Abstract Background: Forty years after Colonial War, veterans still show psychological disturbances affecting their marital and sexual satisfaction. Aims: This study analyzed the relationships between Post-Traumatic Stress Disorder (PTSD), number of PTSD symptoms and symptom clusters, psychological morbidity, marital dissatisfaction and sexual dissatisfaction; the variables that contributed to marital dissatisfaction and the mediator role of marital dissatisfaction and sexual dissatisfaction, in a sample of colonial War Veterans. Method: The sample included 138 Portuguese war veterans who answered Index of Marital Satisfaction; Index of Sexual Satisfaction; Beck Depression Inventory; State Trait Anxiety Inventory; Post-Traumatic Stress Disorder Scale. Results: PTSD, number of PTSD symptoms and symptom clusters were associated with psychological morbidity, marital and sexual dissatisfaction. Age, depression symptoms and sexual dissatisfaction contributed to marital dissatisfaction and the model explained 55% of the variance. Marital dissatisfaction mediated the relationship between depression symptoms and sexual dissatisfaction, as well as between number of PTSD symptoms and sexual dissatisfaction. Conclusions: Health professionals need to take into consideration the veteran’s marital and sexual relationship in clinical routine consultations. As such, treating the veteran in the couple’ context seems warranted.

中文翻译：

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殖民战争退伍军人的创伤后应激障碍、心理发病率和婚姻不满

摘要背景： 殖民战争四十年后，退伍军人仍然表现出影响他们婚姻和性满意度的心理障碍。目的：本研究分析了创伤后应激障碍（PTSD）、PTSD症状数量和症状群、心理发病率、婚姻不满和性不满之间的关系；在殖民战争退伍军人的样本中，导致婚姻不满的变量以及婚姻不满和性不满的中介作用。方法：样本包括回答婚姻满意度指数的138名葡萄牙退伍军人；性满意度指数；贝克抑郁量表；状态特质焦虑量表；创伤后应激障碍量表。结果：创伤后应激障碍，PTSD 症状和症状群的数量与心理发病率、婚姻和性不满有关。年龄、抑郁症状和性不满意导致了婚姻不满意，模型解释了 55% 的方差。婚姻不满在抑郁症状与性不满之间的关系以及PTSD症状数量与性不满之间的关系中起中介作用。结论：卫生专业人员需要在临床常规咨询中考虑退伍军人的婚姻和性关系。因此，在这对夫妇的背景下对待退伍军人似乎是有道理的。婚姻不满在抑郁症状与性不满之间的关系以及PTSD症状数量与性不满之间的关系中起中介作用。结论：卫生专业人员需要在临床常规咨询中考虑退伍军人的婚姻和性关系。因此，在这对夫妇的背景下对待退伍军人似乎是有道理的。婚姻不满在抑郁症状与性不满之间的关系以及PTSD症状数量与性不满之间的关系中起中介作用。结论：卫生专业人员需要在临床常规咨询中考虑退伍军人的婚姻和性关系。因此，在这对夫妇的背景下对待退伍军人似乎是有道理的。