Jillian Panuzio

Posttraumatic Stress Disorder Symptoms, Physiological Reactivity, Alcohol Problems, and Aggression Among Military Veterans

This study examined the association between posttraumatic stress disorder (PTSD) symptomatology and aggressive behavior among a sample of male Vietnam veterans (N = 1,328). Results indicated that the hyperarousal PTSD symptom cluster evidenced the strongest positive association with aggression at the bivariate level when compared with the other PTSD symptom clusters. When the PTSD symptom clusters were examined together as predictors, hyperarousal symptoms evidenced a significant positive relationship with aggression, and avoidance/numbing symptoms were negatively associated with aggression. Examination of potential mediators indicated that hyperarousal symptoms were directly associated with aggression and indirectly related to aggression via alcohol problems. Reexperiencing symptoms were associated with aggression only indirectly and through their positive association with physiological reactivity and negative association with alcohol problems. Study results highlight the complexity of the relationship between PTSD symptoms and aggression, and suggest possible mechanisms explaining this association.

Examining the Correlates of Psychological Aggression Among a Community Sample of Couples

In this study, the authors examined the correlates of psychological aggression victimization and perpetration among a community sample of 145 heterosexual couples. For both women and men, psychological aggression victimization was associated with greater psychological distress, anxiety, and physical health symptoms beyond the effects of physical aggression. Psychological aggression victimization was also uniquely associated with higher levels of depression for women. Trait anger and poor relationship adjustment were the strongest correlates of psychological aggression perpetration across genders. Childhood father-to-child and father-to-mother aggressions were associated with psychological aggression perpetration for men only, suggesting possible distinct etiologies across genders. These data highlight the importance of the further development of models for psychological aggression in both women and men.

An Examination of Family Adjustment Among Operation Desert Storm Veterans

This study examined interrelationships among combat exposure, symptoms of posttraumatic stress disorder (PTSD), and family adjustment in a sample of male and female Operation Desert Storm veterans (N = 1,512). In structural equation models for both male and female veterans, higher combat exposure was associated with higher PTSD symptoms, which in turn were associated with poorer family adjustment, although these indirect effects did not reach statistical significance. The model for female veterans evidenced a significant direct negative association between combat exposure and family adjustment when it statistically accounted for PTSD symptoms. When the relative impacts of separate PTSD symptom groupings were examined, those reflecting withdrawal/numbing symptoms and arousal/lack of control symptoms significantly and indirectly accounted for the negative effects of combat exposure on family adjustment. Study findings indicate a number of possible pathways through which war-zone deployments negatively impact military families and suggest several avenues for future research.

Family-of-Origin Maltreatment, Posttraumatic Stress Disorder Symptoms, Social Information Processing Deficits, and Relationship Abuse Perpetration

In this study, the authors examined the interrelations among family-of-origin maltreatment variables, posttraumatic stress disorder (PTSD) symptoms, social information processing deficits, and male-to-female psychological and physical intimate relationship abuse perpetration in adulthood among a community sample of 164 men and their partners. In bivariate analyses, higher family-of-origin childhood parental rejection was associated with the perpetration of psychological and physical abuse in adulthood, and childhood exposure to interparental violence was also associated with adult psychological abuse perpetration. Structural equation modeling analyses indicated that when childhood variables and other study variables were considered together, only childhood parental rejection was associated with the abuse perpetration outcomes, and these effects were indirect through PTSD symptoms and social information processing deficits. Results indicate a need for further investigation into the mechanisms accounting for the impact of early maltreatment on the development of abusive intimate relationship behavior.

An Investigation of Posttraumatic Stress Disorder and Depressive Symptomatology among Female Victimsof Interpersonal Trauma

This study examined factors associated with PTSD-depression comorbidity among a sample of 162 adult female rape or assault victims with PTSD, as well as potential differential predictors of PTSD and depression severity. PTSD-only participants reported higher levels of childhood sexual abuse than those with comorbid PTSD and depression, and the PTSD/MDD group reported relatively more distorted trauma-related beliefs, dissociation, PTSD severity, and depression severity. Distorted trauma-related beliefs and dissociation were the strongest unique predictors of higher PTSD and depressive symptoms. Rates of PTSD and depression comorbidity did not appear to be a function of symptom overlap. Study findings suggest possible explanations for the high PTSD and depression comorbidity rates commonly found among victims of interpersonal violence.

