Posttraumatic Stress and Sexual Satisfaction in Husbands and Wives: A Dyadic Analysis.


Journal

Archives of sexual behavior
ISSN: 1573-2800
Titre abrégé: Arch Sex Behav
Pays: United States
ID NLM: 1273516

Informations de publication

Date de publication:
07 2020
Historique:
received: 30 07 2019
accepted: 04 03 2020
revised: 04 03 2020
pubmed: 5 4 2020
medline: 4 9 2020
entrez: 5 4 2020
Statut: ppublish

Résumé

Trauma survivors who suffer from posttraumatic stress symptoms (PTSS) are known to experience impairments in sexual satisfaction. However, the negative effects of PTSS are not limited to the primary survivors, as they can lead to secondary PTSS in their spouses as well. The implications of secondary PTSS in the sexuality of couples remain unknown. This study aimed to investigate whether specific symptom clusters of PTSS (i.e., intrusions, hyperarousal, and avoidance) are implicated in the sexual satisfaction of couples. We assessed a sample of primarily exposed Israeli veterans from the Yom Kippur War and their wives who had been secondarily exposed (N = 191). The dyadic data were analyzed in an Actor-Partner Independence Model. When scrutinizing specific PTSS clusters, the husbands' avoidance related to their own sexual satisfaction. The wives' hyperarousal related to their own and their spouses' sexual satisfaction, whereas their intrusions were associated only with their husbands' sexual satisfaction. In conclusion, PTSS in one spouse is related to both spouses' sexual satisfaction; it is therefore recommended that clinicians adopt a dyadic approach when delivering interventions.

Identifiants

pubmed: 32246223
doi: 10.1007/s10508-020-01680-4
pii: 10.1007/s10508-020-01680-4
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1533-1543

