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Research has consistently linked symptoms of posttraumatic stress disorder (PTSD) with relationship distress in combat veterans and their partners. Studies of specific clusters of PTSD symptoms indicate that symptoms of emotional numbing/withdrawal (now referred to as negative alterations in cognition and mood) are more strongly linked with relationship distress than other symptom clusters. These findings, however, are based predominantly on samples of male veterans. Given the increasing numbers of female veterans, research on potential gender differences in these associations is needed. The present study examined gender differences in the multivariate associations of PTSD symptom clusters with relationship distress in 465 opposite-sex couples (375 with male veterans and 90 with female veterans) from the National Vietnam Veterans Readjustment Study. Comparisons of nested path models revealed that emotional numbing/withdrawal symptoms were associated with relationship distress in both types of couples. The strength of this association, however, was stronger for female veterans (b = .46) and female partners (b = .28), compared to male veterans (b = .38) and male partners (b = .26). Results suggest that couples-based interventions (e.g., psychoeducation regarding emotional numbing symptoms as part of PTSD) are particularly important for both female partners of male veterans and female veterans themselves.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題:美國的越南退役軍及其伴侶的關係困難與PTSD症狀羣之間關聯的性別差異。

撮要:研究一致顯示創傷後壓力症(PTSD)症狀與戰鬥退役軍及其伴侶的關係困難有相連。PTSD獨特症狀羣組的研究指出與關係困難有着較強烈關聯的是情感麻木/退縮症狀(現稱認知和情緒的負面改變),而非其他症狀羣。結論大多建基於男退役軍樣本。女退役軍數目增多,所以我們急須研究這些關聯的性別差異。本文檢視了全國越南退役軍重整研究中465對異性伴侶(375對男退役軍及90對女退役軍)的關係困難,與PTSD症狀羣多元關係的可能性別差異。嵌巢路徑模型對照顯示情感麻木/退縮症狀在這兩種性別配偶中都與關係困難相連,只是女退役軍(b = .46)和女配偶(b = .28)的關係強度較男退役軍(b = .38)或男配偶(b = .26)為高。結論指出以配偶為本的介入治療(如針對情感麻木症狀為PTSD部份的心理教育)對女退役軍和男退役軍的女配偶尤為重要。

标题:美国的越南退役军及其伴侣的关系困难与PTSD症状羣之间关联的性别差异。

撮要:研究一致显示创伤后压力症(PTSD)症状与战斗退役军及其伴侣的关系困难有相连。PTSD独特症状羣组的研究指出与关系困难有着较强烈关联的是情感麻木/退缩症状(现称认知和情绪的负面改变),而非其他症状羣。结论大多建基于男退役军样本。女退役军数目增多,所以我们急须研究这些关联的性别差异。本文检视了全国越南退役军重整研究中465对异性伴侣(375对男退役军及90对女退役军)的关系困难,与PTSD症状羣多元关系的可能性别差异。嵌巢路径模型对照显示情感麻木/退缩症状在这两种性别配偶中都与关系困难相连,只是女退役军(b = .46)和女配偶(b = .28)的关系强度较男退役军(b = .38)或男配偶(b = .26)为高。结论指出以配偶为本的介入治疗(如针对情感麻木症状为PTSD部份的心理教育)对女退役军和男退役军的女配偶尤为重要。