战区老兵认知相关功能衰退和创伤后应激症状:与亲密伴侣压力的关系。

IF 2.3 2区 心理学 Q2 PSYCHIATRY
Jennifer J Vasterling, Arjun Bhalla, Molly R Franz, Anica Pless Kaiser, Lewina O Lee
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引用次数: 0

摘要

目的:战区退伍军人的亲密伴侣经常报告显着的压力。WZV认知问题和相关的功能障碍可能导致伴侣压力。WZV创伤后应激症状(PTSS)也可能产生伴侣压力。然而,WZV认知相关功能衰退、创伤后应激障碍和伴侣压力之间的关系尚不完全清楚。本研究考察了WZV认知相关功能的纵向变化与随访评估中测量的伴侣压力的关系,并考虑了并发的WZV ptsd。方法:127名美国伊拉克wzv在使用医学结果研究认知功能量表(Stewart, Ware, et al, 1992)之前自我报告认知相关功能。8年后(M = 8.8; SD = 1.7), wzv再次接受认知功能医学结局研究,并完成临床应用PTSD量表(Blake et al., 1995);亲密伴侣完成每日压力源指数(Hall, 1983)。结果:层次回归分析显示,WZV认知相关功能的纵向下降与更大的亲密伴侣压力之间存在显著的未经调整的关联。在调整了ptsd聚类得分和WZV军职状态的分析中,WZV认知相关功能下降不再与伴侣压力显著相关,而WZV高唤醒症状与伴侣压力正相关。结论:虽然WZV功能性认知下降与伴侣压力增加有关,但这种关系似乎可归因于WZV高唤醒症状。研究结果表明,有高唤醒症状的wzv的伴侣可能需要额外的资源来帮助减轻他们的压力源,报告认知相关功能恶化的wzv可能受益于针对唤醒和其他创伤后应激障碍的干预,以及针对认知问题的干预。(PsycInfo Database Record (c) 2025 APA,版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
War zone veteran cognitive-related functional decline and posttraumatic stress symptoms: Relationship to intimate partner stress.

Objective: Intimate partners of war zone veterans (WZVs) often report significant stress. WZV cognitive concerns and associated functional impairment may contribute to partner stress. WZV posttraumatic stress symptoms (PTSS) may also generate partner stress. Associations among WZV cognitive-related functional decline, PTSS, and partner stress, however, are not fully understood. This study examined associations of longitudinal change in WZV cognitive-related functioning with partner stress measured at a follow-up assessment, accounting for concurrent WZV PTSS.

Method: 127 U.S. Iraq WZVs self-reported cognitive-related functioning prior to an index deployment using the Medical Outcomes Study, Cognitive Functioning scale (Stewart, Ware, et al., 1992). Over 8 years later (M = 8.8; SD = 1.7), WZVs were readministered the Medical Outcomes Study Cognitive Functioning and completed the Clinician-Administered PTSD Scale (Blake et al., 1995); intimate partners completed the Everyday Stressor Index (Hall, 1983).

Results: Hierarchical regression analyses revealed a significant unadjusted association between longitudinal decline in WZV cognitive-related functioning and greater intimate partner stress. In analyses adjusted for PTSS cluster scores and WZV military status, WZV cognitive-related functional decline was no longer significantly associated with partner stress, whereas WZV hyperarousal symptoms were positively correlated with partner stress.

Conclusions: Although WZV functional cognitive decline was associated with greater partner stress, this relationship appeared attributable to WZV hyperarousal symptoms. Findings suggest that partners of WZVs with elevated hyperarousal symptoms may require additional resources to help mitigate their stressors and that WZVs reporting worsened cognitive-related functioning may benefit from interventions targeting arousal and other PTSS in addition to interventions addressing cognitive concerns. (PsycInfo Database Record (c) 2025 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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