Références

Ackerman, R. A., Ledermann, T., & Kenny, D. A. (2016). Power analysis for the actor-partner interdependence model. Unpublished manuscript. Retrieved January 5, 2020, from https://robert-ackerman.shinyapps.io/APIMPowerR/ .
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Press.
doi: 10.1176/appi.books.9780890425596
Arbuckle, J. L. (2012). IBM SPSS Amos 21 user’s guide. Chicago: Small Waters Corporation.
Arbuckle, J. L. (2014). Amos 23.0 user’s guide. Chicago: IBM SPSS.
Badour, C. L., Gros, D. F., Szafranski, D. D., & Acierno, R. (2016). Sexual problems predict PTSD and depression symptom change among male OEF/OIF veterans completing exposure therapy. Psychiatry,79(4), 403–417. https://doi.org/10.1080/00332747.2016.1142774 .
doi: 10.1080/00332747.2016.1142774 pubmed: 27997327 pmcid: 5538014
Bandalos, D. L. (2009). The effects of item parceling on goodness-of-fit and parameter estimate bias in structural equation modeling. Structural Equation Modeling,9(1), 78–102. https://doi.org/10.1207/S15328007SEM0901_5 .
doi: 10.1207/S15328007SEM0901_5
Bandalos, D. L., & Finney, S. J. (2001). Item parceling issues in structural equation modeling. In G. A. Marcoulides & R. E. Schumacker (Eds.), New developments and techniques in structural equation modeling (pp. 269–296). Mahwah, NJ: Lawrence Erlbaum Associates Inc.
Barlow, D. H. (1986). Causes of sexual dysfunction: The role of anxiety and cognitive interference. Journal of Consulting and Clinical Psychology,54(2), 140–148. https://doi.org/10.1037/0022-006X.54.2.140 .
doi: 10.1037/0022-006X.54.2.140
Birkley, E. L., Eckhardt, C. I., & Dykstra, R. E. (2016). Posttraumatic stress disorder symptoms, intimate partner violence, and relationship functioning: A meta-analytic review. Journal of Traumatic Stress,29, 397–405. https://doi.org/10.1002/jts.22129 .
doi: 10.1002/jts.22129 pubmed: 27644053
Breyer, B. N., Fang, S. C., Seal, K. H., Ranganathan, G., Marx, B. P., Keane, T. M., & Rosen, R. C. (2016). Sexual health in male and female Iraq and Afghanistan US war veterans with and without PTSD: Findings from the VALOR Cohort. Journal of Traumatic Stress,29(3), 229–236. https://doi.org/10.1002/jts.22097 .
doi: 10.1002/jts.22097 pubmed: 27128485 pmcid: 4899252
Brotto, L. A., Seal, B. N., & Rellini, A. (2012). Pilot study of a brief cognitive behavioral versus mindfulness-based intervention for women with sexual distress and a history of childhood sexual abuse. Journal of Sex and Marital Therapy,38(1), 1–27. https://doi.org/10.1080/0092623X.2011.569636 .
doi: 10.1080/0092623X.2011.569636 pubmed: 22268979
Campbell, S. B., & Renshaw, K. D. (2013). PTSD symptoms, disclosure, and relationship distress: Explorations of mediation and associations over time. Journal of Anxiety Disorders,27(5), 494–502. https://doi.org/10.1016/j.janxdis.2013.06.007 .
doi: 10.1016/j.janxdis.2013.06.007 pubmed: 23917126
Canevello, A., Michels, V., & Hilaire, N. (2016). Supporting close others’ growth after trauma: The role of responsiveness in romantic partners’ mutual posttraumatic growth. Psychological Trauma: Theory, Research, Practice, and Policy,8(3), 334–342. https://doi.org/10.1037/tra0000084 .
doi: 10.1037/tra0000084
Chao, J.-K., Lin, Y.-C., Ma, M.-C., Lai, C.-J., Ku, Y.-C., Kuo, W.-H., & Chao, I.-C. (2011). Relationship among sexual desire, sexual satisfaction, and quality of life in middle-aged and older adults. Journal of Sex and Marital Therapy,37(5), 386–403. https://doi.org/10.1080/0092623X.2011.607051 .
doi: 10.1080/0092623X.2011.607051 pubmed: 21961445
Chivers, M. L., & Brotto, L. A. (2017). Controversies of women’s sexual arousal and desire. European Psychologist,22(1), 5–26. https://doi.org/10.1027/1016-9040 .
doi: 10.1027/1016-9040
Coffman, D. L., MacCallum, R. C., Coffman, D. L., & MacCallum, R. C. (2010). Using parcels to convert path analysis models into latent variable models. Multivariate Behavioral Research,40(2), 235–259. https://doi.org/10.1207/s15327906mbr4002 .
doi: 10.1207/s15327906mbr4002
Collins, L. M. M., Schafer, J. L. L., & Kam, C.-M. M. (2001). A comparison of inclusive and restrictive strategies in modern missing data procedures. Psychological Methods, 6(4), 330–351. https://doi.org/10.1037/1082-989X.6.4.330 .
