Intimate Partner Aggression Perpetrated and Sustained by Male Afghanistan, Iraq, and Vietnam Veterans With and Without Posttraumatic Stress Disorder

ArticleinJournal of Interpersonal Violence 25(9):1612-30 · December 2009with31 Reads
DOI: 10.1177/0886260509354583 · Source: PubMed
Abstract
Veterans with posttraumatic stress disorder (PTSD) consistently evidence higher rates of intimate partner aggression perpetration than veterans without PTSD, but most studies have examined rates of aggression among Vietnam veterans several years after their deployment. The primary aim of this study was to examine partner aggression among male Afghanistan or Iraq veterans who served during Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) and compare this aggression to that reported by Vietnam veterans with PTSD. Three groups were recruited, OEF/OIF veterans with PTSD (n = 27), OEF/OIF veterans without PTSD (n = 31), and Vietnam veterans with PTSD (n = 28). Though only a few comparisons reached significance, odds ratios suggested that male OEF/OIF veterans with PTSD were approximately 1.9 to 3.1 times more likely to perpetrate aggression toward their female partners and 1.6 to 6 times more likely to report experiencing female perpetrated aggression than the other two groups. Significant correlations among reports of violence perpetrated and sustained suggested many men may have been in mutually violent relationships. Taken together, these results suggest that partner aggression among Iraq and Afghanistan veterans with PTSD may be an important treatment consideration and target for prevention.
    • "These behaviours represent emotion regulation difficulties and are different from the remaining criterion E PTSD symptoms which better describe thoughts, feelings, and passive experiences. As explained byTsai et al. (2014), the two symptoms are also substantially different from the remaining symptoms in the arousal cluster, because individuals with hyperarousal symptoms do not always show aggressive behaviours (e.g.,Teten et al., 2010). Finally, the seven-factor Hybrid model was developed by combining the salient features of the two six-factor Anhedonia and Externalizing Behaviours models. "
    [Show abstract] [Hide abstract] ABSTRACT: The factor structure of posttraumatic stress disorder (PTSD) has been widely researched, but consensus regarding the exact number and nature of factors is yet to be reached. The aim of the current study was to systematically review the extant literature on PTSD's latent structure in the Diagnostic and Statistical Manual of Mental Disorders (DSM) in order to identify the best-fitting model. One hundred and twelve research papers published after 1994 using confirmatory factor analysis and DSM-based measures of PTSD were included in the review. In the DSM-IV literature, four-factor models received substantial support, but the five-factor Dysphoric arousal model demonstrated the best fit, regardless of gender, measurement instrument or trauma type. The recently proposed DSM-5 PTSD model was found to be a good representation of PTSD's latent structure, but studies analysing the six- and seven-factor models suggest that the DSM-5 PTSD factor structure may need further alterations.
    Full-text · Article · Jan 2016
    • "Even though a majority of families show remarkable resiliency (e.g., Merolla, 2010; Sahlstein Parcell & Maguire, 2014), service members' exposure to stressors during active duty, as well as stressors related to separation from families and reintegration post-duty, are often implicated in higher rates of psychosocial problems experienced by veterans compared to the general population. For example, veterans experience higher rates of suicide attempts and completed suicides, unemployment, alcohol and other substance abuses, criminal violations, and prison sentences (Elbogen et al., 2012; Hawkins, Grossbard, Benbow, Nacev, & Kivlahan, 2012; Teten et al., 2010; Tsai, Maris, & Rosenheck, 2012; Veterans Intervention Project Report, 2009; White, Mulvey, Fox, & Choate, 2012). Close to a third of returning service members screen positively for serious, lingering emotional wounds in the form of posttraumatic stress disorder (PTSD), traumatic brain injury (TBI), depression, and anxiety (Knobloch & Wilson, 2015). "
    Full-text · Article · Jan 2016 · Professional Psychology Research and Practice
    • "In a study of veterans who had completed a PTSD screening at a VA hospital, male OEF/OIF veterans with PTSD were 1.9 to 3.1 times more likely to perpetrate psychological or physical aggression to their female partners than those without PTSD. Notably, these PTSD veterans were 1.6 to 6 times more likely to report experiencing aggression from their female partners than veterans without PTSD (Teten et al., 2010). Veterans' aggression may also impact nonfamilial relationships. "
    [Show abstract] [Hide abstract] ABSTRACT: As the major ground troop presence in the Middle East is reduced, it is time to reflect, maximize lessons learned, and look forward to what lies ahead for the nearly 2.6 million service members of the United States military who have deployed in support of Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn. A systematic review of the literature on postdeployment functioning of Iraq and Afghanistan troops was conducted. Findings are described and contextualized in terms of service members’ ongoing strengths, needs, and challenges. The corpus of research on deployed personnel indicates that service members demonstrate resilience in the face of war-related stressors. However, postdeployment impairment in 6 functional domains emerged in the literature review, including mental health, social and role functioning, relationship functioning and family life, spirituality, physical health, and financial well-being. Although risk factors and future trajectories vary across these domains, psychiatric difficulties are a consistent predictor of a worsened course. Implications for clinical practice are described based on the review findings. To promote wellbeing in the years ahead, it is important that service members are supported in their various roles (such as in the classroom, the workforce, and the family). In addition, routine assessment of functioning across domains is highly recommended for postdeployment service members.
    Full-text · Article · Aug 2015
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