Cognitive-behavioral conjoint therapy for posttraumatic stress disorder (CBCT for PTSD) is associated with improvements in patients’ PTSD symptoms, partners’ psychological distress, and relationship satisfaction. However, little is known about whether CBCT for PTSD is associated with changes in other relationship domains that have theoretical and clinical relevance to the relational context of PTSD. The current study is a secondary analysis of relational outcomes from an uncontrolled, within-group trial designed to examine whether an abbreviated, intensive, multi-couple group version of CBCT for PTSD (AIM-CBCT for PTSD) delivered in a retreat during a single weekend was associated with improvements in PTSD symptoms and relationship satisfaction. In this investigation, we examined whether AIM-CBCT for PTSD is also associated with improvements in ineffective arguing, supportive dyadic coping by partner, joint dyadic coping, and partners’ accommodation of patients’ PTSD symptoms. Participants were 24 couples who included a post-9/11 U.S. service member or veteran with PTSD. At 1- and 3-month follow-up, patients reported significant reductions in couples’ ineffective arguing (ds = −.71 and −.78, respectively) and increases in supportive dyadic coping by partners relative to baseline (ds = .50 and .44, respectively). By 3-month follow-up, patients also reported significant increases in couples’ joint dyadic coping (d = .57), and partners reported significant reductions in their accommodation of patients’ PTSD symptoms (d = −.44). Findings suggest that AIM-CBCT for PTSD is associated with improvements in multiple relationship domains beyond relationship satisfaction but that these may be differentially salient for patients and partners.

中文翻译：

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对军人二人创伤后应激障碍 (PTSD) 的简短、强化、多夫妇团体认知行为联合疗法试点研究的关系结果进行更仔细的检验


创伤后应激障碍的认知行为联合治疗（针对 PTSD 的 CBCT）与患者 PTSD 症状、伴侣心理困扰和关系满意度的改善相关。然而，对于 PTSD 的 CBCT 是否与其他关系领域的变化相关，而这些关系领域与 PTSD 的关系背景具有理论和临床相关性，人们知之甚少。目前的研究是对一项非对照组内试验的相关结果的二次分析，该试验旨在检查是否在单次静修期间提供针对 PTSD 的 CBCT 的简化、强化、多对小组版本（AIM-CBCT for PTSD）。周末与创伤后应激障碍症状和关系满意度的改善有关。在这项调查中，我们研究了针对 PTSD 的 AIM-CBCT 是否也与无效争论、伴侣支持性二元应对、联合二元应对以及伴侣对患者 PTSD 症状的适应的改善有关。参与者为 24 对夫妇，其中包括 9/11 事件后的美国军人或患有创伤后应激障碍 (PTSD) 的退伍军人。在 1 个月和 3 个月的随访中，与基线相比，患者报告夫妻无效争吵显着减少（分别为ds = -.71 和 -.78 ），伴侣的支持性二元应对增加（ ds = .50）和 .44，分别）。经过 3 个月的随访，患者还报告夫妻共同应对的显着增加 ( d = .57)，伴侣报告对患者 PTSD 症状的适应显着减少 ( d = -.44)。 研究结果表明，针对 PTSD 的 AIM-CBCT 与除关系满意度之外的多个关系领域的改善相关，但这些对于患者和伴侣来说可能具有不同的显着性。