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社区夫妻中观察到的情绪表达、创伤后应激障碍症状与亲密伴侣暴力行为。

Observed Emotional Expressivity, Posttraumatic Stress Disorder Symptoms, and Intimate Partner Violence Perpetration Among Community Couples.

机构信息

Department of Psychology, The Pennsylvania State University, University Park, Pennsylvania, USA.

出版信息

J Trauma Stress. 2018 Jun;31(3):352-361. doi: 10.1002/jts.22296. Epub 2018 Jun 5.

Abstract

Impaired emotional processes are related to posttraumatic stress disorder (PTSD) and are implicated in intimate partner violence (IPV) perpetration. To address the interpersonal context of PTSD, emotion, and IPV, we examined interactions among one's own and one's partner's emotional expressivity and PTSD symptom severity in association with IPV perpetration. Heterosexual couples (N = 56) in which at least one partner met screening criteria for PTSD engaged in two video-recorded discussions about negative and positive aspects of their relationships. Videos were coded for observed emotional expressiveness during moments participants reported experiencing significant emotions. Actor-partner interdependence models revealed few main effects of emotional expressivity, except that women's expressivity of positive emotions was positively associated with men's IPV perpetration, r = .14. Emotional expressivity played a larger role among couples managing PTSD symptoms; that is, the association between one's own PTSD symptom severity and more IPV perpetration was stronger among men who expressed more negative emotions, r = .19, and women who expressed fewer negative emotions, r = .21. Several partner effects suggested the importance of understanding the dyadic nature of these constructs. For example, men's PTSD symptom severity was differentially associated with each partners' IPV perpetration based on women's expressivity of positive emotion, r = .22-.27. Understanding of emotional expressivity in the link between PTSD and IPV must include consideration of gender differences in how these constructs operate interpersonally. Strategies to promote moderate and safe communication of positive and negative emotions may prevent IPV escalation, particularly among couples managing PTSD symptoms.

摘要

情绪过程受损与创伤后应激障碍 (PTSD) 有关,并与亲密伴侣暴力 (IPV) 的实施有关。为了解决 PTSD、情绪和 IPV 的人际背景问题,我们研究了自身和伴侣的情绪表达与 PTSD 症状严重程度与 IPV 实施之间的相互作用。至少有一位伴侣符合 PTSD 筛查标准的异性伴侣参与了两次关于他们关系的消极和积极方面的视频记录讨论。在参与者报告经历重大情绪的时刻,对视频进行了观察性情感表达的编码。演员-伴侣相互依存模型显示,情绪表达的主要影响很小,除了女性积极情绪的表达与男性的 IPV 实施呈正相关,r =.14。情绪表达在管理 PTSD 症状的夫妇中起着更大的作用;也就是说,一个人自身 PTSD 症状严重程度与更多 IPV 实施之间的关联在表达更多负面情绪的男性中更强,r =.19,在表达较少负面情绪的女性中更强,r =.21。几个伴侣效应表明,理解这些结构的对偶性质的重要性。例如,男性的 PTSD 症状严重程度与女性积极情绪的表达程度相关,r =.22-.27,与每个伴侣的 IPV 实施程度不同。在 PTSD 和 IPV 之间的联系中,对情绪表达的理解必须包括考虑这些结构在人际关系中如何运作的性别差异。促进积极和消极情绪的适度和安全交流的策略可能会防止 IPV 升级,特别是在管理 PTSD 症状的夫妇中。

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