A Pilot Study Exploring PTSD Symptom Clusters as Mediators between Trauma Exposure and Attachment Behaviors in Married Adults

References

• Alexander, P. C., Anderson, C. L., Brand, B., Schaeffer, C. M., Grelling, B. Z., & Kretz, L. (1998). Adult attachment and longterm effects in survivors of incest. Child Abuse & Neglect: The International Journal, 22(1), 45–61. doi:10.1016/S0145-2134(97)00120-8
   Google Scholar
• Allen, E. S., Rhoades, G. K., Stanley, S. M., & Markman, H. J. (2010). Hitting home: Relationships between recent deployment, posttraumatic stress symptoms, and marital functioning for army couples. Journal of Family Psychology, 24, 280–288. doi:10.1037/a0019405
   Google Scholar
• American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
   Google Scholar
• Arzi, N., Solomon, Z. Z., & Dekel, R. R. (2000). Secondary traumatization among wives of PTSD and post-concussion casualties: Distress, caregiver burden and psychological separation. Brain Injury, 14, 725–736. doi:10.1080/026990500413759
   Google Scholar
• Balcom, D. (1996). The interpersonal dynamics and treatment of dual trauma couples. Journal of Marital and Family Therapy, 22, 431–442. doi:10.1111/j.1752-0606.1996.tb00218.x
   Google Scholar
• Bartholomew, K. (1990). Avoidance of intimacy: An attachment perspective. Journal of Social and Personal Relationships, 7, 147–178. doi:10.1177/0265407590072001
   Google Scholar
• Bartholomew, K. (1997). Adult attachment processes: Individual and couple perspectives. British Journal of Medical Psychology, 70, 249–263. doi:10.1111/j.2044-8341.1997.tb01903.x
   Google Scholar
• Bartholomew, K., & Horowitz, L. M. (1991). Attachment styles among young adults: A test of a four-category model. Journal of Personality and Social Psychology, 61, 226–244. doi:10.1037/0022-3514.61.2.226
   Google Scholar
• Beckham, J. C., Roodman, A. A., Barefood, J. C., Haney, T. L., Helms, M. J., Fairbank, J. A., Hertzberg, M. A., & Kudler, H. S. (1996). Interpersonal and self-reported hostility among combat veterans with and without posttraumatic stress disorder. Journal of Traumatic Stress, 9, 335–342. doi:10.1002/jts.2490090214
   Google Scholar
• Benoit, M., Bouthillier, D., Moss, E., Rousseau, C., & Brunet, A. (2010). Emotion regulation strategies as mediators of the association between level of attachment security and PTSD symptoms following trauma in adulthood. Anxiety, Stress & Coping, 23(1), 101–118. doi:10.1080/10615800802638279
   Google Scholar
• Blevins, C. A., Weathers, F. W., Davis, M. T., Witte, T. K., & Domino, J. L. (2015). The Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): Development and initial psychometric evaluation. Journal of Traumatic Stress, 28, 489–498. doi:10.1002/jts.22059
   Google Scholar
• Brennan, K. A., & Shaver, P. R. (1995). Dimensions of adult attachment, affect regulation, and romantic relationship functioning. Personality and Social Psychology Bulletin, 21, 267–283. doi:10.1177/0146167295213008
   Google Scholar
• Breslau, N., Chilcoat, H. D., Kessler, R. C., Peterson, E. L., & Lucia, V. C. (1999). Vulnerability to assaultive violence: Further specification of the sex difference in post-traumatic stress disorder. Psychological Medicine, 29(4), 813–821. doi:10.1017/S0033291799008612
   Google Scholar
• Busby, D. M., Walker, E. C., & Holman, T. B. (2011). The association of childhood trauma with perceptions of self and the partner in adult romantic relationships. Personal Relationships, 18, 547–561. doi:10.1111/j.1475-6811.2010.01316.x
   Google Scholar
• Butzer, B., & Campbell, L. (2008). Adult attachment, sexual satisfaction, and relationship satisfaction: A study of married couples. Personal Relationships, 15, 141–154. doi:10.1111/j.1475-6811.2007.00189.x
   Google Scholar
• Campbell, S. B., & Renshaw, K. D. (2016). Military couples and posttraumatic stress: Interpersonally based behaviors and cognitions as mechanisms of individual and couple distress. In S. M. Wadsworth & D. S. Riggs (Eds.), War and family life (pp. 55–75). Cham, Switzerland: Springer International Publishing AG.
