Abstract
Alcohol use (frequency and quantity) and the hyperarousal feature of PTSD were examined in relation to male-perpetrated marital abuse and violence using data from 376 couples who participated in the National Vietnam Veterans Readjustment Study. Veteran's self-reported hyperarousal was significantly associated with partner's report of physical violence and psychological abuse toward her. Differential relationships were found between veteran's self-reported drinking frequency and drinking quantity and the outcomes; of the two components, only the average quantity consumed per occasion was independently related to husband-to-wife violence. Moreover, a complex interaction emerged between hyperarousal and the two dimensions of alcohol consumption in predicting violence, with the relationship between hyperarousal and violence varying as a function of both drinking frequency and drinking quantity.
Similar content being viewed by others
References
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
Arias, I., & Beach, S. R. H. (1987). Validity of self-reports of marital violence. Journal of Family Violence, 2, 139–149.
Barnett, O. W., & Fagan, R. W. (1993). Alcohol use in male spouse abusers and their female partners. Journal of Family Violence, 8, 1–25.
Blanchard, E. B., Kolb, L. C., Pallmeyer, T. P., & Gerardi, R. J. (1982). A psychophysiological study of post traumatic stress disorder in Vietnam veterans. Psychiatric Quarterly, 54, 220–229.
Byrne, C. A., & Riggs, D. S. (1996). The cycle of trauma: Relationship aggression in male Vietnam veterans with symptoms of posttraumatic stress disorder. Violence and Victims, 11, 213–225.
Carlson, B. E. (1984). Children's observations of interparental violence. In A. R. Roberts (Ed.), Battered women and their families (pp. 147–167). New York: Springer.
Carroll, E. M., Rueger, D. B., Foy, D. W., & Donahoe, C. P. (1985). Vietnam combat veterans with posttraumatic stress disorder: Analysis of marital and cohabiting adjustment. Journal of Abnormal Psychology, 94, 329–337.
Cohen, J., & Cohen, P. (1983). Applied multiple regression/correlation analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.
Coleman, K. H., Weinman, M. L., & Hsi, B. P. (1980). Factors affecting conjugal violence. The Journal of Psychology, 105, 197–202.
Dohrenwend, B. P. (1982). Psychiatric Epidemiology Research Interview (PERI). NewYork: Columbia University, Social Psychiatry, Research Unit.
Dutton, D. G. (1995). Trauma symptoms and PTSD-like profiles in perpetrators of intimate abuse. Journal of Traumatic Stress, 8, 299–316.
Feunekes, G. I. J., van't Veer, P., van Staveren, W. A., & Kok, F. J. (1999). Alcohol intake assessment: The sober facts. American Journal of Epidemiology, 150, 105–112.
Finkelhor, D., & Dziuba-Leatherman, J. (1994). Victimization of children. American Psychologist, 49, 173–183.
Gerardi, R. J., Keane, T. M., Cahoon, B. J., & Klauminzer, G. W. (1994). An in vivo assessment of physiological arousal in posttraumatic stress disorder. Journal of Abnormal Psychology, 103, 825–827.
Gondolf, E.W., & Foster, R.A. (1991).Wife assault among VA alcohol rehabilitation patients. Hospital and Community Psychiatry, 42, 74–79.
Goodman, L. A., Koss, M. P., Fitzgerald, L. F., Russo, N. F., & Keita, G. P. (1993). Male violence against women: Current research and future directions. American Psychologist, 48, 1054–1058.
Graham, K., Leonard, K. E., Room, R., Wild, T. C., Pihl, R. O., Bois, C., & Single, E. (1998). Current directions in research on understanding and preventing intoxicated aggression. Addiction, 93, 659–676.
Graham, K., & Schmidt, G. (1999). Alcohol use and psychosocial well-being among older adults. Journal of Studies on Alcohol, 60, 345–351.
Hotaling, G. T., & Sugarman, D. B. (1986). An analysis of risk markers in husband to wife violence: The current state of knowledge. Violence and Victims, 1, 101–124.