doi: 10.1037/1082-989X.6.4.330 pubmed: 11778676
Cook, J. M., Riggs, D. S., Thompson, R., Coyne, J. C., & Sheikh, J. I. (2004). Posttraumatic stress disorder and current relationship functioning among World War II ex-prisoners of war. Journal of Family Psychology,18(1), 36–45. https://doi.org/10.1037/0893-3200.18.1.36 .
doi: 10.1037/0893-3200.18.1.36 pubmed: 14992608
Davison, S. L., Bell, R. J., LaChina, M., Holden, S. L., & Davis, S. R. (2009). The relationship between self-reported sexual satisfaction and general well-being in women. Journal of Sexual Medicine,6(10), 2690–2697. https://doi.org/10.1111/j.1743-6109.2009.01406.x .
doi: 10.1111/j.1743-6109.2009.01406.x pubmed: 19817981
De Silva, P. (2001). Impact of trauma on sexual functioning and sexual relationships. Sexual and Relationship Therapy,16(3), 269–278. https://doi.org/10.1080/14681990123900 .
doi: 10.1080/14681990123900
Dekel, R., Goldblatt, H., Keidar, M., Solomon, Z., & Polliack, M. (2005). Being a wife of a veteran with posttraumatic stress disorder. Family Relations,54(1), 24–36. https://doi.org/10.1111/j.0197-6664.2005.00003.x .
doi: 10.1111/j.0197-6664.2005.00003.x
Dekel, R., Levinstein, Y., Siegel, A., Fridkin, S., & Svetlitzky, V. (2016). Secondary traumatization of partners of war veterans: The role of boundary ambiguity. Journal of Family Psychology,30(1), 63–71. https://doi.org/10.1037/fam0000163 .
doi: 10.1037/fam0000163 pubmed: 26618520
Dekel, R., & Monson, C. M. (2010). Military-related post-traumatic stress disorder and family relations: Current knowledge and future directions. Aggression and Violent Behavior,15(4), 303–309. https://doi.org/10.1016/j.avb.2010.03.001 .
doi: 10.1016/j.avb.2010.03.001
Dekel, R., & Solomon, Z. (2006). Marital relations among former prisoners of war: Contribution of posttraumatic stress disorder, aggression, and sexual satisfaction. Journal of Family Psychology,20(4), 709–712. https://doi.org/10.1037/0893-3200.20.4.709 .
doi: 10.1037/0893-3200.20.4.709 pubmed: 17176208
Dekel, R., & Solomon, Z. (2007). Secondary traumatization among wives of war veterans with PTSD. In C. R. Figley & W. P. Nash (Eds.), Combat stress injury: Theory, research, and management (pp. 137–157). New York, NY: Routledge/Taylor & Francis Group. https://doi.org/10.4324/9780203943694 .
doi: 10.4324/9780203943694
Delamater, J., Hyde, J. S., Fong, M., Delamater, J., & Hyde, J. S. (2008). Sexual satisfaction in the seventh decade of life. Journal of Sex & Marital Therapy,34(5), 439–454. https://doi.org/10.1080/00926230802156251 .
doi: 10.1080/00926230802156251
DiMauro, J., Renshaw, K. D., & Blais, R. K. (2018). Sexual vs non-sexual trauma, sexual satisfaction and function, and mental health in female veterans. Journal of Trauma and Dissociation,19(4), 403–416. https://doi.org/10.1080/15299732.2018.1451975 .
doi: 10.1080/15299732.2018.1451975 pubmed: 29601287
Evans, L., McHugh, T., Hopwood, M., & Watt, C. (2003). Chronic posttraumatic stress disorder and family functioning of Vietnam veterans and their partners. Australian and New Zealand Journal of Psychiatry,37, 765–772. https://doi.org/10.1080/j.1440-1614.2003.01267.x .
doi: 10.1080/j.1440-1614.2003.01267.x pubmed: 14636394
Eysenck, M. W., Sánchez-Fuentes, M., Santos-Iglesias, P., & Carlos, J. (2014). A systematic review of sexual satisfaction. International Journal of Clinical and Health Psychology,14(1), 67–75. https://doi.org/10.1016/S1697-2600(14)70038-9 .
doi: 10.1016/S1697-2600(14)70038-9
Fallis, E. E., Rehman, U. S., Woody, E. Z., & Purdon, C. (2016). The longitudinal association of relationship satisfaction and sexual satisfaction in long-term relationships. Journal of Family Psychology,30(7), 822–831. https://doi.org/10.1037/fam0000205 .
doi: 10.1037/fam0000205 pubmed: 27077235
Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods,39(2), 175–191. https://doi.org/10.3758/BF03193146 .
doi: 10.3758/BF03193146
Figley, C. R. (1995). Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized. New York: Brunner/Mazel.