   Google Scholar
• Campbell, S. B., Renshaw, K. D., Kashdan, T. B., Curby, T. W., & Carter, S. P. (2017). A daily diary study of posttraumatic stress symptoms and romantic partner accommodation. Behavior Therapy, 48(2), 222–234. doi:10.1016/j.beth.2016.04.006
   Google Scholar
• Caska, C. M., Smith, T. W., Renshaw, K. D., Allen, S. N., Uchino, B. N., Birmingham, W., & Carlisle, M. (2014). Posttraumatic stress disorder and responses to couple conflict: Implications for cardiovascular risk. Health Psychology, 33(11). 1273–1280. doi:10.1037/hea0000133
   Google Scholar
• Charuvastra, A., & Cloitre, M. (2008). Social bonds and posttraumatic stress disorder. Annual Review of Psychology, 59, 301–328. doi:10.1146/annurev.psych.58.110405.085650
   Google Scholar
• Chemtob, C. M., Novaco, R. W., Hamada, R. S., Gross, D. M., & Smith, G. (1997). Anger regulation deficits in combat-related posttraumatic stress disorder. Journal of Traumatic Stress, 10, 17–36. doi:10.1002/jts.2490100104
   Google Scholar
• Dedert, E. A., Green, K. T., Calhoun, P. S., Yoash-Gantz, R., Taber, K. H., Mumford, M. M., & Beckham, J. C. (2009). Association of trauma exposure with psychiatric morbidity in military veterans who have served since September 11, 2001. Journal of Psychiatric Research, 43(9), 830–836. doi:10.1016/j.jpsychires.2009.01.004
   Google Scholar
• Ein-Dor, T., Doron, G., Solomon, Z., Mikulincer, M., & Shaver, P. R. (2010). Together in pain: Attachment-related dyadic processes and posttraumatic stress disorder. Journal of Counseling Psychology, 57(3), 317–327. doi:10.1037/a0019500
   Google Scholar
• Evans, L., Cowlishaw, S., David, F., Parslow, R., & Lewis, V. (2010). Longitudinal analyses of family functioning in veterans and their partners across treatment. Journal of Consulting and Clinical Psychology, 5, 611–622. doi:10.1037/a0020457
   Google Scholar
• Fischer, A. R., & Good, G. E. (1997). Men and psychotherapy: An investigation of alexithymia, intimacy, and masculine gender roles. Pscyhotherapy, 34, 160–170. doi:10.1016/j.sbspro.2010.07.163
   Google Scholar
• Ghafoori, B., Hierholzer, R., Howsepian, B., & Boardman, A. (2008). The role of adult attachment, parental bonding, and spiritual love in the adjustment to military trauma. Journal of Trauma & Dissociation, 9(1), 85–106. doi:10.1080/15299730802073726
   Google Scholar
• Goodman, L. A., Corcoran, C., Turner, K., Yuan, N., & Green, B. L. (1998). Assessing traumatic event exposure: General issues and preliminary findings for the stressful life events screening questionnaire. Journal of Traumatic Stress, 11, 521–542. doi:10.1023/A:1024456713321
   Google Scholar
• Greenman, P. S., & Johnson, S. M. (2012). Process research on emotionally focused therapy (EFT) for couples: Linking theory to practice. Family Process, 52, 46–61. doi:10.1111/famp.12015
   Google Scholar
• Hanley, K. E., Leifker, F. R., Blandon, A. Y., & Marshall, A. D. (2013). Gender differences in the impact of posttraumatic stress disorder symptoms on community couples' intimacy behaviors. Journal of Family Psychology, 27(3), 525–530. doi:10.1037/a0032890
   Google Scholar
• He, Q., Glas, C. A. W., & Veldkamp, B. P. (2014). Assessing impact of differential symptom functioning on post-traumatic stress disorder (PTSD) diagnosis. International Journal of Methods in Psychiatric Research, 23(2), 131–141. doi:10.1002/mpr.1417
   Google Scholar
• Herman, J. (1997). Trauma and recovery. New York, NY: Basic Books.
   Google Scholar
• IBM Corp. (2013). IBM SPSS Statistics for Windows, Version 22.0. Armonk, NY: IBM Corp.
   Google Scholar
• James, L. M., Van Kampen, E., Miller, R. D., & Engdahl, B. E. (2013). Risk and protective factors associated with symptoms of post-traumatic stress, depression, and alcohol misuse in OEF/OIF veterans. Military Medicine, 178(2), 159–165. doi:10.7205/MILMED-D-12-00282
   Google Scholar
• Johnson, S. M. (2008). Hold me tight. New York, NY: Little, Brown and Company.
