Posttraumatic Stress Disorder Symptoms, Traumatic Reminders, and Partner Aggressive Tendencies Among Veterans

Authors
LaMotte, A. D. Taft, C. T. Weatherill, R. P. Scott, J. P. Eckhardt, C. I.
Publication year
2016
Citation Title
Posttraumatic stress disorder symptoms, traumatic reminders, and partner aggressive tendencies among veterans
Journal Name
Journal of Family Violence
Journal Volume
31
Issue Number
4
Page Numbers
461-466
DOI
10.1007/s10896-015-9776-9
Summary
Exploration of the relationship between Veteran posttraumatic stress disorder (PTSD) and intimate partner aggression was conducted. This study used scenarios with and without the inclusion of trauma to assess participants’ physical intimate partner aggression (IPA) articulations (i.e., expressions of physically aggressive intentions toward the partner) and verbal IPA articulations (i.e., statements intended to insult or demean the partner) made during relationship anger-provoking scenarios.

Key Findings
Both conditions of the scenarios (with and without trauma) increased feelings of anger, but the trauma-cued condition was uniquely associated with increased feelings of fear.
Trauma cue exposure triggered the relationship between Veterans’ PTSD symptoms and physical IPA articulations.
Trauma cue exposure did not have an effect on the relationship between PTSD symptoms and verbal IPA articulations.
Implications for Program Leaders
Develop workshops for professionals working with Service members and their spouses around topics related to PTSD and IPA
Provide support networks for specific groups of Service members and Veterans who have experienced life-threatening or traumatic events during deployment
Develop online resources for parents and spouses of Service members and Veterans about trauma induced aggression
Implications for Policy Makers
Encourage collaboration among Department of Defense programs, the Veterans Affairs (VA) system, and community-based organizations to support Service members post-deployment health and well-being
Recommend education for professionals who work with military families around the possible effects of post-deployment on Service members’ and their spouses
Encourage the development and continuation of programs that can support Service members and their partners in dealing with life-threatening or traumatic events experienced during deployment
Methods
Participants were recruited through flyers posted at the local VA and a recruitment database of Veterans that had consented to be contacted about ongoing research studies at the National Center for PTSD.
Several measures were administered to participants including the Clinician Administered PTSD Scale, State Trait Anger Expression inventory, and the Emotion Rating form.
Analysis included descriptive statistics as well as analysis to understand the relationship between Veterans’ PTSD symptoms and physical and verbal IPA articulations.
Participants
Criteria for study eligibility included exposure to combat during deployment, either had a life-threatening experience, or exposed to another intensely disturbing event during deployment; and must have been married or living with a partner for at least six months before data collection.
Participants included 82 male OIF/OEF Veterans, with 63% from the Army, 16% Marines, 11% Navy, and 10% Air Force.
Participants self-identified as White (81%), 10% as Black, 2% as Asian-American, 1% as Native American, 1 % as Latino, and 5% as another race.
Limitations
The responses to the simulations may differ from those observed during actual conflicts between partners.
Participants were administered the scenarios under both non-trauma and trauma-cued conditions, participants may have reacted more strongly to the relationship anger-inducing scenarios after having already heard similar scenarios or less strongly.
As all of the Veterans in the study are male, results may not generalize to female Veterans.
Avenues for Future Research
Investigate whether or not such physically aggressive intentions are enacted more often following reminders of the trauma
Identify Service members’ traumatic triggers and the role they play in instigating aggression towards intimate partners
Develop a greater understanding of how PTSD symptoms may lead to aggressive tendencies
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
Population Focus
Military Component
Abstract
This study examined whether laboratory exposure to traumatic reminders potentiated the relationship between veterans’ posttraumatic stress disorder (PTSD) symptoms and intimate partner aggression (IPA) articulations elicited during an anger-induction task. The sample included 82 male Operation Iraqi Freedom/Operation Enduring Freedom veterans. The Articulated Thoughts in Simulated Situations (ATSS) procedure was used to assess physical IPA articulations (i.e., expressions of physically aggressive intentions toward the partner) and verbal IPA articulations (i.e., statements intended to insult or demean the partner) made during “relationship anger” provoking scenarios. Participants were administered versions of the ATSS both with and without trauma cue presentation. Results indicated that trauma cue exposure potentiated the relationship between veterans’ PTSD symptoms and physical IPA articulations, but did not strengthen the significant relationship between PTSD symptoms and verbal IPA articulations. Findings contribute to the literature on veterans’ PTSD symptoms and IPA perpetration by highlighting the influence of traumatic reminders.
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