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首页> 外文期刊>Psychiatry >The Role of Coping, Resilience, and Social Support in Mediating the Relation Between PTSD and Social Functioning in Veterans Returning from Iraq and Afghanistan.
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The Role of Coping, Resilience, and Social Support in Mediating the Relation Between PTSD and Social Functioning in Veterans Returning from Iraq and Afghanistan.

机译：应对，抵御力和社会支持在调解从伊拉克和阿富汗返回的老兵中PTSD与社会功能之间的关系中的作用。

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摘要

Abstract Posttraumatic stress disorder (PTSD) is one of the most common psychiatric disorders among veterans returning tfrom Iraq and Afghanistan. Little research has examined variables that may mediate the relation between PTSD and aspects of social functioning, such as relationship satisfaction and family functioning. In this cross-sectional study, a total of 164 veterans who were seeking VA primary care or mental health care within one year after returning from Iraq and/or Afghanistan were screened for PTSD and completed a series of questionnaires that assessed social functioning, coping, and life satisfaction. Results showed that the 86 (52%) veterans who screened positive for PTSD reported greater difficulties in their relationships with romantic partners, less cohesion in their families, less social support, poorer social functioning, and lower life satisfaction compared to other treatment-seeking veterans. Less social support from the community, excessive worry, decreased acceptance of change, and lower availability of secure relationships mediated the association between PTSD and poor social functioning. The relation between PTSD and lower partner satisfaction was mediated by greater cognitive social avoidance and lower availability of secure relationships. These results suggest that psychotherapeutic interventions that address these mediating variables may help improve social functioning in treatment-seeking veterans with PTSD.
机译：摘要创伤后应激障碍（PTSD）是从伊拉克和阿富汗返回的退伍军人中最常见的精神疾病之一。很少有研究调查可能介导PTSD与社会功能方面之间的关系的变量，例如关系满意度和家庭功能。在这项横断面研究中，筛查了从伊拉克和/或阿富汗返回后一年内寻求VA初级保健或精神保健的164名退伍军人是否患有PTSD，并完成了一系列问卷调查，评估了社会功能，应对，和生活满意度。结果显示，与其他寻求治疗的退伍军人相比，对PTSD筛查呈阳性的86名退伍军人（52％）报告说，他们与浪漫伴侣的关系更加困难，家庭凝聚力降低，社会支持减少，社交功能差以及生活满意度降低。社区提供的社会支持减少，过​​度担忧，对变更的接受程度降低以及安全关系的可用性降低，这导致了PTSD与不良社会功能之间的联系。创伤后应激障碍与较低的伴侣满意度之间的关系是由更大的认知性社交回避和较低的安全性关系所介导的。这些结果表明，针对这些中介变量的心理治疗干预措施可能有助于改善寻求PTSD治疗的退伍军人的社会功能。

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