Journal of military and government counseling最新文献

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Investigating Relations between Traumatic Brain Injury and Relationship Functioning among OIF/OEF Veterans. 外伤性脑损伤与OIF/OEF退伍军人关系功能的关系研究。

Journal of military and government counseling

Pub Date : 2019-10-01

Jennifer Fillo, Kenneth E Leonard, Kerry T Donnelly

Traumatic brain injury (TBI) is one of the most common injuries among Veterans of Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF). TBI can negatively affect Veterans' close relationships, undermining an important source of support to aid recovery and rehabilitation. Given the complex symptom profile of TBI, the present research aimed to pinpoint key mediators of the link between TBI and marital functioning to help identify targets for intervention. Data from married OIF/OEF Veterans (N=188) were drawn from a larger sample. Mediation analyses simultaneously examined the potential roles of depressive, posttraumatic stress disorder (PTSD), and post-concussive symptoms in the association between TBI and Veterans' marital satisfaction. Results revealed associations between TBI and all three types of symptoms; however, only depressive symptoms independently mediated the association between TBI and marital satisfaction. These findings suggest depression as a mechanism by which TBI may interfere with healthy relationship functioning and highlight targets for intervention.

创伤性脑损伤(TBI)是伊拉克自由行动(OIF)和持久自由行动(OEF)退伍军人中最常见的损伤之一。创伤性脑损伤会对退伍军人的亲密关系产生负面影响，破坏帮助恢复和康复的重要支持来源。鉴于创伤性脑损伤的复杂症状特征，本研究旨在确定创伤性脑损伤与婚姻功能之间联系的关键介质，以帮助确定干预目标。来自已婚OIF/OEF退伍军人(N=188)的数据来自一个更大的样本。调解分析同时考察了抑郁症、创伤后应激障碍(PTSD)和脑震荡后症状在创伤性脑损伤与退伍军人婚姻满意度之间的关系中的潜在作用。结果显示创伤性脑损伤与所有三种症状之间存在关联;然而，只有抑郁症状独立介导创伤性脑损伤与婚姻满意度之间的关联。这些发现表明，抑郁症可能是创伤性脑损伤干扰健康关系功能的一种机制，并强调了干预的目标。

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