Health and Behavioral Sciences Department, Naval Health Research Center, San Diego, CA.
Leidos, Reston, VA.
J Trauma Stress. 2021 Feb;34(1):229-240. doi: 10.1002/jts.22575. Epub 2020 Sep 3.
Military operations in Iraq and Afghanistan have brought increased attention to posttraumatic stress disorder (PTSD) among service members and, more recently, its impact on spouses. Existing research has demonstrated that PTSD among service members is associated with depression among military spouses. In the current study, we extended these findings by using data from service member-spouse dyads enrolled in the Millennium Cohort Family Study for which the service member had evidence of PTSD (n = 563). Prospective analyses identified the association between PTSD symptom clusters reported by the service member and new-onset depression among military spouses. Over the 3-year study period, 14.4% of these military spouses met the criteria for new-onset depression. In adjusted models, service member ratings of symptoms in the effortful avoidance cluster, odds ratio (OR) = 1.61, 95% CI [1.03, 2.50], predicted an increased risk of new-onset depression among military spouses, whereas reexperiencing symptoms, adjusted OR = 0.57; 95% CI [0.32, 1.01], were marginally protective. These findings suggest that PTSD symptom clusters in service members differentially predict new-onset depression in military spouses, which has implications for treatment provision.
军事行动在伊拉克和阿富汗已经引起了人们对军人创伤后应激障碍（PTSD）的更多关注，最近还关注了其对配偶的影响。现有研究表明，军人中的 PTSD 与军人配偶的抑郁有关。在当前的研究中，我们使用了参加千年队列家庭研究的军人-配偶二元组的数据来扩展这些发现，这些数据显示军人有 PTSD 的证据（n=563）。前瞻性分析确定了军人报告的 PTSD 症状群与军人配偶新发抑郁之间的关联。在 3 年的研究期间，这些军人配偶中有 14.4%符合新发抑郁的标准。在调整后的模型中，军人对努力回避症状群的评分，比值比（OR）=1.61，95%置信区间[1.03，2.50]，预测军人配偶新发抑郁的风险增加，而再体验症状，调整后的 OR=0.57；95%置信区间[0.32，1.01]，则略有保护作用。这些发现表明，军人的 PTSD 症状群会以不同的方式预测军人配偶新发抑郁，这对治疗提供有影响。
