Boston University, 648 Beacon Street, Boston, MA, 02215, USA.
Florida International University, 11200 S.W. 8th Street, Miami, FL, 33199, USA.
J Abnorm Child Psychol. 2019 Jan;47(1):131-148. doi: 10.1007/s10802-018-0427-5.
In this meta-analysis, we review findings on the relationships between parental combat exposure and PTSD/PTSS in military-serving families and (1) parenting problems, (2) family maladjustment, and (3) offspring problems. We systematically searched for studies in PsycInfo, PsychArticles, Psychology and Behavior Sciences Collection, Published International Literature on Traumatic Stress (PILOTS), and PubMed/Medline as well as conducted manual searches. Search procedures identified 22 eligible studies, including 20 studies examining relationships between parental PTSD/PTSS and parenting, family, and/or offspring outcomes and 8 studies examining relationships between parental combat exposure and parenting, family, and/or offspring outcomes. Random effects meta-analytic models estimated omnibus associations between parental combat exposure/PTSD and pooled Family Difficulties, as well as individual relationships between parental combat exposure and PTSD/PTSS and parenting, family adjustment, and offspring outcomes. Small-to-moderate effect sizes were observed in the omnibus meta-analysis examining relationships between parental PTSD/PTSS and pooled Family Difficulties, and in the meta-analysis examining relationships between parental PTSD/PTSS and parenting problems, between parental PTSD/PTSS and poor family functioning, and between parental PTSD/PTSS and offspring problems. Associations between parental combat exposure and pooled Family Difficulties, as well as between parental combat exposure and parenting problems were smaller in magnitude. PTSD/PTSS among military-serving parents is associated with increased problems in the family environment, including parenting problems, family maladjustment, and offspring problems, whereas combat exposure alone is not as strongly associated with such family difficulties. Moderator analyses are presented and discussed as well. When military-serving parents show psychological symptoms, professionals should consider allocating resources to target broader family issues.
在这项荟萃分析中，我们回顾了父母经历战斗暴露与军属家庭 PTSD/PTSS 之间关系的研究结果，包括（1）养育问题，（2）家庭失调，以及（3）后代问题。我们系统地在 PsycInfo、PsychArticles、心理学与行为科学合集、国际创伤应激文献（PILOTS）和 PubMed/Medline 中进行了检索，并进行了手动检索。检索程序确定了 22 项符合条件的研究，其中包括 20 项研究考察了父母 PTSD/PTSS 与养育、家庭和/或后代结果之间的关系，以及 8 项研究考察了父母经历战斗暴露与养育、家庭和/或后代结果之间的关系。随机效应荟萃分析模型估计了父母经历战斗暴露/PTSD 与家庭困难之间的总体关联，以及父母经历战斗暴露和 PTSD/PTSS 与养育、家庭适应和后代结果之间的个体关系。在考察父母 PTSD/PTSS 与家庭困难之间关系的总体荟萃分析中，以及在考察父母 PTSD/PTSS 与养育问题之间关系、父母 PTSD/PTSS 与家庭功能不良之间关系以及父母 PTSD/PTSS 与后代问题之间关系的荟萃分析中，观察到小到中等效应量。父母经历战斗暴露与家庭困难之间的关联，以及父母经历战斗暴露与养育问题之间的关联，其程度较小。军属父母的 PTSD/PTSS 与家庭环境中更多的问题相关，包括养育问题、家庭失调和后代问题，而单独的战斗暴露与这些家庭困难的关联不那么强烈。我们还进行了和讨论了调节分析。当军属父母表现出心理症状时，专业人员应该考虑分配资源来解决更广泛的家庭问题。
