PTSD and conflict behavior between veterans and their intimate partners

Miller, Mark W.; Wolf, Erika J.; Reardon, Annemarie F.; Harrington, Kelly; Ryabchenko, Karen A.; Castillo, Diane T.; Freund, Rachel; Heyman, Richard E.

doi:10.1016/j.janxdis.2013.02.005

Cited by 67 publications

(79 citation statements)

References 68 publications

(91 reference statements)

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“…Consistent with prior studies (Elbogen et al, 2010;Karam et al, 2013;Miller et al, 2013;Pietrzak et al, 2011a,b), veterans with PTSD reported greater severity of comorbid depression, anxiety, somatization, and hostility symptoms; increased likelihood of suicidal ideation; poorer physical and mental functioning; and lower quality of life than veterans without PTSD. That veterans with the dissociative subtype of PTSD could be further differentiated from Table 4 Clinical characteristics, functioning, and quality of life of veterans with and without PTSD and the dissociative subtype of PTSD (N ¼ 1268) veterans without the dissociative subtype of PTSD on some of these clinical measures accords with prior work, which similarly found that dissociative symptoms were associated with higher levels of depression, anxiety, and hostility (Armour et al, 2014a;Stein et al, 2013;Wolf et al, 2012a).…”

Section: Any Dissociative Symptom Depersonalization a Derealization Bsupporting

confidence: 83%

Dissociative subtype of DSM-5 posttraumatic stress disorder in U.S. veterans

Tsai

Armour

Southwick

et al. 2015

Journal of Psychiatric Research

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Section: Any Dissociative Symptom Depersonalization a Derealization Bsupporting

confidence: 83%

Dissociative subtype of DSM-5 posttraumatic stress disorder in U.S. veterans

Tsai

Armour

Southwick

et al. 2015

Journal of Psychiatric Research

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“…Frequency and intensity scores were combined to form a total severity score for each symptom, which were summed to create a total current PTSD severity score. A prior study with this dataset reported high inter-rater reliability for the CAPS (Miller et al, 2013). …”

Section: Methodsmentioning

confidence: 73%

“…In this study, two 10-minute conflict discussions between the veterans and partners were video-recorded for coding (for more information regarding the conflict discussion and coding procedures, see Miller et al, 2013). The RMICS codes of distress-maintaining and relationship-enhancing attributions were used in this study.…”

Section: Methodsmentioning

confidence: 99%

Agreement between veteran and partner reports of intimate partner aggression.

LaMotte¹,

Taft²,

Reardon³

et al. 2014

Psychological Assessment

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We examined intimate partner aggression (IPA) reporting concordance between veterans and their partners and investigated relationship satisfaction, posttraumatic stress disorder (PTSD) symptoms, and relationship attributions as correlates of IPA reporting discrepancies. The sample consisted of 239 veterans of different service eras and their intimate partners. Veterans and partners reported their physical and psychological IPA perpetration and victimization over the past 6 months. Methodological improvements over prior concordance studies included the use of clinician-assessed PTSD symptoms and the assessment of relationship attributions via observational coding of couples’ conflict interactions. Results suggested low to moderate levels of agreement between veterans and partners and indicated that relationship satisfaction was associated with reporting less IPA than one’s partner reported, replicating prior concordance findings. Previous concordance findings with self-reported PTSD symptoms were also reproduced in the current study using clinician-assessed PTSD symptoms. Veterans’ PTSD symptoms were associated with reporting less IPA than their partners reported and partners’ PTSD symptoms were associated with reporting more IPA than the veterans reported. Additionally, we found an association between relationship attributions and reporting discrepancies. For both dyad members, making more positive and less negative relationship attributions was associated with reporting less IPA than one’s partner reported. Findings underscore the difficulty of obtaining objective self-reports of adverse behavior, and highlight factors that may influence such reports. Clinically, this information could be used to better identify cases in which obtaining collateral reports of IPA are particularly warranted.

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“…Another assessment issue concerns the use of questionnaires instead of clinical interviews. Only two studies [28, 29] investigated PTSD in partners by means of (semi-)structured clinical interviews. Both studies found prevalence lower than 20 % although one of them [28] was conducted in a clinical sample.…”

Section: Discussionmentioning

confidence: 99%

“…Only two studies [28, 29] investigated PTSD in partners by means of (semi-)structured clinical interviews. Both studies found prevalence lower than 20 % although one of them [28] was conducted in a clinical sample. This indicates that questionnaire over-estimate the prevalence of PTSD in partners of veterans.…”

Section: Discussionmentioning

confidence: 99%

Veterans are not the only ones suffering from posttraumatic stress symptoms: what do we know about dependents’ secondary traumatic stress?

Diehle

Brooks

Greenberg

2016

Soc Psychiatry Psychiatr Epidemiol

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PurposePrevious research has mainly focused on veterans’ mental health problems, especially on posttraumatic stress disorder (PTSD). Less is known about the impact that the veteran’s experienced potentially traumatic events (PTEs) might have on their significant others. Therefore, we reviewed the scientific literature to find out what is known about the prevalence of secondary traumatic stress (STS) in significant others of veterans.MethodsWe systematically searched Pubmed, PsycINFO, Embase, Cochrane Library and PILOTS for relevant articles. This search resulted in 3100 records from which we included 48 articles.ResultsTwo studies that reported on parental PTSD did not find evidence that parents were affected by their offspring’s experience. Nine studies that reported on PTSD in mainly adult children of veterans found only scant evidence that children were affected by their parent’s experienced PTE. Twenty-seven studies investigated PTSD symptoms in partners of veterans. Here results varied largely between studies with PTSD rates between 0 and 51 %.ConclusionsOverall, we found the strongest evidence of STS in partners of help-seeking veterans with PTSD. The lack of clarity provided by the currently available evidence suggests a pressing need for further work to examine this subject in more detail.

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PTSD and conflict behavior between veterans and their intimate partners

Cited by 67 publications

References 68 publications

Dissociative subtype of DSM-5 posttraumatic stress disorder in U.S. veterans

Dissociative subtype of DSM-5 posttraumatic stress disorder in U.S. veterans

Agreement between veteran and partner reports of intimate partner aggression.

Veterans are not the only ones suffering from posttraumatic stress symptoms: what do we know about dependents’ secondary traumatic stress?

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