Posttraumatic stress symptoms among National Guard soldiers deployed to Iraq: Associations with parenting behaviors and couple adjustment.

Gewirtz, Abigail H.; Polusny, Melissa A.; DeGarmo, David S.; Khaylis, Anna; Erbes, Christopher R.

doi:10.1037/a0020571

Cited by 247 publications

(253 citation statements)

References 81 publications

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“…For instance, Cozza et al (2010) found child distress was not related to service member injury severity, but was instead related to pre-injury, deployment-related family distress, and high family disruption post-injury. Among National Guard soldiers 1 year post-deployment, the associations between having a deployment injury, couple adjustment, and parenting were mediated by PTSD (Gewirtz et al 2010).…”

Section: Current Eramentioning

confidence: 97%

“…Several studies have associated PTSD with poorer relationship satisfaction and higher relationship distress (Gewirtz et al 2010;Khaylis et al 2011;Meis et al 2010) and more parenting challenges (Gewirtz et al 2010) among National Guard soldiers within the first year or so post-deployment. Similarly, among Army couples who had experienced deployment to OEF/OIF/OND, higher PTSD symptom levels were associated with lower couple functioning (Melvin et al 2012).…”

Section: Current Eramentioning

confidence: 99%

See 1 more Smart Citation

Long-Term Trajectories and Service Needs for Military Families

Link

Palinkas

2013

Clin Child Fam Psychol Rev

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The deployment of US military personnel to recent conflicts has been a significant stressor for their families; yet, we know relatively little about the long-term family effects of these deployments. Using data from prior military service eras, we review our current understanding of the long-term functioning and needs of military families. These data suggest that overseas deployment, exposure to combat, experiencing or participating in violence during war deployment, service member injury or disability, and combat-related post-traumatic stress disorder (PTSD) all have profound impacts on the functioning of military families. We offer several recommendations to address these impacts such as the provision of family-centered, trauma-informed resources to families of veterans with PTSD and veterans who experienced high levels of combat and war violence. Recent efforts to address the needs of caregivers of veterans should be evaluated and expanded, as necessary. We should also help military families plan for predictable life events likely to challenge their resilience and coping capacities. Future research should focus on the following: factors that mediate the relationship between PTSD, war atrocities, caregiver burden, and family dysfunction; effective family-centered interventions that can be scaled-up to meet the needs of a dispersed population; and system-level innovations necessary to ensure adequate access to these interventions.

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Section: Current Eramentioning

confidence: 97%

Section: Current Eramentioning

confidence: 99%

Long-Term Trajectories and Service Needs for Military Families

Link

Palinkas

2013

Clin Child Fam Psychol Rev

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“…Gewirtz et al found that among male Vietnam Veterans PTSD symptoms were associated with decreased parenting satisfaction, impaired attachment with children, child behavior problems, and family violence [30]. PTSD symptoms were also associated with less effective parenting (e.g., inconsistent discipline and poor supervision).…”

Section: Parentingmentioning

confidence: 99%

“…PTSD symptoms were also associated with less effective parenting (e.g., inconsistent discipline and poor supervision). In trying to explain how PTSD symptoms result in parenting difficulties, investigators have suggested that avoidance and numbing symptoms may produce impaired relationships through emotional and physical detachment, lack of interest, and reduced monitoring and involvement with children [31], while hyperarousal symptoms may be associated with volatile or emotionally dysregulated parent-child interactions, especially in stressful situations [30].…”

Section: Parentingmentioning

confidence: 99%

Assessment of posttraumatic stress disorder-related functional impairment: A review

Rodriguez

Holowka²,

Marx³

2012

JRRD

155

108

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Abstract-In 2010, the Department of Veterans Affairs (VA) and Department of Defense (DOD) jointly published the revised VA/DOD Clinical Practice Guideline for Management of Posttraumatic Stress. The Clinical Practice Guideline (CPG) provides evidence-based recommendations for diagnosing and treating a spectrum of stress-related disorders. Included in the CPG were recommendations for assessing posttraumatic stress disorder (PTSD) and other stress disorder-related functional impairment. This article complements those CPG recommendations by providing information that may further guide clinicians in the assessment of functional impairment related to PTSD and other stress-related disorders. We briefly review some of the empirical literature on the association between PTSD and functional impairment and some of the more frequently used methods and measures for assessing functional impairment and introduce a new measure currently being developed by our group. We suggest that information obtained via patient self-report and/or clinician rating be supplemented whenever possible with collateral data from friends, family members, coworkers, or supervisors to provide a complete picture of current and premorbid functional status. Finally, we explore several important issues that we encourage clinicians to keep in mind when assessing functional impairment among Veterans and Active Duty servicemembers.Clinical Trial Registration: ClinicalTrials.gov; PT074941, "Development and validation of a PTSD-related functional impairment scale;" http://www.clinicaltrials.gov.

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“…Recent studies suggest that as many as 20% to 30% of soldiers have posttraumatic symptoms in the initial 6 months following deployment. [26][27][28] Postdeployment emotional and behavioral responses by a service member can range from typical short-term distress responses, such as change in sleep, decreased sense of safety, or social isolation, to the development of more serious psychiatric conditions such as posttraumatic stress disorder or depression. A recent study of clinically depressed new fathers has shown that paternal depression can negatively affect their ability to tend to their infant's needs.…”

Section: Wartime Deploymentsmentioning

confidence: 99%