"Why do you stay?": The lived-experience of partners of Australian veterans and first responders with Posttraumatic Stress Disorder.
emergency services
family carers
mental health
military veterans
phenomenology
social support
Journal
Health & social care in the community
ISSN: 1365-2524
Titre abrégé: Health Soc Care Community
Pays: England
ID NLM: 9306359
Informations de publication
Date de publication:
09 2020
09 2020
Historique:
received:
15
07
2019
revised:
19
02
2020
accepted:
18
03
2020
pubmed:
16
4
2020
medline:
25
5
2021
entrez:
16
4
2020
Statut:
ppublish
Résumé
This study examined the multidimensional nature of experiences of being an intimate partner of an Australian veteran or emergency service first responder (ESFR) with posttraumatic stress disorder (PTSD). Using a qualitative phenomenological approach, inductive thematic analysis was undertaken on data collected in 2017-2018 through individual interviews with a purposive sample of 22 partners of veterans, paramedics, fire and police officers living in Australia. Analysis revealed that the key concern of the participants was to protect their family unit and the intimate relationship, highlighting the ways in which they adapted, managed and coped with the changes that PTSD brought to the relationship. However, lack of understanding by healthcare providers, government, military and emergency service organizations of their daily lives, and of the strength of commitment to their relationship, resulted in a sense of invisibility and was revealed as the key barrier to the support they crave. The findings underscore the importance of recognizing the significance of the intimate relationship in trauma recovery and of responding to the support needs of the intimate partner.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1734-1742Informations de copyright
© 2020 John Wiley & Sons Ltd.
Références
Alexander, D. A., & Klein, S. (2009). First responders after disasters: A review of stress reactions, at-risk, vulnerability, and resilience factors. Prehospital and Disaster Medicine, 24, 87-94. https://doi.org/10.1017/S1049023X00006610
Beks, T. (2016). Walking on eggshells: The lived experience of partners of veterans with PTSD. The Qualitative Report, 21, 645-660.
Borah, E., & Fina, B. (2017). Military spouses speak up: A qualitative study of military and Veteran spouses’ perspectives. Journal of Family Social Work, 20, 144-161. https://doi.org/10.1080/10522158.2017.1284702
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77-101. https://doi.org/10.1191/1478088706qp063oa
Charuvastra, A., & Cloitre, M. (2008). Social bonds and posttraumatic stress disorder. Annual Review of Psychology, 59, 301-328. https://doi.org/10.1146/annurev.psych.58.110405.085650
Cresswell, J. W. (2003). Research design: Qualitative, quantitative and mixed methods approaches, 2nd ed. Thousand Oaks: Sage.
Dekel, R., Goldblatt, H., Keidar, M., Solomon, Z., & Polliack, M. (2005). Being a wife of a veteran with posttraumatic stress disorder. Family Relations, 54, 24-36. https://doi.org/10.1111/j.0197-6664.2005.00003.x
Dowling, M. (2007). From Husserl to van Manen. A review of different phenomenological approaches. International Journal of Nursing Studies, 44, 131-142. https://doi.org/10.1016/j.ijnurstu.2005.11.026
Franciskovic, T., Stevanovic, A., Jelusic, I., Roganovic, B., Klaric, M., & Grkovic, J. (2007). Secondary traumatization of wives of war veterans with posttraumatic stress disorder. Croatian Medical Journal, 48, 177-184.
Galovski, T., & Lyons, J. A. (2004). Psychological sequelae of combat violence: A review of the impact of PTSD on the veteran's family and possible interventions. Aggression and Violent Behavior, 9, 477-501. https://doi.org/10.1016/s1359-1789(03)00045-4
Happell, B., Wilson, K., Platania-Phung, C., & Stanton, R. (2017). Physical health and mental illness: Listening to the voice of carers. Journal of Mental Health, 26, 127-133. https://doi.org/10.3109/09638237.2016.1167854
Haugen, P. T., Evces, M., & Weiss, D. S. (2012). Treating posttraumatic stress disorder in first responders: A systematic review. Clinical Psychological Review, 32, 370-380. https://doi.org/10.1016/j.cpr.2012.04.001
Heidegger, M. (1962). Being and time (J. M. E. Robinson, Trans.). New York: Harper & Row.
Karam, E. G., Friedman, M. J., Hill, E. D., Kessler, R. C., McLaughlin, K. A., Petukhova, M., … Koenen, K. C. (2014). Cumulative traumas and risk thresholds: 12-month PTSD in the World Mental Health (WMH) surveys. Depression and Anxiety, 31, 130-142. https://doi.org/10.1002/da.22169
Karp, D. A., & Tanarugsachock, V. (2000). Mental illness, caregiving, and emotion management. Qualitative Health Research, 10, 6-25. https://doi.org/10.1177/104973200129118219
Lambert, J. E., Engh, R., Hasbun, A., & Holzer, J. (2012). Impact of posttraumatic stress disorder on the relationship quality and psychological distress of intimate partners: A meta-analytic review. Journal of Family Psychology, 26, 729-737. https://doi.org/10.1037/a0029341
Laverty, S. M. (2003). Hermaneutic phenomenology and phenomenology: A comparison of historical and methodological considerations. International Journal of Qualitative Methods, 2, 1-29.
