A Daily Diary Study of PTSD and Interpersonal Processes

创伤后应激障碍和人际交往过程的每日日记研究

• 批准号: 8526097
• 负责人: Sarah Burns Campbell
• 金额: $ 3.15万
• 依托单位: GEORGE MASON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-07-04 至 2016-07-03
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8526097
• 关键词: Address; Afghanistan; Aggressive behavior; American; Anger; Area; Attention; Behavior; Clinical; Couples; Data; Data Analyses; Data Collection; Data Quality; Development; Disclosure; Distress; Divorce; Educational workshop; Emotions; Family; Feeling; Goals; Indium; Individual; Intervention; Investigation; Iraq; Knowledge; Learning; Maintenance; Mediating; Mental Health; Mental disorders; Mentorship; Methodology; Methods; Military Personnel; Mission; National Institute of Mental Health; Pathway interactions; Patient Self-Report; Play; Population; Post-Traumatic Stress Disorders; Prevention; Prevention program; Process; Recovery; Remittance; Research; Research Training; Risk; Risk Factors; Role; Sampling; Scientist; Security; Self Disclosure; Services; Signal Transduction; Social Environment; Social support; Societies; Spouses; Supervision; Surveys; Symptoms; Testing; Time; Training; Training Programs; Veterans; Withdrawal; Writing; base; combat; design; diaries; effective therapy; emotional disclosure; experience; improved; innovation; intimate behavior; member; novel; psychological distress; public health relevance; therapy development; treatment program

DESCRIPTION (provided by applicant): Combat veterans are at an increased risk for the development of full and subclinical PTSD. Although research has shown that social support from romantic partners is implicated in the remittance of PTSD symptoms, service members with PTSD are also at increased risk of marital discord and divorce. This negative cycle of risk between PTSD symptoms and marital discord has been studied broadly, but less attention has been paid to the daily interactions between service members and their partners that may exacerbate the cycle. The proposed investigation addresses the NIMH mission to use "novel scientific perspectives" to promote "prevention, recovery, and cure" in mental illness by using experience sampling methods to collect self-report data on symptoms and behaviors from service members with clinical or subclinical PTSD and their romantic partners over 14 consecutive days. By analyzing the day-to-day associations among symptoms and interpersonal behaviors, the study will illuminate specific interactions between partners and service members that are most likely to reduce or increase PTSD symptoms over time. The long-term objective of this research is to generate potential targets for interventions that aim to reduce relationship distress in military couples with PTSD. To that end, the specific aims of the study are threefold. First, the study will evaluate the impact of individual symptoms of PTSD in service members on subsequent interpersonal emotions and behaviors in service members and their spouses, to help clarify which symptoms are particularly related to specific types of interpersonal problems in military couples. Second, the study will evaluate the impact of spouses' feelings of intimacy and distress on their subsequent provision of support to service members, to clarify whether partners' intimacy and distress impact their actual behavior toward those with PTSD symptoms. Third, the study will evaluate the relationship of spouses' support provision to subsequent PTSD symptoms in service members, to determine the actual effect of partner behaviors on service members' PTSD symptoms. Data collected in the proposed study will substantially increase scientific knowledge about the interpersonal relationships of those with combat-related PTSD, and enable clinical scientists to refine existing couple's interventions and/or design novel interventions for PTSD. The scientific perspective afforded by the design and the clinical utility of results both have the potential to contribute substantially to prevention and treatment of PTSD in a growing number of military service members. The goals of the proposed study will be accomplished within a research training program aimed at developing expertise in PTSD, experience-sampling methodology and data analysis, dyadic relationships, and the military context. The training plan includes completion of relevant courses, attendance at targeted workshops, individual supervision and mentorship by experts in the field, and scientific writing and presentation experience.

描述（由申请人提供）：战斗退伍军人的发展风险增加了全面和亚临床PTSD的风险。尽管研究表明，浪漫伴侣的社会支持与PTSD症状的汇款有关，但具有PTSD的服务成员的婚姻和离婚风险也增加。已经广泛研究了PTSD症状和婚姻不和谐之间的这种负面风险周期，但是对服务成员及其合作伙伴之间每日互动的关注较少，这可能会加剧周期。拟议的调查通过使用经验抽样方法来收集有关临床或亚临床PTSD服务成员的症状和行为的自我报告数据来促进精神疾病中“预防，康复和治愈”的NIMH使命，以促进“预防，康复和治愈”。通过分析症状和人际行为之间的日常关联，该研究将阐明合作伙伴和服务成员之间的特定相互作用，这些相互作用最有可能随着时间的推移减轻或增加PTSD症状。这项研究的长期目标是为旨在减少与PTSD的军事夫妇的关系困扰的干预措施产生潜在的目标。为此，研究的具体目的是三倍。首先，该研究将评估PTSD对服务成员的各个症状对服务成员及其配偶的人际交往情绪和行为的影响，以帮助阐明哪些症状与军事夫妇中特定类型的人际交往特别相关。其次，该研究将评估配偶亲密感和困扰感对服务成员提供支持的影响，以澄清伴侣的亲密和困扰是否影响其实际行为对患有PTSD症状的人的实际行为。第三，该研究将评估配偶的支持提供与服务成员中随后的PTSD症状的关系，以确定伴侣行为对服务成员PTSD症状的实际影响。拟议研究中收集的数据将大大增加有关与战斗相关PTSD的人际关系的科学知识，并使临床科学家能够完善现有夫妇的干预措施和/或设计新颖的PTSD干预措施。设计和结果的临床实用性提供的科学观点都有可能为越来越多的兵役成员的预防和治疗PTSD做出基本贡献。拟议研究的目标将在旨在发展PTSD，经验采样方法和数据分析，二元关系和军事背景方面的专业知识的研究培训计划中实现。培训计划包括完成相关课程，有针对性的研讨会的出席，该领域的专家的个人监督和指导以及科学写作和演讲经验。