Child Maltreatment History among Newlywed Couples: A Longitudinal Study of Marital Outcomes and Mediating Pathways.

Participants included 202 newlywed couples who reported retrospectively about child maltreatment experiences (sexual abuse, physical abuse, psychological abuse, and neglect) and whose marital functioning was assessed 3 times over a 2-year period. Decreased marital satisfaction at T1 was predicted by childhood physical abuse, psychological abuse, and neglect for husbands; only neglect predicted lower satisfaction for wives. Increased maltreatment of various types was also related to T1 difficulties with marital trust and partner aggression. Dyadic growth curve analyses showed that the marital difficulties reported at T1 tended to remain over the course of the study. Further, in several instances, maltreatment exerted an increasingly detrimental influence on marital functioning over time, particularly for husbands. Examination of possible mediators between maltreatment and reductions in marital satisfaction revealed pathways through decreased sexual activity, increased psychological aggression, and increased trauma symptoms reported by husbands. These findings suggest that clinicians should consider how an adults history of child maltreatment may contribute to current marital dysfunction. The authors also identify possible targets for intervention when working with this population.

Analyzing Mixed-Dyadic Data Using Structural Equation Models

Mixed-dyadic data, collected from distinguishable (nonexchangeable) or indistinguishable (exchangeable) dyads, require statistical analysis techniques that model the variation within dyads and between dyads appropriately. The purpose of this article is to provide a tutorial for performing structural equation modeling analyses of cross-sectional and longitudinal models for mixed independent variable dyadic data, and to clarify questions regarding various dyadic data analysis specifications that have not been addressed elsewhere. Artificially generated data similar to the Newlywed Project and the Swedish Adoption Twin Study on Aging were used to illustrate analysis models for distinguishable and indistinguishable dyads, respectively. Due to their widespread use among applied researchers, the AMOS and Mplus statistical analysis software packages were used to analyze the dyadic data structural equation models illustrated here. These analysis models are presented in sufficient detail to allow researchers to perform these analyses using their preferred statistical analysis software package.

Physical, Psychological, and Sexual Intimate Partner Aggression Among Newlywed Couples: Longitudinal Prediction of Marital Satisfaction

This study examined associations between physical, psychological, and sexual intimate partner aggression (IPA) perpetration during the first year of marriage (T1) and victim marital satisfaction one (T2) and two (T3) years later among a sample of 202 newlywed couples. Prevalence rates of all forms of IPA were consistent with those documented in prior research. Higher levels of all types of IPA generally were associated with lower victim marital satisfaction at all time points, when controlling for initial levels of satisfaction. Couples who reported severe bidirectional psychological IPA demonstrated lower husband and wife marital satisfaction at T2 and lower husband satisfaction at T3 than couples who reported husband-only, wife-only, or no psychological IPA. Analyses examining the relative predictive abilities of all forms of IPA perpetration showed that psychological IPA was the most consistent unique contributor of victim marital satisfaction. Study findings highlight the importance of psychological IPA, in addition to physical IPA, in examinations of correlates of marital satisfaction.

Coping among victims of relationship abuse: a longitudinal examination

This longitudinal study examined the associations between relationship abuse, coping variables, and mental health outcomes among a sample of battered women obtained from shelter and nonresidential community agencies (N = 61). Sexual aggression was a stronger predictor of poorer mental health than was physical assault. Engagement coping strategies were generally predictive of positive mental health, and disengagement coping strategies were generally predictive of poorer mental health. Results highlight the complexity of the associations between different forms of relationship abuse, coping strategies, and mental health among this population.

Examining the correlates of engagement and disengagement coping among help-seeking battered women.

This study examined several potential correlates of engagement and disengagement coping, including abuse-related factors, socioeconomic and social coping resources, and childhood trauma variables among a sample of battered women (N = 388). Relationship abuse frequency, particularly psychological aggression, and peritraumatic dissociation were the strongest positive predictors of the use of disengagement coping. Social coping resources, including tangible support and appraisals of social support and belonging, were associated with higher engagement coping and lower disengagement coping. A positive association was also found between interparental domestic violence and disengagement coping, and negative associations were found between both childhood physical and sexual abuse and engagement coping. Results suggest that coping strategies used by battered women are multidetermined and deserve further exploration.