Hutchinson, I. W. (1999). Alcohol, fear, and woman abuse. Sex Roles, 40, 893–920.
Jordan, B. K., Marmar, C. R., Fairbank, J. A., Schlenger, W. E., Kulka, R. A., Hough, R. L., & Weiss, D. S. (1992). Problems in families of male Vietnam veterans with posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 60, 916–926.
Karney, B. R., & Bradbury, T. N. (1995). The longitudinal course of marital quality and stability: A review of theory, methods, and research. Psychological Bulletin, 118, 3–34.
Kaufman Kantor, G., & Straus, M. A. (1987). The “Drunken Bum” theory of wife beating. Social Problems, 34, 213–230.
Kaufman Kantor, G., & Straus, M. A. (1989). Substance abuse as a precipitant of wife abuse victimizations. American Journal of Drug and Alcohol Abuse, 15, 173–189.
Keane, T. M., Caddell, J. M., & Taylor, K. L. (1988). Mississippi Scale for Combat-Related Posttraumatic Stress Disorder: Three studies in reliability and validity. Journal of Consulting and Clinical Psychology, 56, 85–90.
Keane, T. M., & Wolfe, J. (1990). Comorbidity in post-traumatic stress disorder: An analysis of community and clinical studies. Journal of Applied Social Psychology, 20, 1776–1788.
King, L. A., & King, D. W. (1994). Latent structure of the Mississippi Scale for Combat-Related Post-Traumatic Stress Disorder: Exploratory and higher-order confirmatory factor analyses. Assessment, 1, 275–291.
King, L. A., & King, D. W. (2000). Male-perpetrated domestic violence: Testing a series of multifactorial family models. Final report to the National Institute of Justice (Grant 98-WT-VXOC31).
King, D.W., King, L. A., Foy, D.W., Keane, T. M., & Fairbank, J. A. (1999). Posttraumatic stress disorder in a national sample of female and male Vietnam veterans: Risk factors, war-zone stressors, and resilience-recovery variables. Journal of Abnormal Psychology, 108, 164–170.
King, D. W., Leskin, G. A., King, L. A., & Weathers, F. W. (1998). Confirmatory factor analysis of the Clinician-Administered PTSD Scale: Evidence for the dimensionality of posttraumatic stress disorder. Psychological Assessment, 10, 90–96.
Kulka, R. A., Schlenger, W. E., Fairbank, J. A., Hough, R. L., Jordan, B. K., Marmar, C. R., & Weiss, D. S. (1990a). The National Vietnam Veterans Readjustment Study: Tables of findings and technical appendices. New York: Brunner/Mazel.
Kulka, R. A., Schlenger, W. E., Fairbank, J. A., Hough, R. L., Jordan, B. K., Marmar, C. R., & Weiss, D. S. (1990b). Trauma and the Vietnam War generation: Report of findings from the National Vietnam Veterans Readjustment Study. New York: Brunner/Mazel.
Lauterbach, D., Vrana, S., King, D.W., & King, L. A. (1997). Psychometric properties of the Civilian Version of the Mississippi PTSD Scale. Journal of Traumatic Stress, 10, 499–513.
Leonard, K. E., & Blane, H. T. (1992). Alcohol and marital aggression in a national sample of young men. Journal of Interpersonal Violence, 7, 19–30.
Leonard, K. E., Bromet, E. J., Parkinson, D. K., Day, N. L., & Ryan, C. M. (1985). Patterns of alcohol use and physically aggressive behavior in men. Journal of Studies on Alcohol, 46, 279–282.
Malloy, P. F., Fairbank, J. A., & Keane, T. M. (1983). Validation of a multimethod assessment of posttraumatic stress disorders inVietnam veterans. Journal of Consulting and Clinical Psychology, 51, 488–494.
Murdoch, D., Pihl, R. O., & Ross, D. (1990). Alcohol and crimes of violence: Present issues. The International Journal of the Addictions, 25, 1065–1081.
Neff, J. A., Holamon, B., & Schluter, T. D. (1995). Spousal violence among Anglos, Blacks, and Mexican Americans: The role of demographic variables, psychosocial predictors, and alcohol consumption. Journal of Family Violence, 10, 1–21.
