National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts.
Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts.
Depress Anxiety. 2020 Nov;37(11):1068-1078. doi: 10.1002/da.23083. Epub 2020 Aug 17.
Warzone participation is associated with increased risk of stress-related psychopathology, including posttraumatic stress disorder (PTSD) and depression. Prior research suggests that the mental health of spouses of warzone veterans (WZVs) is linked to that of their partners. Additionally, PTSD among WZVs has been associated with marital dysfunction. Less is known about the effects of depression among WZVs on partner mental health and family relationships. We sought in this study to examine associations between WZV PTSD and depression and partner mental health and relationship outcomes.
Using a nationally dispersed sample of Iraq and Afghanistan veterans and their married and unmarried intimate partners, 245 dyads completed structured psychiatric interviews and psychometric surveys assessing family functioning and relationship aggression.
Adjusted regression analyses indicated that depression among WZVs was associated with partner depression and anxiety disorders. WZV PTSD and depression were also associated with partner-reported relationship dysfunction, dissatisfaction, and communication issues, and higher rates of intimate partner aggression victimization and perpetration.
Mental health consequences of war extend beyond WZVs to the mental health of their intimate partners and their relationships with intimate partners.
参与战区事务与应激相关精神病理学风险增加有关，包括创伤后应激障碍（PTSD）和抑郁症。先前的研究表明，战区退伍军人（WZVs）的配偶的心理健康与其伴侣有关。此外，WZVs 中的 PTSD 与婚姻功能障碍有关。关于 WZVs 中的抑郁对伴侣心理健康和家庭关系的影响，人们知之甚少。我们在这项研究中试图研究 WZV PTSD 和抑郁与伴侣心理健康和关系结果之间的关联。
使用来自伊拉克和阿富汗退伍军人及其已婚和未婚亲密伴侣的全国性分散样本，245 对夫妇完成了结构化的精神病学访谈和心理测量调查，评估家庭功能和关系攻击。
调整后的回归分析表明，WZVs 中的抑郁与伴侣的抑郁和焦虑障碍有关。WZV PTSD 和抑郁也与伴侣报告的关系功能障碍、不满和沟通问题有关，并且亲密伴侣攻击受害和施暴的发生率更高。
战争的心理健康后果不仅限于 WZVs，还包括他们亲密伴侣的心理健康及其与亲密伴侣的关系。
