Do Secondary Trauma Symptoms in Spouses of Combat-Exposed National Guard Soldiers Mediate Impacts of Soldiers’ Trauma Exposure on Their Children?
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This exploratory study examines the associated effects of combat exposure on Soldiers assigned to a Midwestern Army National Guard unit. It also explores the secondary and mediating effects of combat exposure on Soldier’s spouses and children. The correlations of combat exposure with trauma symptoms, substance abuse, domestic violence and secondary trauma symptoms among family members are identified. Survey results suggest that immediate family members of combat-exposed Soldiers with high levels of post traumatic stress disorder (PTSD) are at risk for developing secondary traumatic stress. Secondary trauma symptoms in these spouses are a risk-increasing mediating variable between trauma symptoms in combat-exposed Soldiers and secondary trauma symptoms in their children. Results from this investigation emphasize the need for further inquiry into this topic. They further highlight the need for preventive and treatment efforts targeted toward all family members and relationships in order to lessen the effects of combat exposure.
- Achenbach, T., & Rescorla, L. (2001). Manual for the ASEBA school-age forms and profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, and Families.
- Arzi, N. B., Solomon, Z., & Dekel, R. (2000). Secondary traumatization among wives of PTSD and post-concussion casualties: Distress, caregiver burden, and psychological separation. Brain Injury, 14(8), 725–736. CrossRef
- Baron, R., & Kenny, D. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical consideration. Journal of Personality and Social Psychology, 51(6), 1173–1182. CrossRef
- Bastiaens, L., Riccardi, K., & Sakhrani, D. (2002). The RAFFT as a screening tool for adult substance use disorders. The American Journal of Drug and Alcohol Abuse, 28(4), 681–691. CrossRef
- Blanchard, E., Jones-Alexander, J., Buckley, T., & Forneris, C. (1996). Psychometric properties of the PTSD checklist. Behavior Research and Therapy, 34(8):669–673.
- Bliese, P. D., Wright, K. M., Adler, A. B., Cabrera, O., Castrol, C. A., & Hoge, C. W. (2008). Validating the primary care posttraumatic stress disorder screen and the posttraumatic stress disorder checklist with soldiers returning from combat. Journal of Consulting and Clinical Psychology, 76, 272–281. CrossRef
- Caselli, L., & Motta, R. (1995). The effect of PTSD and combat level on Vietnam veterans’ perceptions of child behavior and marital adjustment. Journal of Clinical Psychology, 51(1), 4–12. CrossRef
- Cozza, S., Chun, R., & Polo, J. (2005). Military families and children during operation Iraqi freedom. Psychiatric Quarterly, 76(4), 371–378. CrossRef
- Dansby, V., & Marinelli, R. (1999). Adolescent children of Vietnam combat veteran fathers: A population at risk. Journal of Adolescence, 22, 329–340. CrossRef
- Daud, A., Skoglund, E., & Rydelius, P. (2005). Children in families of torture victims: Transgenerational transmission of parents’ traumatic experiences to their children. International Journal of Social Welfare, 14, 23–32. CrossRef
- Deblinger, E., Mannarino, A., Cohen, J., Runyon, M., & Steer, R. (2011). Trauma-focused cognitive behavioral therapy for children: Impact of the trauma narrative and treatment length. Depression and Anxiety, 28(1), 67–75. CrossRef
- Dekel, R., Solomon, Z., & Bleich, A. (2005). Emotional distress and marital adjustment of caregivers: Contribution of level in impairment and appraised burden. Anxiety, Stress, and Coping, 18(1), 71–82. CrossRef
- Del Valle, L., & Avelo, J. (1996). Perception of post traumatic stress disorder symptoms by children of Puerto Rican Vietnam veterans. Puerto Rico Health Science Journal, 15(2), 101–106.
- Dirkzwager, A., Bramensen, I., Ader, H., & van der Ploeg, H. (2005). Secondary traumatization in partners and parents of Dutch peacekeeping soldiers. Journal of Family Psychology, 19(2), 217–226. CrossRef
- Doyle, M., & Peterson, K. (2005). Re-entry and reintegration: Returning home after combat. Psychiatric Quarterly, 76(4), 361–370. CrossRef
- Everson, B., & Figley, C. (2010). Families under fire: Systemic therapy with military families. New York: Routledge.
- Figley, C. (1983). Catastrophes: An overview of family reactions. In C. Figley & H. McCubbin (Eds.), Stress and the family (pp. 3–20). New York, NY: Brunner/Mazel.
- Hendrix, C., Jurich, A., & Schumm, W. (1995). Long-term impact of Vietnam war service on family environment and satisfaction. Families in Society: The Journal of Contemporary Human Services, 76(8), 498–506.
- Herzog, J., & Everson, B. (2007). The crisis of parental deployment in military service. In N. Boyd Webb play therapy with children in crisis (3rd ed.). New York, NY: Guilford Publications, Inc.
