创伤后女性军人/退伍军人的快感缺失和烦躁不安程度越高，与他们的关系满意度越低。
Higher anhedonia and dysphoric arousal relate to lower relationship satisfaction among trauma-exposed female service members/veterans.
机构信息
Department of Psychology, Utah State University, Logan, Utah.
出版信息
J Clin Psychol. 2020 Jul;76(7):1327-1338. doi: 10.1002/jclp.22937. Epub 2020 Feb 5.
OBJECTIVE
Posttraumatic stress disorder (PTSD) symptoms of detachment, anhedonia, and hyperarousal are associated with poorer relationship satisfaction. Such findings are limited to earlier models of PTSD and samples that were almost exclusively male. The association of current PTSD symptom clusters with relationship satisfaction in partnered female service members/veterans (SM/Vs) are understudied.
METHODS
This study examined the association of PTSD (PTSD Checklist-5 [PCL-5]) symptom clusters identified in the anhedonia model and relationship satisfaction (Couples' Satisfaction Index-4) in 477 partnered female SM/Vs.
RESULTS
Higher anhedonia and dysphoric arousal were associated with lower relationship satisfaction. Among those who scored 31+ on the PCL-5 (n = 255, 53.46%), which is a suggested cutoff for a probable PTSD diagnosis, only higher anhedonia was associated with poorer relationship satisfaction.
CONCLUSIONS
The association of PTSD symptom clusters with relationship satisfaction are similar for male and female SM/Vs. Interventions to improve relationship satisfaction may focus on reducing anhedonia and dysphoric arousal.
目的
创伤后应激障碍（PTSD）的分离、快感缺失和过度警觉症状与较差的关系满意度有关。这些发现仅限于 PTSD 的早期模型和几乎完全是男性的样本。当前 PTSD 症状群与有伴侣的女性军人/退伍军人（SM/V）关系满意度之间的关联研究较少。
方法
本研究在 477 名有伴侣的女性 SM/V 中，研究了快感缺失模型中确定的 PTSD（PCL-5）症状群与关系满意度（夫妻满意度指数-4）之间的关系。
结果
较高的快感缺失和烦躁性觉醒与较低的关系满意度相关。在那些 PCL-5 得分在 31 分以上的人中（n=255，53.46%），这是一个可能的 PTSD 诊断的建议临界值，只有较高的快感缺失与较差的关系满意度相关。
结论
PTSD 症状群与关系满意度的关联在男性和女性 SM/V 中相似。改善关系满意度的干预措施可能侧重于减少快感缺失和烦躁性觉醒。
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