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军人夫妻的产后育儿:与军人 PTSD 症状的关联。

Post-deployment parenting in military couples: Associations with service members' PTSD symptoms.

机构信息

Department of Psychology, George Mason University.

Department of Psychology, University of Colorado Denver.

出版信息

J Fam Psychol. 2019 Mar;33(2):166-175. doi: 10.1037/fam0000477. Epub 2018 Nov 19.

Abstract

Severity of posttraumatic stress disorder (PTSD) symptoms has been linked to parenting impairments in military service members (SMs), but little is known about how SMs' PTSD is related to their partners' parenting. This study evaluated associations of SMs' PTSD symptoms with parenting indices in SMs and their partners, with additional exploratory analyses of how intrapersonal and interpersonal distress might play a role in such associations. Online self-report measures were completed by 128 SMs who scored >27 on the PTSD Checklist (PCL-M) at baseline and their partners at four timepoints over 1.5 years. Data were analyzed using multilevel modeling, with timepoints nested within individuals within couples. SMs' PTSD symptoms were significantly associated with decreased parenting alliance and increased inconsistent discipline in SMs and partners, increased harsh parenting in SMs only, and increased supervision in partners only. Couple satisfaction and conflict accounted for PTSD symptoms' association with parenting alliance, and couple conflict accounted for the association with inconsistent discipline. Couple conflict, couple satisfaction, and individual depression accounted for SMs' increased harsh parenting. SM PTSD remained the only predictor of partners' supervision. Limitations include that data were collected from online self-report and from heterosexual Army couples only. Overall, SMs' PTSD symptoms showed associations with parenting in SMs and their partners, with some evidence of compensatory higher supervision by partners. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

摘要

创伤后应激障碍(PTSD)症状的严重程度与军人服务成员(SM)的育儿障碍有关,但对于 SM 的 PTSD 如何与其伴侣的育儿相关知之甚少。本研究评估了 SM 的 PTSD 症状与 SM 和其伴侣的育儿指标之间的关联,并对内在和人际困扰如何在这种关联中发挥作用进行了额外的探索性分析。128 名 SM 在基线时 PTSD 检查表(PCL-M)得分>27,其伴侣在 1.5 年内的四个时间点完成了在线自我报告量表。使用多层次模型对数据进行分析,将时间点嵌套在夫妇内的个体内。SM 的 PTSD 症状与育儿联盟的下降以及 SM 和伴侣的不一致纪律的增加、SM 中严厉的育儿增加和伴侣中监督的增加显著相关。夫妻满意度和冲突解释了 PTSD 症状与育儿联盟的关系,而夫妻冲突解释了与不一致纪律的关系。夫妻冲突、夫妻满意度和个体抑郁解释了 SM 中更严厉的育儿。SM PTSD 仍然是伴侣监督的唯一预测因素。局限性包括数据是从在线自我报告和异性恋陆军夫妇中收集的。总体而言,SM 的 PTSD 症状与 SM 和其伴侣的育儿存在关联,一些证据表明伴侣的监督更高。(PsycINFO 数据库记录(c)2019 APA,保留所有权利)。

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