ClinicalTrials.gov Identifier: NCT01435512.

Posttraumatic stress disorder (PTSD) is strongly associated with exposure to war related trauma in military and veteran populations. In growing recognition that PTSD may influence and be influenced by social support and family systems, research has begun to explore the effects that war related trauma and the ensuing PTSD may have on varied aspects of close relationship and family functioning. Far less research, however, has examined the influence of war-related PTSD on parent-child functioning in this population. This paper provides a timely review of emergent literature to examine the impacts that PTSD may have on parenting behaviors and children’s outcomes with a focus on studies of military and veterans of international conflicts since post-9/11. The review sheds light on the pathways through which PTSD may impact parent-child relationships, and proposes the cognitive-behavioral interpersonal theory of PTSD as a theoretical formulation and extends this to parenting/children. The review identifies the strengths and limitations in the extant research and proposes directions for future research and methodological practice to better capture the complex interplay of PTSD and parenting in military and veteran families.

Hundreds of thousands of children have had at least 1 parent deploy as part of military operations in Iraq (Operation Iraqi Freedom; OIF; Operation New Dawn; OND) and Afghanistan (Operation Enduring Freedom; OEF). However, there is little knowledge of the impact of deployment on the relationship of parents and their children. This systematic review examines findings from 3 areas of relevant research: the impact of deployment separation on parenting, and children's emotional, behavioral, and health outcomes; the impact of parental mental health symptoms during and after reintegration; and current treatment approaches in veteran and military families. Several trends emerged. First, across all age groups, deployment of a parent may be related to increased emotional and behavioral difficulties for children, including higher rates of health-care visits for psychological problems during deployment. Second, symptoms of PTSD and depression may be related to increased symptomatology in children and problems with parenting during and well after reintegration. Third, although several treatments have been developed to address the needs of military families, most are untested or in the early stages of implementation and evaluation. This body of research suggests several promising avenues for future research.

No abstract

No abstract

Trial Registry Name: Strength at Home Couples Program; Registration Number: NCT00827879; URL: https://clinicaltrials.gov/ct2/show/NCT00827879?term=strength+at+home&rank=1 (PsycINFO Database Record

Abstract-The Department of Veterans Affairs (VA) and Department of Defense's (DOD) recently published and updated Department of Veterans Affairs/Department of Defense VA/ DOD Clinical Practice Guideline for Management of PostTraumatic Stress includes irritability, severe agitation, and anger as specific symptoms that frequently co-occur with PTSD. For the first time, the guideline includes nine specific recommendations for the assessment and treatment of PTSDrelated anger, irritability, and agitation. This article will review the literature on PTSD and its association with anger and aggression. We highlight explanatory models for these associations, factors that contribute to the occurrence of anger and aggression in PTSD, assessment of anger and aggression, and effective anger management interventions and strategies.

The present study examined the clinical utility and psychometric properties of the Personality Assessment Inventory (PAI; Morey, 1991) within a large sample of chronic pain patients. Alpha coefficients and mean interitem correlations generally conformed with recommended psychometric standards and were similar to those reported for the test standardization samples. Factor analyses supported the consistency of the underlying factor structure of the PAI with chronic pain patients. The factor related to acting-out behavior did not contain the substance abuse component found in previous investigations. The findings demonstrate the complexity and heterogeneity of chronic pain cases and support the usefulness of the PAI in detecting broad and specific psychological and personality constructs within the population of chronic pain patients. Finally, the study provides normative data that will inform clinical interpretation and decision making in chronic pain cases. Overall, the results support the applicability of the PAI for assessment and treatment planning with chronic pain patients.