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创伤后应激障碍和关系功能对近期创伤样本中演员和伴侣的影响。

Actor and partner effects of PTSD and relationship functioning in a recently traumatized sample.

机构信息

Department of Psychiatry, University Health Network.

School of Professional Psychology, Wright State University.

出版信息

J Fam Psychol. 2023 Jun;37(4):517-527. doi: 10.1037/fam0001064. Epub 2023 Mar 13.

Abstract

A robust negative association exists between self-reported posttraumatic stress disorder (PTSD) and self-reported interpersonal relationship functioning. However, the extent to which each member of a dyad's subjective PTSD ratings influence the other's subjective relationship functioning ratings is less understood. The present study tested: (a) associations between self- and partner-PTSD severity ratings and relationship functioning ratings and (b) whether exposure to the index trauma, gender, and relationship type (i.e., intimate vs. nonintimate dyad) moderated these associations in a sample of 104 dyads of individuals with PTSD and a close significant other. Each partners' ratings of PTSD severity were uniquely and positively associated with their own (actor) and their partner's ratings of relationship conflict, but not support or depth. Gender moderated the partner effect; women's (but not men's) subjective PTSD severity were positively associated with their partners' subjective relationship conflict. There was a relationship type by actor effect interaction for relationship support, which indicated that perceptions of PTSD severity were negatively associated with each partner's perceptions of relationship support for intimate but not nonintimate dyads. Results support a dyadic conceptualization of PTSD in which both partners' perception of symptoms are important for relationship functioning. Conjoint therapies may be particularly potent for PTSD and relationship functioning. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

摘要

报告的创伤后应激障碍(PTSD)与报告的人际关系功能之间存在强烈的负相关。然而,对于伴侣双方主观 PTSD 评分如何影响对方的主观关系功能评分,了解程度较低。本研究测试了:(a)自我和伴侣 PTSD 严重程度评分与关系功能评分之间的关联;以及(b)在 PTSD 个体及其亲密重要他人的 104 对伴侣样本中,是否暴露于指数创伤、性别和关系类型(即亲密与非亲密伴侣对)调节了这些关联。每个伴侣的 PTSD 严重程度评分与其自身(演员)和伴侣的关系冲突评分呈独特的正相关,但与支持或深度无关。性别调节了伴侣的影响;女性(而不是男性)主观 PTSD 严重程度与她们伴侣的主观关系冲突呈正相关。关系支持存在关系类型与演员的交互作用,这表明 PTSD 严重程度的感知与亲密伴侣对关系支持的感知呈负相关,而不是非亲密伴侣对。研究结果支持 PTSD 的二元概念化,即双方对症状的感知对于关系功能很重要。联合治疗对于 PTSD 和关系功能可能特别有效。(PsycInfo 数据库记录(c)2023 APA,保留所有权利)。

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