Abstract
Introduction
Posttraumatic Stress Disorder (PTSD) has been found to be positively related to victimization of emotional abuse from an intimate partner. However, as PTSD has also been demonstrated to be associated with perpetration of emotional abuse, there may be confounding factors between perpetration and victimization of emotional abuse as many couples present with bi-directional abusive behavior. The current study examined the unique variance of PTSD symptom severity among trauma exposed women explained by victimization and perpetration of emotional abuse, as well as to explore whether these factors interact.
Method
Couples with trauma exposed women (N = 141) completed measures of physical and emotional abuse in their current relationship and women reported on their own PTSD symptom severity.
Results
Victimization of the Restrictive Engulfment, Hostile Withdrawal, and Denigration forms of emotional abuse were positively associated with PTSD symptom severity. For Hostile Withdrawal and Denigration, the associations between victimization and PTSD symptom severity were only significant among women who were not also engaging in emotional abuse perpetration. Victimization of Dominance/Intimidation emotional abuse was not related to PTSD symptoms. Rather, perpetration of Dominance/Intimidation emotional abuse was associated with heightened PTSD symptom severity.
Conclusion
Findings suggest specific dimensions of emotionally abusive behaviors, both victimization and perpetration, place trauma exposed women at risk for heightened symptom severity.
This is a preview of subscription content, access via your institution.

Notes
Severe physical IPV is defined by acts of aggression that are increased risk for serious injury or death. They are measure from the CTS-2 that include items such as “been chocked by my partner,” “my partner burned or scalded me on purpose”, etc.
References
American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders, 4th edition text revised. Washington: APA
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Association
Babcock, J. C., Snead, A. L., Bennett, V. E., & Armenti, N. A. (2018). Distinguishing Subtypes of Mutual Violence in the Context of Self-Defense: Classifying Types of Partner Violent Couples Using a Modified Conflict Tactics Scale. Journal of Family Violence. https://doi.org/10.1007/s10896-018-0012-2
Baker, C. R., & Stith, S. M. (2008). Factors predicting dating violence perpetration among male and female college students. Journal of Aggression Maltreatment & Trauma, 17, 227–244. https://doi.org/10.1080/10926770802344836
Beck, J. G., McNiff, J., Clapp, J. D., Olsen, S. A., Avery, M. L., & Hagewood, J. H. (2011). Exploring negative emotion in women experiencing intimate partner violence: Shame, guilt, and PTSD. Behavior therapy, 42(4), 740–750. https://doi.org/10.1016/j.beth.2011.04.001
Breiding, M. J., Basile, K. C., Smith, S. G., Black, M. C., & Mahendra, R. R. (2015). Intimate partner violence surveillance: Uniform definitions and recommended data elements, Version 2.0. National Center for Injury Prevention and Control, Centers for Disease Control and Prevention
Coker, A. L., Davis, K. E., Arias, I., Desai, S., Sanderson, M., Brandt, H. M., & Smith, P. H. (2002). Physical and mental health effects of intimate partner violence for men and women. American Journal of Preventive Medicine, 23, 260–268. https://doi.org/10.1016/S0749-3797(02)00514-7
Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38(4), 319–345. https://doi.org/10.1016/S0005-7967(99)00123-0
Foa, E. B. (1995). The posttraumatic diagnostic scale (PDS) manual. Minneapolis, MN: National Computer Systems, 1–5
Foa, E. B., Cashman, L., Jaycox, L., & Perry, K. (1997). The validation of a self-report measure of posttraumatic stress disorder: the Posttraumatic Diagnostic Scale. Psychological assessment, 9(4), 445. https://doi.org/10.1037/1040-3590.9.4.445
Follingstad, D. R. (2009). The impact of psychological aggression on women’s mental health and behavior: The status of the field. Trauma Violence & Abuse, 10(3), 271–289. https://doi.org/10.1177/1524838009334453
Follingstad, D. R., & Rogers, M. J. (2013). Validity concerns in the measurement of women’s and men’s report of intimate partner violence. Sex Roles, 69(3–4), 149–167. https://doi.org/10.1007/s11199-013-0264-5
Godfrey, D. A., Kehoe, C. M., Bennett, V. E., Bastardas-Albero, A., & Babcock, J. C. (2021). Validating measures of emotional abuse with behavioral observations during interpersonal conflict. Journal of Social and Personal Relationships, 38(1), 3–18. https://doi.org/10.1177/0265407520951854
Gormley, B., & Lopez, F. G. (2010). Psychological abuse perpetration in college dating relationships: Contributions of gender, stress, and adult attachment orientations. Journal of interpersonal Violence, 25(2), 204–218
Hazen, A. L., Connelly, C. D., Soriano, F. I., & Landsverk, J. A. (2008). Intimate partner violence and psychological functioning in Latina women. Health Care for Women International, 29, 282–299. https://doi.org/10.1080/07399330701738358
Johnson, D. M., Zlotnick, C., & Perez, S. (2011). Cognitive-Behavioral Treatment of PTSD in Residents of Battered Women Shelters: Results of a Randomized Clinical Trial. Journal of Consulting and Clinical Psychology, 79(4), 542–551. https://doi.org/10.1037/a0023822