   Google Scholar
• Karam, E. G., Friedman, M. J., Hill, E. D., Kessler, R. C., Mclaughlin, K. A., Petukhova, M., & Koenen, K. C. (2014). Cumulative traumas and risk thresholds: 12‐month PTSD in the world mental health (WMH) surveys. Depression and Anxiety, 31(2), 130–142. doi:10.1002/da.22169
   Google Scholar
• Kilpatrick, D. G., Resnick, H. S., Milanak, M. E., Miller, M. W., Keyes, K. M., & Friedman, M. J. (2013). National estimates of exposure to traumatic events and PTSD prevalence using DSM‐IV and DSM‐5 criteria. Journal of Traumatic Stress, 26(5), 537–547. doi:10.1002/jts.21848
   Google Scholar
• Kimble, M. O., Fleming, K., & Bennion, K. A. (2013). Contributors to hypervigilance in a military and civilian sample. Journal of Interpersonal Violence, 28(8), 1672–1692. doi:10.1177/0886260512468319
   Google Scholar
• Kimerling, R., Prins, A., Westrup, D., & Lee, T. (2004). Gender issues in the assessment of PTSD. In J. P. Wilson & T. M. Keane (Eds.), Assessing psychological trauma and PTSD (pp. 565–599). New York, NY: Guilford Press.
   Google Scholar
• Kline, R. B. (2011). Principles and practice of structural equation modeling (3rd ed.). New York: Guilford Press.
   Google Scholar
• Knobloch, L. K., & Theiss, J. A. (2012). Experiences of U.S. military couples during the post-deployment transition: Applying the relational turbulence model. Journal of Social and Personal Relationships, 29(4), 423–450. doi:10.1177/0265407511431186
   Google Scholar
• Matsakis, A. (2004). Trauma and its impact on families. In D. Catherall (Ed.), Handbook of stress, trauma, and the family (pp. 15–32). New York, NY: Routledge: Brunner.
   Google Scholar
• Marshall, A. D., Panuzio, J., & Taft, C. T. (2005). Intimate partner violence among military veterans and active duty servicemen. Clinical Psychology Review, 25(7), 862–876. doi:10.1016/j.cpr.2005.05.009
   Google Scholar
• Mejía, X. E. (2005). Gender matters: Working with adult male survivors of trauma. Journal of Counseling & Development, 83, 29–40. doi:10.1002/j.1556-6678.2005.tb00577.x
   Google Scholar
• Muthén, L. K., & Muthén, B. O. (1998-2012). Mplus user's guide (7th ed.). Los Angeles, CA: Muthén & Muthén.
   Google Scholar
• Nelson Goff, S. B., Crow, J. R., Reisbig, A. M. J., & Hamilton, S. (2007). The impact of individual trauma symptoms of deployed soldiers on relationship satisfaction. Journal of Family Psychology, 21, 344–353. doi:10.1037/0893-3200.21.3.344
   Google Scholar
• Nelson Goff, B. S., Reisbig, A. M. J., Bole, A., Scheer, T., Hays, E., Archuleta, K. L., & Smith, D. B. (2006). The effects of trauma on intimate relationships: A qualitative study with clinical couples. American Journal of Orthopsychiatry, 76(4), 451–460. doi:10.1037/0002-9432.76.4.451
   Google Scholar
• O'Connor, M., & Elklit, A. (2008). Attachment styles, traumatic events, and PTSD: A cross-sectional investigation of adult attachment and trauma. Attachment & Human Development, 10, 59–71. doi:10.1080/14616730701868597
   Google Scholar
• Orth, U., & Wieland, E. (2006). Anger, hostility, and posttraumatic stress disorder in trauma-exposed adults: A meta-analysis. Journal of Consulting and Clinical Psychology, 74, 698–706. doi:10.1037/0022-006X.74.4.698
   Google Scholar
• Palm, K. M., Strong, D. R., & MacPherson, L. (2009). Evaluating symptom expression as a function of a posttraumatic stress disorder severity. Journal of Anxiety Disorders, 23(1), 27–37. doi:10.1016/j.janxdis.2008.03.012
   Google Scholar
• Peters, L., Issakidis, C., Slade, T., & Andrews, G. (2006). Gender differences in the prevalence of DSM-IV and ICD-10 PTSD. Psychological Medicine, 36(1), 81–89. doi:10.1017/S003329170500591X
   Google Scholar
• Pietromonaco, P. R., & Barrett, L. F. (2000). The internal working models concept: What do we really know about the self in relation to others? Review of General Psychology, 4, 155–175. doi:10.1037/1089-2680.4.2.155
   Google Scholar
