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The mental health of forcibly displaced couples
Journal of Traumatic Stress ( IF 3.952 ) Pub Date : 2022-07-30 , DOI: 10.1002/jts.22862
Harem Nareeman Mahmood 1, 2 , Hawkar Ibrahim 1, 3 , Azad Ali Ismail 2 , Frank Neuner 1, 3
Affiliation  

Most current research investigating traumatic stress is focused on its effects at the individual level, utilizing the implicit assumption that trauma-related disorders are mutually independent within families and communities. However, there is reason to assume that trauma-related symptoms within couples are influenced by each partner's risk factors and symptoms. Using the actor–partner interdependence model, this study aimed to test whether symptoms of posttraumatic stress disorder (PTSD) and depression were predicted by participants’ partner's exposure to traumatic events over and above the influence of the participant's own experiences. For this purpose, we interviewed 687 heterosexual, married Iraqi and Syrian couples in Iraq's Kurdistan region who had been forcefully displaced. We assessed symptoms of PTSD and depression using locally validated scales. Nearly all participants (98.8%) reported exposure to at least one traumatic event, with husbands reporting exposure to a higher number of traumatic events than wives, d = 0.48, p < .001. More than half of the participants met the criteria for a probable PTSD (61.1%) or major depressive disorder diagnosis (60.4%). Within couples, significant actor effects of experienced trauma exposure on personal PTSD and depressive symptoms were observed for both husbands and wives. Further, there were significant partner effects of wives' traumatic experiences on husbands' PTSD and depressive symptoms as well as of husbands' traumatic experiences on wives' PTSD and depressive symptoms. The findings argue for the interdependence of trauma-related symptoms within dyads in a dual-trauma context, suggesting the presence of intracouple transmission of trauma-related symptoms.

中文翻译:

被迫流离失所夫妇的心理健康

大多数当前调查创伤性应激的研究都集中在其在个人层面的影响,利用创伤相关疾病在家庭和社区内相互独立的隐含假设。然而,有理由假设夫妻中与创伤相关的症状会受到每个伴侣的风险因素和症状的影响。本研究使用演员-伴侣相互依存模型,旨在测试参与者的伴侣暴露于创伤性事件的程度是否超过参与者自身经历的影响,从而预测创伤后应激障碍 (PTSD) 和抑郁症的症状。为此,我们在伊拉克库尔德斯坦地区采访了 687 对被迫流离失所的异性恋、已婚伊拉克和叙利亚夫妇。我们使用经过当地验证的量表评估了 PTSD 和抑郁症的症状。几乎所有参与者 (98.8%) 都报告至少经历过一次创伤事件,其中丈​​夫报告的创伤事件数量高于妻子,d = 0.48,p < .001。超过一半的参与者符合可能的 PTSD (61.1%) 或重度抑郁症诊断 (60.4%) 的标准。在夫妻中,观察到丈夫和妻子经历过的创伤暴露对个人 PTSD 和抑郁症状的显着影响。此外,妻子的创伤经历对丈夫的创伤后应激障碍和抑郁症状以及丈夫的创伤经历对妻子的创伤后应激障碍和抑郁症状都有显着的伴侣效应。研究结果证明,在双重创伤背景下,二元组中创伤相关症状的相互依赖性,表明存在创伤相关症状的夫妻间传播。
更新日期:2022-07-30
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