Disclosure and concealment in military couples: A dyadic study.

IF 2.7 2区 心理学 Q2 PSYCHIATRY Psychological trauma : theory, research, practice and policy Pub Date : 2024-07-25 DOI:10.1037/tra0001714
Liron Lapid Pickman, Rachel Dekel, Galit Even-Haim Avraham, Adam D Brown, Danny Horesh
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Abstract

Objective: Disclosure of deployment-related experiences among military couples is generally beneficial to mental health and relationship adjustment. Yet, disclosure by the spouse is rarely studied, as are the dyadic associations between disclosure and outcomes in both partners. The present study used a dyadic approach to study the relationship between disclosure or concealment on one hand and mental health and relationship adjustment on the other hand among Israeli military couples.

Method: Sixty-three Israel Defense Force (IDF) combat veterans (all male) and their spouses (all female; N = 126) completed self-report questionnaires about disclosure and concealment of deployment-related experiences to their partner; relationship adjustment; depression; and posttraumatic stress symptoms (PTSS). Six Actor-Partner Interdependence Models (APIM) were used for dyadic analysis.

Results: We found lower disclosure and higher concealment of deployment-related experiences by veterans compared to spouses. The veteran's concealment of deployment-related experiences was associated with lower relationship adjustment for both partners and with the veteran's own higher PTSS. The spouse's concealment was associated with greater depression for both partners and with the spouse's own higher PTSS. Neither actor nor partner effects were found for disclosure regarding all three outcomes.

Conclusions: Concealment of deployment-related experiences among military couples may have detrimental implications on the mental health and relationship adjustment of both the concealer and their partner. The spouse's concealment of their experience was as related to mental health and relationship adjustment as the veteran's concealment. The findings highlight the need to address communication about deployment-related experiences by both partners among military couples. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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军人夫妇的披露与隐瞒:二元研究。
目的:军人配偶披露与部署相关的经历通常有利于心理健康和关系调整。然而,很少有人研究配偶披露经历的情况,也很少有人研究披露经历与伴侣双方的结果之间的关系。本研究采用二元对立的方法来研究以色列军人夫妇中披露或隐瞒与心理健康和关系调整之间的关系:63名以色列国防军(IDF)退伍军人(均为男性)及其配偶(均为女性;N = 126)填写了自我报告问卷,内容涉及向伴侣披露和隐瞒与部署相关的经历、关系调整、抑郁和创伤后应激症状(PTSS)。我们使用了六个行为者-伴侣相互依存模型(APIM)进行分析:我们发现,与配偶相比,退伍军人对部署相关经历的披露程度较低,隐瞒程度较高。退伍军人对部署相关经历的隐瞒与伴侣双方较低的关系适应度以及退伍军人自身较高的创伤后应激障碍相关。配偶的隐瞒与伴侣双方更严重的抑郁以及配偶自身更高的创伤后应激障碍相关。在所有三种结果中,均未发现行为者或伴侣对披露的影响:结论:军人夫妇隐瞒与部署相关的经历可能会对隐瞒者及其伴侣的心理健康和关系调整产生不利影响。配偶隐瞒自己的经历与退伍军人隐瞒经历一样,都与心理健康和关系调整有关。研究结果突出表明,有必要解决军人夫妇双方就部署相关经历进行沟通的问题。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
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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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