• Pietrzak, R. H., Whealin, J. M., Stotzer, R. L., Goldstein, M. B., & Southwick, S. M. (2011). An examination of the relation between combat experiences and combat-related posttraumatic stress disorder in a sample of Connecticut OEF–OIF Veterans. Journal of Psychiatric Research, 45(12), 1579–1584. doi:10.1016/j.jpsychires.2011.07.010
   Google Scholar
• Ptacek, J. T., Smith, R. E., & Zanas, J. (1992). Gender, appraisal, and coping: A longitudinal analysis. Journal of Personality, 60, 747–770. doi:10.1111/j.1467-6494.1992.tb00272
   Google Scholar
• Renshaw, K. D., Rodrigues, C. S., & Jones, D. H. (2008). Psychological symptoms and marital satisfaction in spouses of Operation Iraqi Freedom veterans: Relationships with spouses' perception of veterans' experiences symptoms. Journal of Family Psychology, 22(4), 586–594. doi:10.1037/0893-3200.22.3.586
   Google Scholar
• Sandberg, J. G., Busby, D. M., Johnson, S. M., & Yoshida, K. (2012). The brief accessibility, responsiveness, and engagement (BARE) scale: A tool for measuring attachment behavior in couple relationships. Family Process, 51, 512–526. doi:10.1111/j.1545-5300.2012.01422.x
   Google Scholar
• Schwerdtfeger, K. L., & Oseland, L. M. (2013). The interpersonal paradox of trauma. In T. Van Leeuwen & M. Brouwer (Eds.), Psychology of trauma (pp. 183–196). New York, NY: Nova.
   Google Scholar
• Sherman, M. D., Sautter, F., Jackson, M. H., Lyons, J. A., & Han, X. (2006). Domestic violence in veterans with posttraumatic stress disorder who seek couples therapy. Journal of Marital and Family Therapy, 32, 479–490. doi:10.1111/j.1752-0606.2006.tb01622.x
   Google Scholar
• Simmons, C. A., & Granvold, D. K. (2005). A cognitive model to explain sex differences in rate of PTSD diagnosis. Brief Treatment and Crisis Intervention, 5, 290–299. doi:10.1093/brief-treatment/mhi021
   Google Scholar
• Street, A. E., Vogt, D., & Dutra, L. (2009). A new generation of women veterans: Stressors faced by women deployed to Iraq and Afghanistan. Clinical Psychology Review, 29, 685–694. doi:10.1016/j.cpr.2009.08.007
   Google Scholar
• Taft, C. T., Watkins, L. E., Stafford, J., Street, A. E., & Monson, C. M. (2011). Posttraumatic stress disorder and intimate relationship problems: A meta-analysis. Journal of Consulting and Clinical Psychology, 79(1), 22–33. doi:10.1037/a0022196
   Google Scholar
• Tamres, L. K., Janicki, D., & Helgeson, V. S. (2002). Sex differences in coping behavior: A meta-analytic review and an examination of relative coping. Personality and Social Psychology Review, 6, 2–30. doi:10.1207/S15327957PSPR0601_1
   Google Scholar
• Teten, A. L., Schumacher, J. A., Taft, C. T., Stanley, M. A., Kent, T. A., Bailey, S. D., & White, D. L. (2009). Intimate partner aggression perpetrated and sustained by male Afghanistan, Iraq, and Vietnam veterans with and without posttraumatic stress disorder. Journal of Interpersonal Violence, 25(9), 1612–1630. doi:10.1177/0886260509354583
   Google Scholar
• Theiss, J. A., & Knobloch, L. K. (2013). A relational turbulence model of military service members' relational communication during reintegration. Journal of Communication, 63(6), 1109–1129. doi:10.1111/jcom.12059
   Google Scholar
• Tolin, D. F., & Foa, E. B. (2002). Gender and PTSD: A cognitive model. In R. Kimerling, P. Ouimette, & J. Wolfe (Eds.), Gender and PTSD (pp. 76–97). New York, NY: Guilford Press.
   Google Scholar
• Woodhouse, S., Ayers, S., & Field, A. P. (2015). The relationship between adult attachment style and post-traumatic stress symptoms: A meta-analysis. Journal of Anxiety Disorders, 35, 103–117. doi:10.1016/j.janxdis.2015.07.002
   Google Scholar
• Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). The PTSD Checklist for DSM-5 (PCL-5). Scale available from the National Center for PTSD at www.ptsd.va.gov
   Google Scholar
• Zhao, X., Lynch, J. G., & Chen, Q. (2010). Reconsidering Baron and Kenny: Myths and truths about mediation analysis. The Journal of Consumer Research, 37, 197–206. doi:10.1086/651257
   Google Scholar