Emotional Intimacy Mediates the Relationship Between Posttraumatic Stress Disorder and Intimate Partner Violence Perpetration in OEF/OIF/OND Veterans

Authors
Kar, H. L. O'Leary, K. D.
Publication year
2013
Citation Title
Emotional intimacy mediates the relationship between posttraumatic stress disorder and intimate partner violence perpetration in OEF/OIF/OND veterans
Journal Name
Violence
Journal Volume
28
Issue Number
5
Page Numbers
790-803
DOI
10.1891/0886-6708.vv-d-12-00080
Summary
One hundred and ten partnered Veterans were recruited via letters to participate in a study examining if emotional intimacy and marital satisfaction mediated links with posttraumatic stress disorder (PTSD) and/or intimate partner violence (IPV). Results indicated that emotional intimacy with partners correlated negatively with PTSD and physical aggression in Veterans. In addition, low levels of marital satisfaction and prior history of intimate physical aggression were more likely to have intimate partner violence in their current relationship.


Key Findings
Results found that emotional intimacy (i.e., “feelings of closeness”) was negatively related with PTSD and physical aggression, so that Veterans with high perceived emotional intimacy were less likely to have PTSD and IPV symptoms.
Prior past aggression and martial satisfaction were linked to current IPV, where couples with low levels of marital satisfaction and prior history of IPV were more likely to have current IPV.
When comparing martial satisfaction and emotional intimacy, results found that emotional intimacy was more likely to lessen IPV and PTSD symptoms than marital satisfaction.
Implications for Program Leaders
Provide classes to educate military couples on how to enhance positive communication skills such as addressing conflict directly and respectfully
Offer workshops during reintegration to help families and Service members adjust to the Service member’s return, especially when the deployment has included combat exposure
Provide pre- and post-deployment support groups for partners and families
Implications for Policy Makers
Continue to support programs that address the unique challenges faced by couples with a deployed partner
Promote reintegration programs that assist Service members’ families in adjusting emotionally to the Service members’ return from deployment
Recommend training for service providers who work with military families around the possible effects of deployment on Service members’ families
Methods
Participants who visited the Northport Veterans Affairs Medical Center between January to May 2010 were recruited via a letter; 110 Veterans participated in the study, which consisted of a single session of assessments.
Measures used to collect data comprised of assessing PTSD, conflict tactics and strategies, relationship functioning and satisfaction, as well as emotional intimacy.
Statistical analyses were conducted to determine if emotional intimacy and relationship satisfaction were linked negatively or positively to PTSD or IPV.
Participants
Sample included 110 cohabitating or married OEF/OIF Veterans who had been deployed at least once participated in this study.
Participants’ average age was 36.98 years (SD = 9.93); 62% were married and 38% cohabitating with a partner, with 49 participants having the same partner prior to deployment, 57 with different partners, and four did not disclose.
Veterans were comprised of the following race/ethnicity backgrounds: White (68%), Latino (17%), Black (6%), and Other/Multiracial (9%).
Limitations
Emotional intimacy and marital satisfaction was gathered from only Veterans, which may limit the ability to draw conclusions on the couple as a whole.
Conclusions were based on a small or homogenous sample (i.e. Veterans in a committed relationship of six months or longer located in a small geographical area) may not be appropriate for the larger population (i.e., Veterans in short-term relationships or single, across sites).
Findings may have limited reliability due to the duration between first deployment (up to three years prior) and survey assessments.
Avenues for Future Research
Examine links to partner aggression and its impact on Veteran’s PTSD symptomology.
Conduct the study with a larger, random sample to give more generalizability to conclusions
Investigate both partners and Veterans on conflict tactics and emotional intimacy to gain a better understanding of dyadic functioning within couples with PTSD and IPV.
Design Rating
2 Stars - There are some flaws in the study design or research sample, but those flaws do not significantly threaten the ability to make conclusions based on the data.
Methods Rating
2 Stars - There are no significant biases or deficits in the way the variables in the study are defined or measures and conclusions are appropriately drawn from the analyses performed.
Limitations Rating
2 Stars - There are a few factors that limit the ability to extend the results to an entire population, but the results can be extended to most of the population.
Focus
Multiple Branches
Target Population
Population Focus
Military Component
Abstract
Veterans with posttraumatic stress disorder (PTSD) are at elevated risk for perpetrating intimate partner violence (IPV). Little research exists on the link between PTSD and physical IPV in Operational Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn (OEF/OIF/OND) veterans. A sample of 110 male participants was recruited from the Northport Veterans Affairs Medical Center (VAMC). Three separate models were compared to determine which best explained the relationships between PTSD, IPV, emotional intimacy, and relationship satisfaction. Constructs were assessed via a battery of standardized, self-report instruments. Thirty-three percent of veterans had clinically elevated PTSD scores, and 31% of the men reported that they engaged in physical IPV in the past year. Poor emotional intimacy mediated the association between PTSD symptoms and perpetration of physical IPV. Past predeployment IPV perpetration was shown to be a predictor for current postdeployment physical IPV perpetration.
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