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情绪麻木症状部分中介了经历潜在道德伤害事件与男性军人性焦虑之间的关系。

Emotional numbing symptoms partially mediate the association between exposure to potentially morally injurious experiences and sexual anxiety for male service members.

机构信息

a Department of Psychology , University of Colorado Denver , Denver , CO , USA.

b Department of Psychology , George Mason University , Fairfax , VA , USA.

出版信息

J Trauma Dissociation. 2018 Jul-Sep;19(4):417-430. doi: 10.1080/15299732.2018.1451976.

Abstract

Service members (SMs) returning from deployment are at risk of a range of sexual problems, some of which are thought to be related to psychological issues that may arise during deployment or combat. The current study sought to examine whether exposure to potentially morally injurious events (PMIEs) was associated with sexual anxiety (SA) above and beyond combat exposure and whether any such association was mediated by post-traumatic stress disorder (PTSD) symptom clusters. These questions were tested using data from self-report surveys collected from 221 partnered male Army (Active Duty, National Guard, or Reserve) SMs at three separate time points. Findings showed that exposure to PMIEs was significantly related to greater SA, with transgressions by self and perceived betrayal demonstrating unique associations when controlling for all factors of PMIEs. Moreover, total exposure to PMIEs was associated with SA above and beyond general combat exposure. PTSD symptoms partially mediated the association between exposure to PMIEs and SA, with emotional numbing accounting for significant unique indirect effects after controlling for other PTSD symptom clusters. The findings suggest that exposure to PMIEs is associated with SA, even when accounting for either combat exposure or PTSD symptoms, emphasizing the importance of this issue in understanding post-deployment problems in sexual intimacy.

摘要

从部署中返回的军人(SM)面临一系列性问题的风险,其中一些被认为与部署或战斗期间可能出现的心理问题有关。本研究旨在检验接触潜在道德伤害事件(PMIEs)是否与性焦虑(SA)有关,而不仅仅是战斗暴露,以及任何此类关联是否由创伤后应激障碍(PTSD)症状群介导。这些问题是使用从 221 名在三个不同时间点从自我报告调查中收集的已婚男性陆军(现役、国民警卫队或预备役)军人的数据进行测试的。研究结果表明,接触 PMIEs 与更大的 SA 显著相关,当控制 PMIEs 的所有因素时,自我和感知背叛的违规行为表现出独特的关联。此外,PMIEs 的总暴露与 SA 有关,而不仅仅是一般的战斗暴露。PTSD 症状部分中介了 PMIEs 暴露与 SA 之间的关联,情绪麻木在控制其他 PTSD 症状群后解释了显著的独特间接影响。研究结果表明,即使考虑到战斗暴露或 PTSD 症状,接触 PMIEs 也与 SA 有关,这强调了在理解性亲密关系中部署后问题时,这一问题的重要性。

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