期刊
AGGRESSION AND VIOLENT BEHAVIOR
卷 9, 期 5, 页码 477-501出版社
PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/S1359-1789(03)00045-4
关键词
family relations; family caregivers; posttraumatic stress disorders; combat disorders; secondary traumatization
This review of the literature reveals that veterans' posttraumatic stress disorder (PTSD) following exposure to combat violence affects veterans' familial relationships and the psychological adjustment of family members. Previous study within other trauma populations has conceptualized the negative impact of an individual's traumatic stress on his/her family members as secondary traumatization. This review examines the processes by which secondary traumatization occurs within combat veterans' families. Research has identified PTSD as mediating the effect of veterans' combat experience on the family. Veterans' numbing/arousal symptoms are especially predictive of family distress; while, to a lesser extent, veterans' anger is also associated with troubled family relationships and secondary traumatization among family members. Empirical modeling of additional factors involved in secondary traumatization is needed. Marital/family interventions have largely focused on improving relationships and reducing veterans' symptoms, rather than targeting improvements in the psychological well-being of the spouse and children. Interventions directly addressing the needs of significant others, especially spouses, are advocated. The potential for increased effectiveness of PTSD interventions and possible cost-savings attained by improving relationships and reducing caregiver burden are also discussed. (C) 2003 Elsevier Ltd. All rights reserved.
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