Fisher, W. I., Sliwinski, J. R., Johnson, A. K., Yu, A., & Elkins, G. R. (2013). Hypnotic relaxation therapy improves sexual health in postmenopausal women with moderate to severe hot flashes. Presented at the meeting of the American Psychological Association.
Gadassi, R., Bar-Nahum, L. E., Newhouse, S., Anderson, R., Heiman, J. R., Rafaeli, E., & Janssen, E. (2016). Perceived partner responsiveness mediates the association between sexual and marital satisfaction: A daily diary study in newlywed couples. Archives of Sexual Behavior,45(1), 109–120. https://doi.org/10.1007/s10508-014-0448-2 .
doi: 10.1007/s10508-014-0448-2 pubmed: 25680818
Greene, T., Lahav, Y., Bronstein, I., & Solomon, Z. (2014). The role of ex-POWs’ PTSD symptoms and trajectories in wives’ secondary traumatization. Journal of Family Psychology,28(5), 666–674. https://doi.org/10.1037/a0037848 .
doi: 10.1037/a0037848 pubmed: 25264770
Gribbons, B. C., & Hocevar, D. (1998). Levels of aggregation in higher level confirmatory factor analysis: Application for academic self-concept. Structural Equation Modeling: A Multidisciplinary Journal,5(4), 377–390. https://doi.org/10.1080/10705519809540113 .
doi: 10.1080/10705519809540113
Guy, H. (1995). Joy, intimacy and sexuality among second generation of Holocaust survivors. Master's Thesis, Tel Aviv University.
Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling,6(1), 1–55. https://doi.org/10.1080/10705519909540118 .
doi: 10.1080/10705519909540118
Hudson, W. W., Harrison, D. F., & Crosscup, P. C. (1981). A short-form scale to measure sexual discord in dyadic relationships. Journal of Sex Research,17(2), 157–174. https://doi.org/10.1080/00224498109551110 .
doi: 10.1080/00224498109551110
Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. New York, NY: Hyperion. https://doi.org/10.1016/0005-7967(95)90133-7 .
doi: 10.1016/0005-7967(95)90133-7
Kenny, D., Kashy, D., Cook, W., & Simpson, J. (2006). Dyadic data analysis. New York, NY: Guilford.
Lawrance, K., & Byers, E. S. (1998). Interpersonal exchange model of sexual satisfaction questionnaire. In C. M. Davis, W. L. Yarber, & R. Bauserman (Eds.), Sexuality related measures: A compendium (pp. 514–519). Thousand Oaks, CA: Sage.
Levin, Y., Bachem, R., & Solomon, Z. (2016). Traumatization, marital adjustment, and parenting among veterans and their spouses: A longitudinal study of reciprocal relations. Family Process,56(4), 926–942. https://doi.org/10.1111/famp.12257 .
doi: 10.1111/famp.12257 pubmed: 27782298
Little, R. J. A. (1988). A test of missing completely at random for multivariate data with missing values. Journal of the American Statistical Association,83(404), 1198–1202. https://doi.org/10.1080/01621459.1988.10478722 .
doi: 10.1080/01621459.1988.10478722
Lorenz, T. A., Harte, C. B., Hamilton, L. D., & Meston, C. M. (2012). Evidence for a curvilinear relationship between sympathetic nervous system activation and women’s physiological sexual arousal. Psychophysiology,49(1), 111–117. https://doi.org/10.1111/j.1469-8986.2011.01285.x .
doi: 10.1111/j.1469-8986.2011.01285.x pubmed: 22092348
Ludick, M., & Figley, C. R. (2017). Toward a mechanism for secondary trauma induction and reduction: Reimagining a theory of secondary traumatic stress. Traumatology,23(1), 112–123. https://doi.org/10.1037/trm0000096 .
doi: 10.1037/trm0000096
MacNeil, S., & Byers, E. S. (2005). Dyadic assessment of sexual self-disclosure and sexual satisfaction in heterosexual dating couples. Journal of Social and Personal Relationships,22(2), 169–181. https://doi.org/10.1177/0265407505050942 .
doi: 10.1177/0265407505050942
Mark, K. P., Herbenick, D., Fortenberry, J. D., Sanders, S., & Reece, M. (2014). A psychometric comparison of three scales and a single-item measure to assess sexual satisfaction. Journal of Sex Research,51(2), 159–169. https://doi.org/10.1080/00224499.2013.816261 .
doi: 10.1080/00224499.2013.816261 pubmed: 24112135
McIntyre-Smith, A., Cyr, K. S., King, L., St. Cyr, K., & King, L. (2015). Sexual functioning among a cohort of treatment-seeking Canadian military personnel and veterans with psychiatric conditions. Military Medicine,180(7), 817–824. https://doi.org/10.7205/MILMED-D-14-00125 .
doi: 10.7205/MILMED-D-14-00125 pubmed: 26126254
