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风险与复原力路径:家庭复原力项目对现役军人父母的影响

Pathways of Risk and Resilience: Impact of a Family Resilience Program on Active-Duty Military Parents.

作者信息

Saltzman William R, Lester Patricia, Milburn Norweeta, Woodward Kirsten, Stein Judith

机构信息

UCLA Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA.

Navy Bureau of Medicine and Surgery, Bethesda, MD.

出版信息

Fam Process. 2016 Dec;55(4):633-646. doi: 10.1111/famp.12238. Epub 2016 Sep 6.

Abstract

Over the past decade, studies into the impact of wartime deployment and related adversities on service members and their families have offered empirical support for systemic models of family functioning and a more nuanced understanding of the mechanisms by which stress and trauma reverberate across family and partner relationships. They have also advanced our understanding of the ways in which families may contribute to the resilience of children and parents contending with the stressors of serial deployments and parental physical and psychological injuries. This study is the latest in a series designed to further clarify the systemic functioning of military families and to explicate the role of resilient family processes in reducing symptoms of distress and poor adaptation among family members. Drawing upon the implementation of the Families Overcoming Under Stress (FOCUS) Family Resilience Program at 14 active-duty military installations across the United States, structural equation modeling was conducted with data from 434 marine and navy active-duty families who participated in the FOCUS program. The goal was to better understand the ways in which parental distress reverberates across military family systems and, through longitudinal path analytic modeling, determine the pathways of program impact on parental distress. The findings indicated significant cross-influence of distress between the military and civilian parents within families, families with more distressed military parents were more likely to sustain participation in the program, and reductions in distress among both military and civilian parents were significantly mediated by improvements in resilient family processes. These results are consistent with family systemic and resilient models that support preventive interventions designed to enhance family resilient processes as an important part of comprehensive services for distressed military families.

摘要

在过去十年中,关于战时部署及相关逆境对军人及其家庭影响的研究,为家庭功能的系统模型提供了实证支持,并让人们对压力和创伤在家庭及伴侣关系中产生影响的机制有了更细致入微的理解。这些研究还增进了我们对家庭如何助力儿童和父母应对连续部署带来的压力源以及父母身体和心理创伤的恢复力的理解。本研究是一系列旨在进一步阐明军属家庭系统功能、阐释具有恢复力的家庭过程在减轻家庭成员痛苦症状和适应不良方面所起作用的研究中的最新一项。研究借鉴了美国14个现役军事基地实施的“压力下的家庭克服困难(FOCUS)家庭恢复力计划”,对参与FOCUS计划的434个海军陆战队和海军现役家庭的数据进行了结构方程建模。目的是更好地理解父母的痛苦如何在军属家庭系统中产生影响,并通过纵向路径分析建模确定该计划对父母痛苦产生影响的途径。研究结果表明,家庭中军职和文职父母的痛苦之间存在显著的交叉影响,军职父母痛苦程度更高的家庭更有可能持续参与该计划,军职和文职父母痛苦程度的降低在很大程度上是通过具有恢复力的家庭过程的改善来实现的。这些结果与家庭系统和恢复力模型一致,这些模型支持预防性干预措施,将增强家庭恢复力过程作为为痛苦的军属家庭提供综合服务的重要组成部分。

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