相关,而伴侣的PTSD症状与报告的IPA多于退伍军人报告的情况相关。此外,我们发现关系归因与报告差异之间存在关联。对于双方成员而言,做出更多积极和更少消极的关系归因与报告的IPA少于伴侣报告的情况相关。研究结果强调了获得不良行为客观自我报告的困难,并突出了可能影响此类报告的因素。在临床上,这些信息可用于更好地识别特别需要获取IPA旁证报告的案例。

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