- Herzog, J., & Everson, R. (2010). Secondary traumatic stress, deployment phase, and military families: Systematic approaches to treatment. In B. Everson & C. Figley (Eds.), Families under fire: Systemic therapy with military families. Routledge: Psychological Stress Series.
- Hoge, C., Castro, C., Messer, S., McGurk, D., Cotting, D., & Koffman, R. (2005). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. The New England Journal of Medicine, 351(1):13–22.
- Jouriles, E., & Norwood, W. (1995). Physical aggression towards boys and girls in families characterized by the battering of women. Journal of Family Psychology, 9(1), 69–78. CrossRef
- Mansfield, A., Kaufman, J., Marshall, S., Bradley, G., Morrissey, J., & Engel, C. (2010). Deployment and the use of mental health services among U.S. army wives. New England Journal of Medicine, 362(2), 101–109. CrossRef
- Medway, F., Davis, K., Cafferty, T., Chappell, K., & O’Hearn, R. (1995). Family disruption and adult attachment correlates of spouse and child reactions to separation and reunion due to operation desert storm. Journal of Social and Clinical Psychology, 14(2), 97–118. CrossRef
- Mental Health Advisory Team (MHAT IV). (2006). Operation Iraqi Freedom 05–07. Washington, DC: The Office of the Surgeon Multinational Force-Iraq, and Office of the Surgeon General United States Army Medical Command. Retrieved from http://www.armymedicine.army.mil/reports/mhat/mhat_v/Redacted1-MHATV-OIF-4-FEB-2008Report.pdf.
- Mikulincer, M., Florian, V., & Solomon, Z. (1995). Marital intimacy, family support, and secondary traumatization: A study of wives of veterans with combat stress reactions. Anxiety, Stress, and Coping, 8, 203–213. CrossRef
- Motta, R., Hafeez, S., Sciancalepore, R., & Diaz, A. (2001). Discriminate validation of the Modified Secondary Trauma Questionnaire. Journal of Psychotherapy in Independent Practice, 24, 17–25.
- Motta, R., Newman, C., Lombardo, K., & Silverman, M. (2004). Objective assessment of secondary trauma. International Journal of Emergency Mental Health, 6(2), 67–74.
- Rosenheck, R., & Nathan, P. (1985). Secondary traumatization in children of Vietnam veterans. Hospital and Community Psychiatry, 36(5), 538–539.
- Ruggiero, K. J., Del Ben, K., Scotti, J. R., & Rabalais, A. E. (2003). Psychometric properties of the PTSD Checklist-Civilian Version. Journal of Traumatic Stress, 16, 495–502. CrossRef
- Shakil, A., Smith, D., Sinacore, J., & Krepcho, M. (2005). Validation of the HITS domestic violence screening tool with males. Family Medicine, 37(3):193–198.
- Shapinsky, A., Rapport, L., Henderson, M., & Axelrod, B. (2005). Civilian PTSD scales relationships with trait characteristics and everyday distress. Assessment, 12(2), 220–230. CrossRef
- Sherin, K., Sinacore, J., Li, X., Zitter, R., & Shakil, A. (1998). HITS: A short domestic violence screening tool for use in a family practice setting. Clinical Research and Methods, 30(7), 508–512.
- Solomon, Z., Waysman, M., Levy, G., Fried, B., Mikulincer, M., Benbenishty, R., et al. (1992). From front line to home front: A study of secondary traumatization. Family Process, 31, 289–302. CrossRef
- Tanielian, T., Jaycox, L., Schell, T., Marshall, G., Burnam, M., Eibner, C., et al. (2008). Invisible wounds of war: Summary and recommendations for addressing psychological and cognitive injuries. Santa Monica, CA: Rand Corporation.
- Waysman, M., Mikulincer, M., Solomon, Z., & Weisenberg, M. (1993). Secondary traumatization among wives of posttraumatic combat veterans: A family typology. Journal of Family Psychology, 7(1), 104–118. CrossRef
- Weathers, F., Litz, B., Herman, D., Huska, J., & Keane, T. (1993). The PTSD Checklist (PCL): Reliability, validity, and diagnostic utility. Paper presented at the meeting of the International Society for Traumatic Stress Studies, San Antonio, TX.
- Westerink, J., & Giaratano, L. (1999). The impact of posttraumatic stress disorder on partners and children of Australian Vietnam veterans. Australian and New Zealand Journal of Psychiatry, 33(6), 841–847. CrossRef
- Do Secondary Trauma Symptoms in Spouses of Combat-Exposed National Guard Soldiers Mediate Impacts of Soldiers’ Trauma Exposure on Their Children?
Child and Adolescent Social Work Journal
Volume 28, Issue 6 , pp 459-473
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Secondary trauma
- National Guard
- Military families
- Mediating variable
- Military children