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夫妻间的自我表露创伤与创伤后应激症状:一项纵向研究。

Self-Disclosing Trauma and Post-Traumatic Stress Symptoms in Couples: A Longitudinal Study.

作者信息

Stein Jacob Y, Lahav Yael, Solomon Zahava

出版信息

Psychiatry. 2017 Spring;80(1):79-91. doi: 10.1080/00332747.2016.1175836.

Abstract

OBJECTIVE

Most research concerning the implications of self-disclosure on trauma's aftermath has focused on the salubrious effects disclosure may foster for the primary victim. However, the manner in which recipients of disclosure are symptomatically affected by it remains unexamined. Of particular interest are spouses who are often the primary support providers and are therefore susceptible to secondary traumatization. Assessing posttraumatic stress symptoms (PTSS) and self-disclosure among traumatized veterans and their wives, the current longitudinal study begins to fill this gap in the literature.

METHOD

A total of 220 couples consisting of Israeli veterans, of whom 128 were former prisoners of war (ex-POWs) and 92 were combatants, and their wives were examined. PTSS and self-disclosure of both partners were assessed 30 and 35 years after the war using the Posttraumatic Stress Disorder Inventory (PTSD-I; Solomon et al., 1993) and the Self-Disclosure Index (SDI; Miller, Berg, & Archer, 1983), respectively. Analyses included Pearson intercorrelations analyses and four stepwise hierarchical multiple regression analyses.

RESULTS

Findings indicated that increments in veterans' disclosure are not only consistently associated with the reduction of their wives' PTSS but may also explain and predict some of the change in the wives' PTSS over time. However, such a longitudinal effect was not evident concerning the veterans' PTSS.

CONCLUSION

Traumatized ex-POWs' and combatants' self-disclosure within the marital relationship may contribute to the amelioration of their wives' secondary traumatization, and thus may be a goal worth pursuing in therapy. However, more research is needed to further understand this relation.

摘要

目的

大多数关于自我表露对创伤后果影响的研究都集中在表露可能对主要受害者产生的有益影响上。然而,表露的接受者在症状上受到其影响的方式仍未得到研究。特别值得关注的是配偶,他们通常是主要的支持提供者,因此容易受到继发性创伤。本纵向研究通过评估创伤退伍军人及其妻子的创伤后应激症状(PTSS)和自我表露,开始填补这一文献空白。

方法

共对220对夫妇进行了检查,其中包括以色列退伍军人及其妻子,退伍军人中有128名是前战俘,92名是战斗人员。分别在战后30年和35年使用创伤后应激障碍量表(PTSD-I;所罗门等人,1993年)和自我表露指数(SDI;米勒、伯格和阿彻,1983年)评估了双方的PTSS和自我表露情况。分析包括皮尔逊相关性分析和四个逐步分层多元回归分析。

结果

研究结果表明,退伍军人表露的增加不仅始终与他们妻子PTSS的减少相关,而且还可以解释和预测妻子PTSS随时间的一些变化。然而,这种纵向效应在退伍军人的PTSS方面并不明显。

结论

受过创伤的前战俘和战斗人员在婚姻关系中的自我表露可能有助于改善其妻子的继发性创伤,因此可能是治疗中一个值得追求的目标。然而,需要更多的研究来进一步理解这种关系。

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