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探讨军人夫妇对 PTSD 症状进行育儿适应的潜在压力。

An exploration of potential pressures to engage in parenting accommodation of PTSD symptoms for military couples.

机构信息

Department of Psychology, University of Colorado Denver, Denver, Colorado, USA.

Department of Psychology, George Mason University, Fairfax, Virginia, USA.

出版信息

Fam Process. 2024 Mar;63(1):315-330. doi: 10.1111/famp.12858. Epub 2023 Jan 31.

DOI:10.1111/famp.12858
PMID:36720198
Abstract

In the context of service member posttraumatic stress disorder (PTSD) symptoms, intimate partners may experience pressure to take over parenting roles and run interference between the service member and the children; that is, to engage in partner accommodation focal to parenting. The current study quantitatively assessed potential pressures to engage in parenting accommodation (PPEPA) in a sample of 207 female partners married to male service members with at least one child in the home and the convergence of PPEPA with service member PTSD symptoms, general partner accommodation, couple functioning, parenting, and child functioning. Partners' reports of PPEPA were associated with higher levels of service member PTSD symptoms and partners' general accommodation of PTSD symptoms. When controlling for service member PTSD symptoms and general partner accommodation, partner reports of PPEPA still accounted for unique variance in lower parenting alliance (as reported by both service member and partner), lower levels of service members' reports of closeness with children in the home, higher levels of harsh parenting by both the service member and partner, and greater child behavioral difficulties. Findings support PPEPA as related to partners' accommodative responses to PTSD but demonstrating unique associations with parenting alliance, parenting, and child outcomes. Parenting interventions in the context of PTSD may benefit from conjoint or family approaches that attend to the intersection of PTSD and broader family functioning, including pressures to engage in accommodation focal to the parenting domain.

摘要

在服务成员创伤后应激障碍(PTSD)症状的背景下,伴侣可能会感到压力,需要承担育儿角色,并在服务成员和孩子之间进行调解;也就是说,要参与以育儿为重点的伴侣适应。本研究在一个样本中定量评估了潜在的育儿适应压力(PPEPA),该样本由 207 名与家中至少有一名子女的男性服务成员结婚的女性伴侣组成,以及 PPEPA 与服务成员 PTSD 症状、一般伴侣适应、夫妻功能、育儿和儿童功能的收敛性。伴侣对 PPEPA 的报告与服务成员 PTSD 症状的严重程度和伴侣的一般适应呈正相关。当控制服务成员 PTSD 症状和一般伴侣适应时,伴侣对 PPEPA 的报告仍能解释育儿联盟(由服务成员和伴侣共同报告)降低、服务成员在家中与孩子的亲密程度降低、服务成员和伴侣严厉育儿程度增加以及儿童行为问题增加等方面的独特差异。研究结果支持 PPEPA 与伴侣对 PTSD 的适应反应有关,但与育儿联盟、育儿和儿童结果有独特的关联。在 PTSD 背景下的育儿干预可能受益于联合或家庭方法,这些方法关注 PTSD 和更广泛的家庭功能的交叉点,包括参与以育儿为重点的适应的压力。

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