A Daily Diary Study of Posttraumatic Stress Symptoms and Romantic Partner Accommodation
Open accessAbstract
Little is known about the role of romantic partner symptom accommodation in PTSD symptom maintenance. To explore the bidirectional associations of posttraumatic stress disorder (PTSD) symptoms and romantic partner symptom accommodation over time, military servicemen (n=64) with symptoms of PTSD and their cohabiting heterosexual civilian romantic partners (n=64) completed a 2-week daily diary study. Cross-lagged, autoregressive models assessed the stability of men's PTSD symptoms and partners' accommodation, as well as the prospective associations of earlier PTSD symptoms with later accommodation and vice versa. Analyses used Bayesian estimation to provide point estimates (b) and Credible Intervals (CIs). In all models, PTSD symptoms (total and individual clusters) were highly stable (b=0.91; CI: 0.88-0.95), and accommodation was moderately stable (b=0.48; CI: 0.40-0.54). In all models, earlier PTSD symptoms (total and clusters) were significantly, positively associated with later accommodation (b=0.04; CI: 0.02-0.07). In contrast, earlier accommodation was significantly associated only with later situational avoidance (b=0.02; CI: 0.00-0.07). Thus, PTSD symptoms may lead to subsequent accommodating behaviors in romantic partners, but partner accommodation seems to contribute only to survivors' future situational avoidance symptoms. The findings reinforce the notion that PTSD symptoms have an impact on relationship behaviors, and that accommodation from partners may sustain avoidant behaviors in particular. Clinicians should attend to romantic partners' accommodating behaviors when working with survivors.
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In Bayesian estimation, 95% credible intervals are used as the main reference to treat paths as significant, indicating a 95% probability that the population value falls within the limits of the credible interval.
“In Bayesian estimation, 95% credible intervals (CIs) are used as the main reference to treat paths as significant, which indicate a 95% probability that the population value falls within the limits of the credible interval 37 .”
From Relationships between worry and depressive symptoms during two group therapies for generalized anxiety disorder (2022) · cites this paper as [37]
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References 60 · Cited by 56
Research works printed but not linked: 2
- Campbell SB Renshaw KD 2016 Combat veterans with PTSD and their partners: Interpersonally based behaviors and cognitions as mechanisms of distress MacDermid Wadsworth S Riggs D War and Family Life 55 75 New York, NY Springer
- Nezlek JB 2012 Diary Methods New York, NY SAGE Publications
- Authors
- Campbell, S. B., Renshaw, K. D., Kashdan, T. B., Curby, T. W., & Carter, S. P.
- Affiliations
- George Mason University (US)
- Corresponding author
- Campbell, Sarah B.
- Venue
- Behavior Therapy
- Publisher
- Elsevier BV
- Published
- 2017-03
- Volume
- 48
- Issue
- 2
- Pages
- 222-234
- ISSN
- 0005-7894 (ISSN-L)
- PMC
- PMC5343669
- OpenAlex
- W2346303913
- Cited by
- 56
- References
- 60
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 8 · 2023: 9 · 2022: 7 · 2021: 5 · 2020: 9 · 2019: 8 · 2018: 6 · 2017: 1
- FWCI
- 6.69
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Behavior Therapy (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (F31MH098581)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- post-traumatic stress disorder, military couples, interpersonal processes, daily diary, relationship behavior
- MeSH terms
- Adult, Bayes Theorem, Female, Humans, Interpersonal Relations, Male, Middle Aged, Military Personnel, Prospective Studies, Severity of Illness Index, Stress Disorders, Post-Traumatic, Survivors, Spouses, Young Adult, Self Report
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