Family Functioning Predicts Outcomes for Veterans in Treatment for Chronic Posttraumatic Stress Disorder

被引:71
作者
Evans, Lynette [1 ]
Cowlishaw, Sean [1 ]
Hopwood, Malcolm [2 ]
机构
[1] La Trobe Univ, Sch Psychol Sci, Bundoora, Vic 3086, Australia
[2] Univ Melbourne, Vet Psychiat Unit, Heidelberg Repatriat Hosp, Heidelberg, Vic, Australia
关键词
posttraumatic stress; veterans; family functioning; ALCOHOL-USE DISORDERS; MARITAL DISSATISFACTION; INTIMATE-RELATIONSHIPS; EXTRAFAMILY RESOURCES; TRAUMA; PARTNERS; IMPACT;
D O I
10.1037/a0015877
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
A longitudinal framework was used to examine the competing hypotheses of (a) whether family functioning predicts changes in posttraumatic stress disorder (PTSD) symptoms or (b) whether PTSD symptoms predict changes in family functioning. Veterans (N = 311) admitted to a treatment program completed a series of questionnaires at 3 time points: at intake, from intake to completion of a treatment program, and at the 6-month follow-up. Alcohol use and general mental health symptoms were also measured at intake. A cross-lagged panel model using structural equation modeling analyses indicated that family functioning was a moderate predictor of PTSD symptoms at posttreatment and at the 6-month follow-up. PTSD was not a significant predictor of family functioning across time and alcohol use, and general mental health symptoms did not affect the overall findings. Further analyses of PTSD symptom clusters indicated that the avoidance symptom cluster was most strongly related to family functioning. Targeting family relationships for treatment may be important in the future for veterans with PTSD.
引用
收藏
页码:531 / 539
页数:9
相关论文
共 40 条
[21]   Posttraumatic stress disorder and interpersonal functioning in Vietnam War veterans: A mediational model [J].
MacDonald, C ;
Chamberlain, K ;
Long, N ;
Flett, R .
JOURNAL OF TRAUMATIC STRESS, 1999, 12 (04) :701-707
[22]   Couples' support-related communication, psychological distress, and relationship satisfaction among women with early stage breast cancer [J].
Manne, S ;
Ostroff, J ;
Sherman, M ;
Heyman, RE ;
Ross, S ;
Fox, K .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2004, 72 (04) :660-670
[23]   Advanced applications of structural equation modeling in counseling psychology research [J].
Martens, Matthew P. ;
Haase, Richard F. .
COUNSELING PSYCHOLOGIST, 2006, 34 (06) :878-911
[24]   DEPRESSED-PATIENTS WITH DYSFUNCTIONAL FAMILIES - DESCRIPTION AND COURSE OF ILLNESS [J].
MILLER, IW ;
KEITNER, GI ;
WHISMAN, MA ;
RYAN, CE ;
EPSTEIN, NB ;
BISHOP, DS .
JOURNAL OF ABNORMAL PSYCHOLOGY, 1992, 101 (04) :637-646
[25]   Diagnostic and Statistical Manual of Mental Disorders [J].
Mittal, Vijay A. ;
Walker, Elaine F. .
PSYCHIATRY RESEARCH, 2011, 189 (01) :158-159
[26]   Cognitive-behavioral couple's treatment for posttraumatic stress disorder: Initial findings [J].
Monson, CM ;
Schnurr, PP ;
Stevens, SP ;
Guthrie, KA .
JOURNAL OF TRAUMATIC STRESS, 2004, 17 (04) :341-344
[27]   The long-term interplay between family and extrafamily resources and depression [J].
Moos, RH ;
Cronkite, RC ;
Moos, BS .
JOURNAL OF FAMILY PSYCHOLOGY, 1998, 12 (03) :326-343
[28]   Family and extrafamily resources and the 10-year course of treated depression [J].
Moos, RH ;
Cronkite, RC ;
Moos, BS .
JOURNAL OF ABNORMAL PSYCHOLOGY, 1998, 107 (03) :450-460
[29]   The effects of trauma on intimate relationships: A qualitative study with clinical couples [J].
Nelson Goff, Briana S. ;
Reisbig, Allison M. J. ;
Bole, Amy ;
Scheer, Tamera ;
Hayes, Everett ;
Archuleta, Kristy L. ;
Blalock Henry, Stacey ;
Hoheisel, Carol B. ;
Nye, Ben ;
Osby, Jamie ;
Sanders-Hahs, Erin ;
Schwerdtfeger, Kami L. ;
Smith, Douglas B. .
AMERICAN JOURNAL OF ORTHOPSYCHIATRY, 2006, 76 (04) :451-460
[30]   The quality of the intimate relationships of male Vietnam veterans: Problems associated with posttraumatic stress disorder [J].
Riggs, DS ;
Byrne, CA ;
Weathers, FW ;
Litz, BT .
JOURNAL OF TRAUMATIC STRESS, 1998, 11 (01) :87-101