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夫妻共同应对部署:来自国民警卫队家庭样本的研究结果。

Couples Coping Through Deployment: Findings From a Sample of National Guard Families.

作者信息

Blow Adrian J, Bowles Ryan P, Farero Adam, Subramaniam Sailaja, Lappan Sara, Nichols Emily, Gorman Lisa, Kees Michelle, Guty Danielle

机构信息

Michigan State University.

Michigan Public Health Institute.

出版信息

J Clin Psychol. 2017 Dec;73(12):1753-1767. doi: 10.1002/jclp.22487. Epub 2017 May 11.

Abstract

OBJECTIVE

Military families face numerous changes and stresses as they negotiate deployments and other life transitions. How they cope with these events is an important part of their overall well-being and resilience. This longitudinal study on coping in a sample of National Guard couples examined the association between the predeployment coping (active vs. avoidant) of each in the relationship, and their own and their significant others' mental health (anxiety, depression, posttraumatic stress disorder [PTSD]) and family well-being (dyadic adjustment and parenting stress) postdeployment.

METHOD

A total of 238 matched couples completed the predeployment survey, 143 matched couples completed the post, with 122 matched couples completing both pre- and postdeployment surveys.

RESULTS

While active coping was not significantly associated with any outcomes, predeployment avoidant coping in both soldiers and significant others was associated with increased anxiety, PTSD, and depression post deployment (actor effects). Additionally, soldier avoidant coping predeployment was associated with increased parenting stress for soldiers, while significant other avoidant coping predeployment was associated with increased relationship distress for significant others (actor effects). Finally, significant other avoidant coping predeployment was associated with higher parenting distress for soldiers postdeployment (partner effect).

CONCLUSION

Findings suggest that interventions are needed to combat avoidant coping (behavioral disengagement, denial, substance abuse) predeployment because this way of coping is strongly related to negative outcomes. In addition, those who work clinically with these families should work to reduce avoidant coping strategies and any familial dynamics exacerbated by this way of coping.

摘要

目的

军属在应对部署及其他生活转变时面临众多变化和压力。他们应对这些事件的方式是其整体幸福感和恢复力的重要组成部分。这项针对国民警卫队夫妇样本的应对方式纵向研究,考察了关系中双方部署前的应对方式(积极应对与回避应对)与他们自己及重要他人部署后的心理健康(焦虑、抑郁、创伤后应激障碍[PTSD])和家庭幸福感(二元调适和养育压力)之间的关联。

方法

共有238对匹配夫妇完成了部署前调查,143对匹配夫妇完成了部署后调查,其中122对匹配夫妇完成了部署前和部署后两项调查。

结果

虽然积极应对与任何结果均无显著关联,但士兵及其重要他人在部署前的回避应对与部署后焦虑、PTSD和抑郁的增加有关(行动者效应)。此外,士兵在部署前的回避应对与士兵养育压力的增加有关,而重要他人在部署前的回避应对与重要他人关系困扰的增加有关(行动者效应)。最后,重要他人在部署前的回避应对与士兵部署后更高的养育困扰有关(伴侣效应)。

结论

研究结果表明,需要采取干预措施来对抗部署前的回避应对(行为脱离、否认、药物滥用),因为这种应对方式与负面结果密切相关。此外,那些在临床上与这些家庭打交道的人应努力减少回避应对策略以及因这种应对方式而加剧的任何家庭动态问题。

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