“…This hypothesis is consistent with findings that distress in spouses is correlated with PTSD symptom severity in combat veterans (e.g., Riggs, Byrne, Weathers, & Litz, 1998). Furthermore, investigations have revealed that certain types of PTSD symptoms in veterans (avoidance, dissociation, emotional numbing, and anger) are particularly tied to higher psychological and marital distress in spouses (Evans, McHugh, Hopwood, & Watt, 2003;Hendrix, Erdmann, & Briggs 1998;Nelson Goff, Crow, Reisbig, & Hamilton, 2007;Riggs et al, 1998;Solomon, Waysman, Avitzur, & Enoch, 1991). These findings support the notion that overt expressions of symptoms in veterans with PTSD lead to distress in the spouse.…”