在哀悼与希望之间:对以色列国防军退伍军人伴侣的模糊损失和创伤后应激症状的混合方法研究。

IF 2.7 2区 心理学 Q2 PSYCHIATRY
Amit Danon, Rachel Dekel, Danny Horesh
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引用次数: 0

摘要

目的:军事战斗人员的配偶在遭遇模棱两可的损失(AL)时,往往会出现包括创伤后应激症状(PTSS)在内的不良后果。模棱两可指的是一个人的生存状态或认知状态不确定的情况。前一种模棱两可的情况可归类为 "身体上的模棱两可"(PAL),指的是一个人尽管身体不在了,但心理上仍然存在。后一种模棱两可的情况被归类为心理上的 AL 或模棱两可的存在,指的是一个人尽管身体存在,但情感上却不存在。虽然 AL 已被广泛研究,但围绕 AL 与创伤后应激障碍(PTSD)之间的关系,尤其是关于可缓和这种关系的双变量方面,仍存在空白。此外,大多数 AL 军事相关研究都是定性研究,只有少数研究结合了定性和定量研究方法。我们在一项创新的混合方法研究中填补了这些空白,该研究考察了以色列退伍军人配偶的情感体验,重点关注 AL、PTSS 和干系调整(DA)之间的关系:研究包括 63 名参与者,他们都是以色列退伍军人的配偶。我们使用了自我报告问卷(AL、家庭适应量表和《精神疾病诊断与统计手册》第五版创伤后应激障碍检查表)和半结构化叙事访谈:结果显示,AL-PTSS 和 PAL-PTSS 之间存在正相关。此外,我们还发现了一种交互效应,即 DA 水平越低,PAL-PTSS 的相关性越强。相反,DA 水平越高,模棱两可的存在与 PTSS 的相关性就越强。定性研究结果确定了这些情况下的体验主题,包括不确定性和矛盾性:我们的定性和定量研究结果表明,军人夫妇处理 AL 的方式可能是一种重要的情感体验,需要心理健康专业人员给予特别关注。(PsycInfo Database Record (c) 2024 APA, all rights reserved)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Between mourning and hope: A mixed-methods study of ambiguous loss and posttraumatic stress symptoms among partners of Israel defence force veterans.

Objective: Spouses of military combatants often experience adverse outcomes, including posttraumatic stress symptoms (PTSS) in the event of ambiguous loss (AL). AL refers to an uncertain situation regarding a person's status as alive or as cognitively present. The former ambiguity is categorized by the term physical AL (PAL), which refers to the continued psychological presence of a person, despite their physical absence. The latter ambiguity, categorized by the term psychological AL or ambiguous presence, refers to when a person is emotionally absent, despite their physical presence. Though AL has been widely researched, there are still gaps around the AL-posttraumatic stress disorder (PTSD) relationship, especially regarding dyadic variables that can moderate this relationship. Also, most of the AL military-related studies are qualitative, with only a few that combine qualitative and quantitative research methods. We address these gaps in an innovative mixed-methods study examining the emotional experience of Israeli veterans' spouses with a focus on the relationship between AL, PTSS, and dyadic adjustment (DA).

Method: The study included 63 participants, all spouses of Israeli veterans. We used self-report questionnaires (AL, Dyadic Adjustment Scale, and PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders, fifth edition) and a semistructured narrative interview.

Results: Our results revealed positive correlations between AL-PTSS and PAL-PTSS. Also, an interaction effect was found in which the lower the DA level, the stronger the PAL-PTSS correlation. Conversely, the higher the DA level, the stronger the ambiguous presence-PTSS correlation. Qualitative findings identified themes in the experience of these situations, including uncertainty and ambivalence.

Conclusions: Our qualitative and quantitative results combined suggest that the way military couples deal with AL may be an important emotional experience requiring specific attention from mental health professionals. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
CiteScore
11.20
自引率
3.20%
发文量
427
期刊介绍: Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy. The journal publishes empirical research on a wide range of trauma-related topics, including: -Psychological treatments and effects -Promotion of education about effects of and treatment for trauma -Assessment and diagnosis of trauma -Pathophysiology of trauma reactions -Health services (delivery of services to trauma populations) -Epidemiological studies and risk factor studies -Neuroimaging studies -Trauma and cultural competence
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