Lawn, S., Walsh, J., Barbara, A., Springgay, M., & Sutton, P. (2013). The bond we share: Experiences of caring for a person with mental and physical health conditions. In R. Woolfolk & L. Allen (Eds.), Chapter 9 in mental disorders - theoretical and empirical perspectives (pp. 199-229). Rijeka, Croatia: InTech. ISBN 978-953-51-0919-8.
Lopez, K. A., & Willis, D. G. (2004). Descriptive versus interpretive phenomenology: Their contributions to nursing knowledge. Qualitative Health Research, 14, 726-735. https://doi.org/10.1177/1049732304263638
Mansfield, A. J., Schaper, K. M., Yanagida, A. M., & Rosen, C. S. (2014). One day at a time: The experiences of partners of veterans with posttraumatic stress disorder. Professional Psychology: Research and Practice, 45, 488-495. https://doi.org/10.1037/a0038422
Marmar, C. R., McCaslin, S. E., Metzler, T. J., Best, S., Weiss, D. S., Fagan, J., … Neylan, T. (2006). Predictors of posttraumatic stress in police and other first responders. Annals of the New York Academy of Sciences, 1071, 1-18. https://doi.org/10.1196/annals.1364.001
McFarlane, A. C., Williamson, P., & Barton, C. A. (2009). The impact of traumatic stressors in civilian occupational settings. Journal Public Health Policy, 30, 311-327. https://doi.org/10.1057/jphp.2009.21
Meis, L. A., Barry, R. A., Kehle, S. M., Erbes, C. R., & Polusny, M. A. (2010). Relationship adjustment, PTSD symptoms, and treatment utilization among coupled National Guard soldiers deployed to Iraq. Journal of Family Psychology, 24, 560-567. https://doi.org/10.1037/a0020925
Murphy, D., Palmer, E., Hill, K., Ashwick, R., & Busuttil, W. (2017). Living alongside military PTSD: A qualitative study of female partners’ experiences with UK Veterans. Journal of Military, Veteran and Family Health, 3, 52-61.
Outram, S., Hansen, V., MacDonell, G. V., Cockburn, J. D., & Adams, J. (2009). Still living in a war zone: Perceived health and wellbeing of partners of Vietnam veterans attending partners' support groups in New South Wales, Australia. Australian Psychologist, 44, 128-135. https://doi.org/10.1080/00050060802630353
Patton, M. K. (2002). Qualitative research & evaluation methods, 3rd ed. New Delhi: Sage Publications Inc.
Pukay-Martin, N. D., Macdonald, A., Fredman, S. J., & Monson, C. M. (2016). Couple therapy for PTSD. Current Treatment Options in Psychiatry, 3, 37-47. https://doi.org/10.1007/s40501-016-0070-0
Regehr, C. (2005). Bringing the trauma home: Spouses of paramedics. Journal of Loss and Trauma, 10, 97-114. https://doi.org/10.1080/15325020590908812
Regehr, C., Dimitropoulos, G., Bright, E., George, S., & Henderson, J. (2005). Behind the brotherhood: Rewards and challenges for wives of firefighters. Family Relations, 54, 423-435.
Richardson, L. K., Frueh, B. C., & Acierno, R. (2010). Prevalence estimates of combat-related post-traumatic stress disorder: Critical review. Australian & New Zealand Journal of Psychiatry, 44, 4-19. https://doi.org/10.3109/00048670903393597
Teater, B. (2014). Social work practice from an ecological perspective. In C. W. LeCroy (Ed.), Case studies in social work practice, 3rd ed. Belmont, CA: Brooks/Cole.
Waddell, E., Pulvirenti, M., & Lawn, S. (2016). The lived experience of caring for an Australian military veteran with posttraumatic stress disorder. Qualitative Health Research, 26, 1603-1613. https://doi.org/10.1177/1049732315601398
Wainwright, L. D., Glentworth, D., Haddock, G., Bentley, R., & Lobban, F. (2015). What do relatives experience when supporting someone in early psychosis? Psychology and Psychotherapy: Theory, Research and Practice, 88, 105-119. https://doi.org/10.1111/papt.12024
Walker, A., McKune, A., Ferguson, S., Pyne, D. B., & Rattray, B. (2016). Chronic occupational exposures can influence the rate of PTSD and depressive disorders in first responders and military personnel. Extreme Physiology & Medicine, 5, 8. https://doi.org/10.1186/s13728-016-0049-x
Westerink, J., & Giarratano, L. (1999). The impact of posttraumatic stress disorder on partners and children of Australian Vietnam veterans. Australian and New Zealand Journal of Psychiatry, 33, 841-847. https://doi.org/10.1046/j.1440-1614.1999.00638.x
Wojnar, D., & Swanson, K. (2007). Phenomenology: An exploration. Journal of Holistic Nursing, 25, 172-180. https://doi.org/10.1177/0898010106295172
Wynaden, D., Ladzinski, U., Lapsley, J., Landsborough, I., Butt, J., & Hewitt, V. (2006). The caregiving experience: How much do health professionals understand? Collegian, 13, 6-10. http://dx.doi.org.ezproxy.flinders.edu.au/10.1016/S1322-7696(08)60526-0
Yambo, T. W., Johnson, M. E., Delaney, K. R., Hamilton, R., Miller, A. M., & York, J. A. (2016). Experiences of military spouses of veterans with combat-related posttraumatic stress disorder. Journal of Nursing Scholarship, 48, 543-551. https://doi.org/10.1111/jnu.12237