Rashkovsky Katerine, Solano Ingrid, Khalifian Chandra, Morland Leslie A, Knopp Kayla
Research Service, Veterans Affairs Healthcare System, San Diego, California, USA.
University of California, Department of Psychiatry, San Diego, California, USA.
Mil Psychol. 2022 Feb 25;34(4):494-501. doi: 10.1080/08995605.2021.2016308. eCollection 2022.
Lesbian, gay, and bisexual (LGB) Veterans report greater emotional distress, trauma exposure, and PTSD rates than both LGB civilians and non-LGB Veterans. Traumatic experiences impact intimate relationships, potentially placing LGB Veterans at higher risk of relationship dysfunction secondary to trauma and PTSD. However, limited research has examined links between relationship functioning and trauma histories among couples with one or more LGB-identifying partners. In this exploratory study, participants include 21 couples from a larger treatment study comprising a PTSD-diagnosed Veteran and their significant other in which at least one partner identified as LGB. Variables included trauma experiences, PTSD symptom severity, and relationship satisfaction. A descriptive analysis revealed high relationship satisfaction despite high interpersonal trauma rates among both PTSD-diagnosed Veterans and their partners. Further, we found different patterns of relationship functioning depending on whether a participant had experienced sexual assault. These initial analyses present novel data on trauma in treatment-seeking LGB veteran couples and provide an important basis for future research on couple-based mental health treatments for this population.
女同性恋、男同性恋和双性恋（LGB）退伍军人报告称，他们比LGB平民和非LGB退伍军人有更大的情绪困扰、更多的创伤经历以及更高的创伤后应激障碍（PTSD）发病率。创伤经历会影响亲密关系，这可能使LGB退伍军人因创伤和创伤后应激障碍而出现关系功能障碍的风险更高。然而，仅有有限的研究探讨过有一名或多名LGB身份伴侣的情侣之间关系功能与创伤史之间的联系。在这项探索性研究中，参与者包括来自一项更大规模治疗研究的21对情侣，该研究包括一名被诊断患有创伤后应激障碍的退伍军人及其重要伴侣，其中至少有一名伴侣为LGB身份。变量包括创伤经历、创伤后应激障碍症状严重程度以及关系满意度。描述性分析显示，尽管被诊断患有创伤后应激障碍的退伍军人及其伴侣的人际创伤发生率很高，但他们的关系满意度也很高。此外，我们发现，根据参与者是否经历过性侵犯，关系功能模式有所不同。这些初步分析提供了关于寻求治疗的LGB退伍军人情侣创伤情况的新数据，并为今后针对该人群基于情侣关系的心理健康治疗研究提供了重要依据。
