University of Maryland, Baltimore County, Baltimore MD, USA.
National Center for PTSD, VA Boston Healthcare System, Boston, MA, USA.
Assessment. 2021 Jul;28(5):1459-1470. doi: 10.1177/1073191120922619. Epub 2020 Jun 2.
A key challenge in the assessment of family variables is the discrepancies that arise between reports. Although prior research has observed levels of interpartner agreement on the family environment, no studies have investigated factors that may influence agreement. In this study, war zone veterans (WZVs) and their partners ( = 207 couples) completed assessments of the family environment. We examined interpartner agreement in relation to WZV and partner posttraumatic stress disorder (PTSD) symptoms, WZV time away from home, and family size. More severe WZV PTSD symptoms were associated with greater interpartner agreement on family environment, whereas more severe partner PTSD symptoms were associated with reporting more negative perceptions of the family environment relative to WZV reports. Family size was associated with greater interpartner agreement. Factors associated with concordance in this study should be considered by clinicians and researchers seeking to understand and address reporting discrepancies on the family.
评估家庭变量的一个主要挑战是报告之间存在差异。尽管先前的研究已经观察到夫妻双方对家庭环境的一致性程度,但没有研究调查可能影响一致性的因素。在这项研究中,战区老兵(WZVs)及其伴侣(= 207 对夫妇)完成了家庭环境评估。我们研究了夫妻双方在 PTSD 症状、WZV 离家时间和家庭规模方面的一致性。WZV 的 PTSD 症状越严重,夫妻双方对家庭环境的一致性就越高,而伴侣的 PTSD 症状越严重,夫妻双方对家庭环境的负面看法就越高于 WZV 的报告。家庭规模越大,夫妻双方的一致性越高。在这项研究中,与一致性相关的因素应引起寻求理解和解决家庭报告差异的临床医生和研究人员的注意。