Kachadourian Lorig K, Smith Brian N, Taft Casey T, Vogt Dawne
National Center for PTSD, VA Connecticut Healthcare System, West Haven, Connecticut, USA.
Yale University School of Medicine, Department of Psychiatry, New Haven, Connecticut, USA.
J Trauma Stress. 2015 Oct;28(5):418-25. doi: 10.1002/jts.22033. Epub 2015 Sep 23.
This study examined relationships between combat-exposed Operation Enduring Freedom/Operation Iraqi Freedom veterans' experiences related to infidelity during deployment (i.e., indicating that a partner was unfaithful or reporting concern about potential infidelity) and postdeployment mental health, as well as the role of subsequent stress exposure and social support in these associations. The sample consisted of 571 individuals (338 men). There were 128 participants (22.2%) who indicated that their partners were unfaithful during their most recent deployment. Of the remaining 443 participants, 168 (37.8%) indicated that they were concerned that their partners might have been unfaithful. Individuals who indicated that their partners were unfaithful exhibited higher levels of posttraumatic stress symptomatology (β = .08; f(2) = .18) and depression symptom severity (β = .09; f(2) = .14), compared to individuals who did not indicate that their partners were unfaithful. For both men and women, reported infidelity was associated with mental health indirectly via postdeployment life stressors, whereas infidelity concerns were indirectly associated with mental health via postdeployment life stressors for men only. Findings suggested that infidelity can have a significant impact on combat-exposed veterans' mental health and highlight the need for additional research on this understudied topic within the military population.
本研究调查了参与过持久自由行动/伊拉克自由行动的退伍军人在部署期间与不忠行为相关的经历（即表明伴侣不忠或报告对潜在不忠行为的担忧）与部署后心理健康之间的关系，以及后续压力暴露和社会支持在这些关联中的作用。样本包括571人（338名男性）。有128名参与者（22.2%）表示他们的伴侣在最近一次部署期间不忠。在其余443名参与者中，168人（37.8%）表示他们担心伴侣可能不忠。与未表明伴侣不忠的个体相比，表明伴侣不忠的个体表现出更高水平的创伤后应激症状（β = 0.08；f(2) = 0.18）和抑郁症状严重程度（β = 0.09；f(2) = 0.14）。对于男性和女性而言，报告的不忠行为通过部署后的生活压力源与心理健康间接相关，而只有男性的不忠担忧通过部署后的生活压力源与心理健康间接相关。研究结果表明，不忠行为可能对参与过战斗的退伍军人的心理健康产生重大影响，并突出了对军事人群中这一研究不足的主题进行更多研究的必要性。
