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创伤经历阴影下的家庭:消极的世界观假设和家庭关系。

Families in the Shadow of Traumatic Experiences: Negative World Assumptions and Family Relationships.

机构信息

I-Core Research Center for Mass Trauma, Bob Shapell School of Social Work, Tel Aviv University, Tel Aviv, Israel.

出版信息

J Trauma Stress. 2021 Feb;34(1):149-160. doi: 10.1002/jts.22603. Epub 2020 Oct 21.

DOI:10.1002/jts.22603
PMID:33089550
Abstract

World assumptions (WAs) are cognitive schemas concerning an individual's views of themselves, the world, and others. Although it is well established that WAs are negatively distorted by trauma exposure and strongly associated with posttraumatic psychopathology, the potential impact of WAs on close interpersonal relationships remains largely uninvestigated. The current study explored the implications of veterans' and their spouses' WAs on their marital and parental relationships. Male Israeli veterans (N = 213) from the 1973 Yom Kippur War and their wives were assessed for WAs, marital adjustment, and positive parenting 35-37 years postwar. Analyses included actor-partner interdependence modeling with mediators (APIMem) and were conducted separately for the three domains of WAs: world benevolence, world meaningfulness, and self-worth. The results indicated that both husbands' and wives' lower scores for all domain-specific WA scales were associated with lower scores on measures of marital adjustment and positive parenting. Lower scores for both spouses on scales measuring world benevolence and self-worth were associated with a spillover from lower marital adjustment to lower positive parenting. Finally, associations between one spouse's lower WA scores and the other spouse's spillover from lower marital adjustment to lower positive parenting (i.e., cross-spillover effects) were identified for wives' world benevolence ratings and husbands' self-worth, ds = 0.14-0.72. These results point to the detrimental ramifications of negative WAs on family relationships and the dynamics between the marital and parental family subsystems.

摘要

世界假设(WAs)是关于个体对自身、世界和他人的看法的认知图式。尽管已经充分证实,创伤暴露会使 WAs 产生负面扭曲,并与创伤后心理病理学密切相关,但 WAs 对亲密人际关系的潜在影响在很大程度上仍未得到研究。本研究探讨了退伍军人及其配偶的 WAs 对他们婚姻和父母关系的影响。对 1973 年赎罪日战争中的 213 名以色列男性退伍军人及其妻子进行了 WAs、婚姻调整和积极育儿的评估,战后 35-37 年进行评估。分析包括具有中介的演员-伙伴相互依存模型(APIMem),并分别针对 WAs 的三个领域进行:世界仁慈、世界意义和自我价值。结果表明,丈夫和妻子在所有特定领域 WA 量表上的得分较低,与婚姻调整和积极育儿措施的得分较低有关。夫妻双方在衡量世界仁慈和自我价值的量表上的得分较低,与从较低的婚姻调整到较低的积极育儿的溢出效应有关。最后,对于妻子的世界仁慈评分和丈夫的自我价值评分,确定了一个配偶的较低 WA 评分与另一个配偶从较低的婚姻调整到较低的积极育儿的溢出效应(即交叉溢出效应)之间的关联,ds = 0.14-0.72。这些结果表明,消极 WAs 对家庭关系以及婚姻和父母家庭子系统之间的动态具有破坏性影响。

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