Miller, M. W., Wolf, E. J., Reardon, A. F., Harrington, K. M., Ryabchenko, K., Castillo, D., … Heyman, R. E. (2013). PTSD and conflict behavior between veterans and their intimate partners. Journal of Anxiety Disorders,27(2), 240–251. https://doi.org/10.1016/j.janxdis.2013.02.005 .
doi: 10.1016/j.janxdis.2013.02.005 pubmed: 23523947 pmcid: 3628439
Monson, C. M., Taft, C. T., & Fredman, S. J. (2009). Military-related PTSD and intimate relationships: From description to theory-driven research and intervention development. Clinical Psychology Review,29(8), 707–714. https://doi.org/10.1016/j.cpr.2009.09.002 .
doi: 10.1016/j.cpr.2009.09.002 pubmed: 19781836 pmcid: 2783889
Nelson-Goff, B. S., & Smith, D. B. (2005). Systemic traumatic stress: The couple adaptation to traumatic stress model. Journal of Marital and Family Therapy,31(2), 145–157. https://doi.org/10.1111/j.1752-0606.2005.tb01552.x .
doi: 10.1111/j.1752-0606.2005.tb01552.x
Nunnink, S. E., Goldwaser, G., Afari, N., Nievergelt, C. M., & Baker, D. G. (2010). The role of emotional numbing in sexual functioning among veterans of the Iraq and Afghanistan wars. Military Medicine,175(6), 424–428.
doi: 10.7205/MILMED-D-09-00085
Pascoal, P. M., Byers, E. S., Alvarez, M.-J., Santos-Iglesias, P., Nobre, P. J., Pereira, C. R., & Laan, E. (2018). A dyadic approach to understanding the link between sexual functioning and sexual satisfaction in heterosexual couples. Journal of Sex Research,55(9), 1155–1166. https://doi.org/10.1080/00224499.2017.1373267 .
doi: 10.1080/00224499.2017.1373267 pubmed: 29028439
Pepping, C. A., Cronin, T. J., Lyons, A., & Caldwell, J. G. (2018). The effects of mindfulness on sexual outcomes: The role of emotion regulation. Archives of Sexual Behavior,47(6), 1601–1612. https://doi.org/10.1007/s10508-017-1127-x .
doi: 10.1007/s10508-017-1127-x pubmed: 29453643
Renshaw, K. D., Campbell, S. B., Meis, L., & Erbes, C. (2014). Gender differences in the associations of PTSD symptom clusters with relationship distress in U.S. Vietnam veterans and their partners. Journal of Traumatic Stress,27, 283–290. https://doi.org/10.1002/jts .
doi: 10.1002/jts pubmed: 24823939
Rubin, H., & Campbell, L. (2012). Day-to-day changes in intimacy predict heightened relationship passion, sexual occurrence, and sexual satisfaction: A dyadic diary analysis. Social Psychological and Personality Science,3(2), 224–231. https://doi.org/10.1177/1948550611416520 .
doi: 10.1177/1948550611416520
Schnurr, P. P., Lunney, C. A., Bovin, M. J., & Marx, B. P. (2009). Posttraumatic stress disorder and quality of life: Extension of findings to veterans of the wars in Iraq and Afghanistan. Clinical Psychology Review,29(8), 727–735. https://doi.org/10.1016/j.cpr.2009.08.006 .
doi: 10.1016/j.cpr.2009.08.006 pubmed: 19744758
Solomon, Z., Benbenishty, R., Neria, Y., Abramowitz, M., Ginzburg, K., & Ohry, A. (1993). Assessment of PTSD: Validation of the revised PTSD Inventory. Israel Journal of Psychiatry and Related Sciences,30(2), 110–115.
pubmed: 8270385
Solomon, Z., Dekel, R., & Zerach, G. (2008). The relationships between posttraumatic stress symptom clusters and marital intimacy among war veterans. Journal of Family Psychology,22(5), 659–666. https://doi.org/10.1037/a0013596 .
doi: 10.1037/a0013596 pubmed: 18855502
Solomon, Z., & Horesh, D. (2007). Changes in diagnostic criteria for PTSD: Implications from two prospective longitudinal studies. American Journal of Orthopsychiatry,77(2), 182–188. https://doi.org/10.1037/0002-9432.77.2.182 .
doi: 10.1037/0002-9432.77.2.182 pubmed: 17535115
Solomon, Z., Horesh, D., Ein-Dor, T., & Ohry, A. (2012). Predictors of PTSD trajectories following captivity: A 35-year longitudinal study. Psychiatry Research,199(3), 188–194. https://doi.org/10.1016/j.psychres.2012.03.035 .
doi: 10.1016/j.psychres.2012.03.035 pubmed: 22486946
Stephenson, K. R. (2019). Exploring the role of sexual avoidance in male sexual dysfunction. Journal of Sex Research. https://doi.org/10.1080/00224499.2019.1663480 .
Štulhofer, A., Ferreira, L. C., & Landripet, I. (2014). Emotional intimacy, sexual desire, and sexual satisfaction among partnered heterosexual men. Sexual and Relationship Therapy,29(2), 229–244. https://doi.org/10.1080/14681994.2013.870335 .
