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与 PTSD 父亲一起成长:澳大利亚越战老兵子女的家庭情绪氛围。

Growing up with a father with PTSD: The family emotional climate of the children of Australian Vietnam veterans.

机构信息

Brain and Mind Centre, University of Sydney, Sydney, Australia.

Brain and Mind Centre, University of Sydney, Sydney, Australia.

出版信息

Psychiatry Res. 2018 Oct;268:175-183. doi: 10.1016/j.psychres.2018.06.071. Epub 2018 Jul 9.

DOI:10.1016/j.psychres.2018.06.071
PMID:30031270
Abstract

A non-clinical sample of male Australian Vietnam veterans, their wives, and adult offspring were interviewed in-person in a national epidemiological study to assess the relationship between the mental ill-health of veterans and the emotional climate of the family while the children were growing up. Veterans were assessed 17 years before their children using standardised psychiatric diagnostic interviews. Family emotional climate was assessed using offspring ratings of parental attachment, and codings of positive and negative family relationship styles based on five minute speech samples provided by the offspring. Sons and daughters had different views of their mothers and fathers, and were less positive towards their fathers particularly if he had posttraumatic stress disorder (PTSD). Veteran PTSD and depression significantly negatively impacted the family emotional climate, while mothers' mental health was not related. Veteran PTSD symptoms were lowest in secure attachment to the veteran and highest in inconsistent attachment for both sons and daughters, but were not related to attachment to the mother. Veteran PTSD was related to daughters' but not sons' perceptions of family emotional climate. The impact of veterans' PTSD on their families' emotional climate is more marked for daughters than sons.

摘要

一个非临床的澳大利亚越南退伍军人男性样本、他们的妻子和成年子女在一项全国性的流行病学研究中接受了面对面的访谈,以评估退伍军人的心理健康与子女成长过程中家庭的情绪氛围之间的关系。在孩子出生前 17 年,退伍军人使用标准化的精神病学诊断访谈进行了评估。家庭情绪氛围通过子女对父母依恋的评分,以及根据子女提供的五分钟演讲样本进行的积极和消极家庭关系模式的编码来评估。儿子和女儿对他们的父母有不同的看法,对父亲的看法不太积极,尤其是如果他患有创伤后应激障碍 (PTSD)。退伍军人的 PTSD 和抑郁显著负向影响家庭情绪氛围,而母亲的心理健康则没有关系。对于儿子和女儿来说,退伍军人 PTSD 症状在对退伍军人的安全依恋时最低,在对父母双方的不一致依恋时最高,但与对母亲的依恋无关。退伍军人的 PTSD 与女儿的家庭情绪氛围感知有关,而与儿子无关。退伍军人 PTSD 对其家庭情绪氛围的影响对女儿比儿子更为明显。

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