Kenny, D. A., & Ledermann, T. (2010). Detecting, measuring, and testing dyadic patterns in the actor-partner interdependence model. Journal of Family Psychology: JFP: Journal of the Division of Family Psychology of the American Psychological Association (Division, 43(3), 359–366. https://doi.org/10.1037/a0019651. 24
Langhinrichsen-Rohling, J., Misra, T. A., Selwyn, C., & Rohling, M. L. (2012). Rates of Bidirectional Versus Unidirectional Intimate Partner Violence Across Samples, Sexual Orientations, and Race/Ethnicities: A Comprehensive Review. Partner Abuse, 2, 199–230. https://doi.org/10.1891/1946-6560.3.2.199
Leonard, K. E., Winters, J. J., Kearns-Bodkin, J. N., Homish, G. G., & Kubiak, A. J. (2014). Dyadic Patterns of Intimate Partner Violence in Early Marriage. Psychology of Violence, 4(4), 384–398. https://doi.org/10.1037/a0037483
Maercker, A., & Horn, A. B. (2013). A Socio-interpersonal Perspective on PTSD: The Case for Environments and Interpersonal Processes. Clinical Psychology & Psychotherapy, 20(6), 465–481. https://doi.org/10.1002/cpp.1805
Maiuro, R. D. (Ed.). (2001). Psychological abuse in violent domestic relations. Springer Publishing Company
Maldonado, A. I., & Murphy, C. M. (2021). Does Trauma Help Explain the Need for Power and Control in Perpetrators of Intimate Partner Violence? Journal of Family Violence, 36(3), 347–359. https://doi.org/10.1007/s10896-020-00174-0
Menard, S. (2002). Applied logistic regression analysis (106 vol.). Sage
Miles-McLean, H. A., LaMotte, A. D., Williams, M. R., & Murphy, C. M. (2019). Trauma Exposure and PTSD Among Women Receiving Treatment for Intimate Partner Violence Perpetration. Journal of Interpersonal Violence, 0886260518820634. https://doi.org/10.1177/0886260518820634
Murphy, C. M., & Hoover, S. A. (1999). Measuring emotional abuse in dating relationships as a multifactorial construct. Violence and victims, 14(1), 39–53. https://doi.org/10.1891/0886-6708.14.1.39
Nathanson, A. M., Shorey, R. C., Tirone, V., & Rhatigan, D. L. (2012). The prevalence of mental health disorders in a community sample of female victims of intimate partner violence. Partner abuse, 3(1), 59–75. https://doi.org/10.1891/1946-6560.3.1.59
Norwood, A., & Murphy, C. (2012). What forms of abuse correlate with PTSD symptoms in partners of men being treated for intimate partner violence?. Psychological Trauma: Theory, Research, Practice, and Policy, 4(6), 596. https://doi.org/10.1037/a0025232
O’Leary, K. D. (1999). Psychological abuse: A variable deserving critical attention in domestic violence. Violence and Victims, 14, 3–23. https://doi.org/10.1891/0886-6708.14.1.3Psychological Bulletin, 129(1),52–73. https://doi.org/10.1037/0033-2909.129.1.52
Olff, M. (2017). Sex and gender differences in post-traumatic stress disorder: An update. European Journal of Psychotraumatology, 8(sup4), 1351204. https://doi.org/10.1080/20008198.2017.1351204
Panuzio, J., & DiLillo, D. (2010). Physical, psychological, and sexual intimate partner aggression among newlywed couples: Longitudinal prediction of marital satisfaction. Journal of Family Violence, 25, 689–699. https://doi.org/10.1007/s10896-010-9328-2
Sackett, L. A., & Saunders, W. B., D. G (1999). The impact of different forms of psychological abuse on battered women. Violence and Victims, 14(1), 105–117. https://doi.org/10.1891/0886-6708.14.1.105
Straus, M. A., Hamby, S. L., Boney-McCoy, S., & Sugarman, D. B. (1996). The revised Conflict Tactics Scales (CTS2): Development and preliminary psychometric data. Journal of Family Issues, 17(3), 283–316. https://doi.org/10.1177/019251396017003001
Street, A. E., & Arias, I. (2001). Psychological abuse and posttraumatic stress disorder in battered women: Examining the roles of shame and guilt. Violence and Victims, 16(1), 65–78. https://doi.org/10.1891/0886-6708.16.1.65
Taft, C. T., Creech, S. K., & Murphy, C. M. (2017). Anger and aggression in PTSD. Current Opinion in Psychology, 14, 67–71. https://doi.org/10.1016/j.copsyc.2016.11.008
Taft, C. T., Murphy, C. M., King, L. A., Dedeyn, J. M., & Musser, P. H. (2005). Posttraumatic Stress Disorder Symptomatology Among Partners of Men in Treatment for Relationship Abuse. Journal of Abnormal Psychology, 114(2), 259–268. https://doi.org/10.1037/0021-843X.114.2.259
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. https://doi.org/10.1037/a0022196
Wang, Y., Chung, M. C., Wang, N., Yu, X., & Kenardy, J. (2021). Social support and posttraumatic stress disorder: A meta-analysis of longitudinal studies. Clinical Psychology Review, 85, 101998. https://doi.org/10.1016/j.cpr.2021.101998
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare that they have no conflict of interest.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Godfrey, D.A., Kehoe, C.M., Bennett, V.E. et al. Examining the Associations Between Multi-Dimensional Facets of Emotional Abuse and Posttraumatic Stress Disorder Among Trauma Exposed Women. J Fam Viol (2022). https://doi.org/10.1007/s10896-022-00429-y
Received:
Revised:
Accepted:
Published:
DOI: https://doi.org/10.1007/s10896-022-00429-y
Keywords
- Intimate partner violence
- Emotional Abuse
- Trauma
- Posttraumatic stress disorder