ABSTRACT

Endorsement of traditional masculinity ideology is frequently associated with interference in the treatment of posttraumatic stress disorder (PTSD); however, there is little empirical basis for this association. Moreover, there is increasing attention on masculinity ideology being contextual in nature, which may have important implications for our understanding of its impact on treatment. Here, we examine how the outcome of a group-based treatment for veterans with PTSD was impacted by traditional masculinity facets held at the individual level, and among other group members. Our sample consisted of (N = 255) Canadian veteran men. Results indicated that the degree of individual self-reliance and dominance attenuated positive treatment outcomes, with respect to total PTSD symptom change and PTSD-related avoidance symptoms. Self-reliance also attenuated symptom change in negative alterations in cognitions and mood and hyperarousal clusters. Other group members’ degree of masculinity did not appear to impact individual participants’ pre- to post-treatment PTSD symptom change. The R² for significant results ranged from .01-.05. This study provides evidence that, within the context of group-based treatment, an individual’s endorsement of traditional masculinity ideology may impede reduction of PTSD symptomatology, but the effect of other group members’ masculinity endorsement does not.

摘要

对传统男子气概意识形态的认可通常与对创伤后应激障碍 (PTSD) 治疗的干扰有关；然而，这种关联几乎没有经验基础。此外，越来越多的人关注男性气质意识形态在本质上的背景，这可能对我们理解其对治疗的影响具有重要意义。在这里，我们研究了针对 PTSD 退伍军人的基于团体的治疗结果如何受到个人层面和其他团体成员的传统男性气质方面的影响。我们的样本包括（N= 255) 加拿大老兵。结果表明，个体自力更生和支配的程度减弱了积极的治疗结果，关于总的 PTSD 症状变化和 PTSD 相关的回避症状。自力更生还减轻了认知和情绪的负面变化以及过度唤醒集群的症状变化。其他小组成员的男子气概程度似乎并未影响个体参与者治疗前后的 PTSD 症状变化。显着结果的R ²范围为 0.01-0.05。这项研究提供的证据表明，在基于团体的治疗的背景下，个人对传统男性气概意识形态的认可可能会阻碍 PTSD 症状的减少，但其他团体成员的男性气概认可的效果不会。