doi: 10.1080/14681994.2013.870335
Sundin, J., Fear, N. T., Iversen, A., Rona, R. J., & Wessely, S. (2010). PTSD after deployment to Iraq: Conflicting rates, conflicting claims. Psychological Medicine,40(3), 367–382. https://doi.org/10.1017/S0033291709990791 .
doi: 10.1017/S0033291709990791 pubmed: 19671210
Taft, C. T., Kaloupek, D. G., Schumm, J. A., Marshall, A. D., Panuzio, J., King, D. W., & Keane, T. M. (2007). Posttraumatic stress disorder symptoms, physiological reactivity, alcohol problems, and aggression among military veterans. Journal of Abnormal Psychology,116(3), 498–507. https://doi.org/10.1037/0021-843X.116.3.498 .
doi: 10.1037/0021-843X.116.3.498 pubmed: 17696706
Tanielian, T., Jaycox, L. H., Adamson, D. M., Burnam, M. A., Burns, R. M., Caldarone, L. B., & Yochelson, M. R. (2008). Invisible wounds of war: Psychological and cognitive injuries, their consequences, and services to assist recovery. Santa Monica, CA: RAND Center for Military Health Policy Research.
Tran, J. K., Dunckel, G., & Teng, E. J. (2015). Sexual dysfunction in veterans with post-traumatic stress disorder. Journal of Sexual Medicine,12(4), 847–855. https://doi.org/10.1111/jsm.12823 .
doi: 10.1111/jsm.12823 pubmed: 25665140
Velten, J., Margraf, J., Chivers, M. L., & Brotto, L. A. (2018). Effects of a mindfulness task on women’s sexual response. Journal of Sex Research,55(6), 747–757. https://doi.org/10.1080/00224499.2017.1408768 .
doi: 10.1080/00224499.2017.1408768 pubmed: 29261339
Woloski-Wruble, A. C., Oliel, Y., Leefsma, M., & Hochner-Celnikier, D. (2010). Sexual activities, sexual and life satisfaction, and successful aging in women. Journal of Sexual Medicine,7(7), 2401–2410. https://doi.org/10.1111/j.1743-6109.2010.01747.x .
doi: 10.1111/j.1743-6109.2010.01747.x pubmed: 20384946
World Health Organization. (2015). Sexual health, human rights and the law. Geneva: Author. https://doi.org/10.1080/17441692.2014.986175 .
doi: 10.1080/17441692.2014.986175
Yehuda, R., Lehrner, A., & Rosenbaum, T. Y. (2015). PTSD and sexual dysfunction in men and women. Journal of Sexual Medicine,12(5), 1107–1119. https://doi.org/10.1111/jsm.12856 .
doi: 10.1111/jsm.12856 pubmed: 25847589
Yoo, H., Bartle-Haring, S., Day, R. D., & Gangamma, R. (2014). Couple communication, emotional and sexual intimacy, and relationship satisfaction. Journal of Sex and Marital Therapy,40(4), 275–293. https://doi.org/10.1080/0092623X.2012.751072 .
doi: 10.1080/0092623X.2012.751072 pubmed: 24111536
Zerach, G., Anat, B. D., Solomon, Z., & Heruti, R. (2010). Posttraumatic symptoms, marital intimacy, dyadic adjustment, and sexual satisfaction among ex-prisoners of war. Journal of Sexual Medicine,7(8), 2739–2749. https://doi.org/10.1111/j.1743-6109.2010.01784.x .
doi: 10.1111/j.1743-6109.2010.01784.x pubmed: 20367776
Zhang, Y., Gan, Y., & Cham, H. (2007). Perfectionism, academic burnout and engagement among Chinese college students: A structural equation modeling analysis. Personality and Individual Differences,43(6), 1529–1540. https://doi.org/10.1016/j.paid.2007.04.010 .
doi: 10.1016/j.paid.2007.04.010
Zoladz, P. R., & Diamond, D. M. (2013). Current status on behavioral and biological markers of PTSD: A search for clarity in a conflicting literature. Neuroscience and Biobehavioral Reviews,37(5), 860–895. https://doi.org/10.1016/j.neubiorev.2013.03.024 .
doi: 10.1016/j.neubiorev.2013.03.024 pubmed: 23567521

Auteurs

Rahel Bachem (R)

I-Core Research Center for Mass Trauma, Tel Aviv University, Chaim Levanon 30, 6997801, Tel Aviv, Israel. rahel.bachem@gmail.com.
Bob Shapell School of Social Work, Tel-Aviv University, Tel Aviv, Israel. rahel.bachem@gmail.com.

Yafit Levin (Y)

I-Core Research Center for Mass Trauma, Tel Aviv University, Chaim Levanon 30, 6997801, Tel Aviv, Israel.
Bob Shapell School of Social Work, Tel-Aviv University, Tel Aviv, Israel.

Zahava Solomon (Z)

I-Core Research Center for Mass Trauma, Tel Aviv University, Chaim Levanon 30, 6997801, Tel Aviv, Israel.
Bob Shapell School of Social Work, Tel-Aviv University, Tel Aviv, Israel.

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