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未婚年轻成年人不忠后的创伤后应激和心理健康。

Post-traumatic stress and psychological health following infidelity in unmarried young adults.

机构信息

Health Psychology PhD Program, The University of North Carolina at Charlotte, Charlotte, North Carolina.

Department of Psychological Science, The University of North Carolina at Charlotte, Charlotte, North Carolina.

出版信息

Stress Health. 2019 Oct;35(4):468-479. doi: 10.1002/smi.2880. Epub 2019 Jul 26.

Abstract

Infidelity is often conceptualized as a traumatic event; however, little research has explored this topic empirically, particularly in unmarried adults. We determined the prevalence of infidelity-related post-traumatic stress disorder (PTSD) symptoms among unmarried adults who experienced a partner's infidelity and whether probable infidelity-related PTSD was associated with additional psychological health outcomes (i.e., depressive symptoms, perceived stress, and anxiety symptoms). We also investigated whether negative post-traumatic cognitions mediated the associations between infidelity-related PTSD symptoms and psychological health. This study included 73 adults (M age = 19.42, SE = 0.19 years) who experienced infidelity within a committed nonmarital relationship within the last 5 years. Controlling for gender, race, and exposure to Diagnostic and Statistical Manual of Psychiatric Disorders Criterion A traumas, 45.2% of our sample reported symptoms suggesting probable infidelity-related PTSD. Whether used as continuous or categorical predictor, infidelity-related PTSD symptoms were significantly associated with depressive symptoms, although results for perceived stress and anxiety symptoms were mixed. Post-traumatic cognitions acted as a partial mediator for depressive symptoms and full mediator for perceived stress and anxiety symptoms. This empirical evidence suggests that infidelity may produce PTSD symptoms at a relatively high rate, even in unmarried young adults, and may put individuals at risk for poorer psychological health, partially through post-traumatic cognitions.

摘要

不忠通常被概念化为一种创伤性事件;然而,很少有研究从实证角度探讨这个话题,尤其是在未婚成年人中。我们确定了经历过伴侣不忠的未婚成年人中与不忠相关的创伤后应激障碍(PTSD)症状的患病率,以及可能与不忠相关的 PTSD 是否与其他心理健康结果(即抑郁症状、感知压力和焦虑症状)相关。我们还调查了负性创伤后认知是否在与不忠相关的 PTSD 症状和心理健康之间起中介作用。这项研究包括 73 名成年人(M 年龄=19.42,SE=0.19 年),他们在过去 5 年内经历了恋爱关系中的伴侣不忠。控制性别、种族和接触《精神疾病诊断与统计手册》C 类创伤标准后,我们的样本中有 45.2%的人报告了可能与不忠相关的 PTSD 症状。无论作为连续还是分类预测因子,与不忠相关的 PTSD 症状与抑郁症状显著相关,尽管感知压力和焦虑症状的结果则喜忧参半。创伤后认知对抑郁症状起部分中介作用,对感知压力和焦虑症状起完全中介作用。这一实证证据表明,即使在未婚的年轻成年人中,不忠也可能以相对较高的比率产生 PTSD 症状,并且可能通过创伤后认知使个体面临更差的心理健康风险。

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