Orr, S. P., Pitman, R. K., Lasko, N. B., & Herz, L. R. (1993). Psychophysiological assessment of posttraumatic stress disorder imagery in World War II and Korean combat veterans. Journal of Abnormal Psychology, 102, 152–159.
Pallmeyer, T. P., Blanchard, E. B., & Kolb, L. C. (1986). The psychophysiology of combat-induced post-traumatic stress disorder in Vietnam veterans. Behavioral Research and Therapy, 24, 645–652.
Pihl, R. O., Peterson, J. B., & Lau, M. A. (1993). A biosocial model of the alcohol–aggression relationship. Journal of Studies on Alcohol, 11 (Suppl.), 128–139.
Pitman, R. K., Orr, S. P., Forgue, D. F., de Jong, J. B., & Claiborn, J. M. (1987). Psychophysiologic assessment of posttraumatic stress disorder imagery in Vietnam combat veterans. Archives of General Psychiatry, 44, 970–975.
Rehm, J., Ashley, M. J., & Dubois, G. (1997). Alcohol and health: Individual and population perspectives. Addiction, 92 (Suppl. 1), 109–115.
Robins, L. N., Helzer, J. E., Croughan, J., & Ratcliff, K. S. (1981). National Institute of Mental Health Diagnostic Interview Schedule: Its history, characteristics and validity. Archives of General Psychiatry, 38, 381–389.
Sack, W. H., Seeley, J. R., & Clarke, G. N. (1997). Does PTSD transcend cultural barriers? A study from the Khmer Adolescent Refugee Project. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 49–54.
Schafer, J., Caetano, R., & Clark, C. L. (1998). Rates of intimate partner violence in the United States. American Journal of Public Health, 88, 1702–1704.
Serdula, M. K., Mokdad, A. H., Byers, T., & Siegel, P. Z. (1999). Assessing alcohol consumption: Beverage-specific versus grouped-beverage questions. Journal of Studies on Alcohol, 6, 99–102.
Stewart, S. H. (1996). Alcohol abuse in individuals exposed to trauma: A critical review. Psychological Bulletin, 120, 83–112.
Straus, M. A. (1979). Measuring intrafamily conflict and violence: The Conflict Tactics (CT) Scales. Journal of Marriage and the Family, 41, 75–88.
Straus, M. A. (1990). The Conflict Tactics Scales and its critics: An evaluation and new data on validity and reliability. In M. A. Straus & R. I. Gelles (Eds.), Physical violence in American families: Risk factors and adaptations to violence in 8,145 families (pp. 49–73). New Brunswick, NJ: Transaction.
Straus, M. A. (1997). Physical assaults by women partners: A major social problem. In M. R. Walsh (Ed.), Women, men, and gender: Ongoing debates (pp. 210–221). New Haven, CT: Yale University Press.
Straus, M. A. (1999). The controversy over domestic violence by women: Amethodological, theoretical, and sociology of science analysis. In X. B. Arriaga & S. Oskamp (Eds.), Violence in intimate relationships (pp. 17–44). Thousand Oaks, CA: Sage.
Straus, M. A., & Gelles, R. J. (1992). How violent are American families? Estimates from the National Family Violence Resurvey and other studies. In M. A. Straus & R. J. Gelles (Eds.), Physical violence in American families (pp. 95–112). New Brunswick, NJ: Transaction.
Vreven, D. L., Gudanowski, D. M., King, L. A., & King, D. W. (1995). The Civilian Version of the Mississippi PTSD Scale: A psychometric evaluation. Journal of Traumatic Stress, 8, 91–109.
Author information
Authors and Affiliations
About this article
Cite this article
Savarese, V.W., Suvak, M.K., King, L.A. et al. Relationships Among Alcohol Use, Hyperarousal, and Marital Abuse and Violence in Vietnam Veterans. J Trauma Stress 14, 717–732 (2001). https://doi.org/10.1023/A:1013038021175
Issue Date:
DOI: https://doi.org/10.1023/A:1013038021175