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退伍军人创伤后应激障碍与配偶关系质量:二元应对的重要性。

Veteran PTSS and spouse relationship quality: The importance of dyadic coping.

作者信息

Lambert Jessica E, Hasbun Amber, Engh Rachel, Holzer Jessica

机构信息

Department of Couple and Family Therapy, California School of Professional Psychology, Alliant International University.

出版信息

Psychol Trauma. 2015 Sep;7(5):493-9. doi: 10.1037/tra0000036. Epub 2015 May 11.

Abstract

Research with combat veterans and their spouses has documented the harmful impact of posttraumatic stress symptoms (PTSS) on relationships, yet few studies have evaluated theoretically based models of relational processes among these couples. In this study, the authors tested 2 moderators of the association between male combat veterans' PTSS and their female spouses' reported relationship quality based on Bodenmann's (1997, 2005) systemic transactional theory of dyadic coping. We hypothesized that supportive dyadic coping and common dyadic coping would moderate the association of PTSS and spouses' relationship quality. Hypotheses were supported. The degree to which a veteran's PTSS was negatively associated with his spouse's relationship quality depended on whether she perceived him as supportive when she experiences stress (i.e., supportive dyadic coping) and the degree to which she perceived the couple as working together to manage difficulties (i.e., common dyadic coping). The significant interactions of PTSS with supportive and common dyadic coping accounted for 11.95% and 10.58% of the variance, respectively. Tests of conditional effects showed veterans' PTSS was only significantly negatively associated with spouses' relationship quality when supportive and common dyadic coping were low. Findings highlight the importance of adaptive dyadic coping behaviors as a protective factor for spouses of veterans and hold implications for research and practice.

摘要

针对退伍军人及其配偶的研究记录了创伤后应激症状(PTSS)对人际关系的有害影响,但很少有研究评估基于理论的这些夫妻间关系过程模型。在本研究中,作者基于博登曼(1997年、2005年)的二元应对系统交易理论,测试了男性退伍军人的PTSS与其女性配偶报告的关系质量之间关联的两个调节变量。我们假设支持性二元应对和共同二元应对会调节PTSS与配偶关系质量之间的关联。假设得到了支持。退伍军人的PTSS与配偶关系质量呈负相关的程度取决于当她经历压力时是否认为他具有支持性(即支持性二元应对),以及她认为夫妻共同应对困难的程度(即共同二元应对)。PTSS与支持性和共同二元应对的显著交互作用分别解释了11.95%和10.58%的变异。条件效应测试表明,只有当支持性和共同二元应对水平较低时,退伍军人的PTSS才与配偶的关系质量显著负相关。研究结果凸显了适应性二元应对行为作为退伍军人配偶保护因素的重要性,并对研究和实践具有启示意义。

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