Osnat Zamir

Effects of a Military Parenting Program on Parental Distress and Suicidal Ideation: After Deployment Adaptive Parenting Tools.

Few studies have examined whether parenting prevention programs might mitigate risk for suicidality in parents, yet parent suicidality is a strong risk factor for offspring suicidality. We report results from a randomized controlled trial of a parenting program for deployed National Guard and Reserve families with a school-aged child. Intent-to-treat analyses showed that random assignment to the parenting program (ADAPT) was associated with improved parenting locus of control (LOC). Improved parenting LOC was concurrently associated with strengthened emotion regulation which predicted reductions in psychological distress and suicidal ideation at 12 months postbaseline. Results are discussed in the context of ongoing efforts to reduce suicide rates in military populations.

The impact of parental deployment to war on children: the crucial role of parenting.

It is estimated that approximately 2 million children have been affected by military deployment, yet much of what is known about the adjustment of children experiencing a parents combat deployment has emerged only within the past 5-10 years. The extant literature on associations of parental deployment and childrens adjustment is briefly reviewed by childs developmental stage. Applying a family stress model to the literature, we propose that the impact of parental deployment and reintegration on childrens adjustment is largely mediated by parenting practices. Extensive developmental literature has demonstrated the importance of parenting for childrens resilience in adverse contexts more generally, but not specifically in deployment contexts. We review the sparse literature on parenting in deployed families as well as emerging data on empirically supported parenting interventions for military families. An agenda for future research in this area is proffered.

Emotional Regulation and Revictimization in Women’s Intimate Relationships

The aim of the current study was to test whether women’s emotional regulation (ER) capacity moderates the relationship between childhood abuse and both adult intimate partner violence (IPV) and relationship quality. Female graduate students (N = 425), either married or in a long-term cohabitation, participated in an Internet-based survey. Structural equation model (SEM) multiple-group analysis was conducted to estimate whether the link between childhood abuse and marital outcomes varied across high and low levels of ER. The data showed that childhood abuse was associated with higher levels of IPV and lower marital quality. A high level of ER was found to buffer the association between child abuse and IPV. Among women with a low level of ER, childhood abuse had a stronger negative effect on relationship quality than for women with a high level of ER. ER is a protective factor against revictimization in intimate relationships.

Emotional Awareness and Breaking the Cycle of Revictimization

The current study investigated the moderating effect of emotional awareness on the relation between childhood abuse and both intimate partner violence (IPV) and adult relationship quality. Israeli female graduate students (N = 425), aged 25 or older, either married or in long-term cohabitation, completed an Internet-based questionnaire. Data were analyzed using SEM multiple-group analysis. Emotional awareness was found to be a protective factor against revictimization. Child abuse was associated with IPV among women with a low level of emotional awareness, but not among women with a high level of emotional awareness. Emotional awareness did not moderate the relation between child abuse and relationship quality. The findings are discussed in relation to revictimization and resilience theories, and to clinical implications.

Experiential avoidance, dyadic interaction and relationship quality in the lives of veterans and their partners

This study assessed the mediating pathways of observed couple communication on the dyadic associations between experiential avoidance (EA) and relationship quality. A sample of 228 military couples following combat deployment participated in a conflict discussion and completed self-report measures to assess EA and relationship quality. Results of an actor–partner interdependence model using structural equation modeling indicated that for both dyad members greater EA was associated with their own lower relationship quality. Higher EA in men was associated with more observed negative communication, as well as lower relationship quality in their female partners. Positive couple communication was associated with higher relationship quality in men and in women. Overall, EA demonstrated associations with relationship quality above and beyond couple communication skills. This study points to the importance of EA for the marital system and suggests that interventions targeting EA and positive couple communication skills may strengthen military marital relationships following deployment to war.

The contribution of maternal care and control, and community type to children's adjustment to political violence

Objectives: This study explored the behavioral and emotional adjustment of Israeli school-age children who are exposed to political violence. Based on Bronfenbrenner’s (1986) ecological model and ecological model of psychosocial trauma (Harvey, 2007), we examined the direct contribution of exposure, gender, maternal characteristics (mother’s posttraumatic stress symptoms [PTSS], maternal care and maternal control), and community type (development town vs. kibbutz), to school-age children’s adjustment. In addition, we examined whether maternal characteristics and community type moderated the association between exposure and adjustment. Method: There were 121 mother-child dyads from the development town of Sderot (n = 62) and from the surrounding kibbutzim (n = 58) participated. Results: Revealed that being a boy, living in Sderot, and mothers’ higher PTSS, contributed directly to children’s total difficulties (i.e., externalizing and internalizing problems), and that maternal control moderated the association between personal exposure and children’s total difficulties. Furthermore, being a girl and mother’s higher PTSS and higher maternal control contributed directly to children’s PTSS. Mother’s PTSS moderated the association between personal exposure and children’s PTSS. Maternal care was not associated with children’s adjustment. Conclusions: Both the child’s gender and the type of community in which he or she lives are associated with maternal distress and children’s adjustment to political violence.

Correction to: After Deployment, Adaptive Parenting Tools: 1-Year Outcomes of an Evidence-Based Parenting Program for Military Families Following Deployment

The authors would like to indicate the corrections to Table 2 of the above referenced article, below. The note is missing, and the CACE indirect coefficients should be .18** and .16** instead of .16** and .15**. The corrected table is shown below.

Parent Engagement in Online Mindfulness Exercises Within a Parent Training Program for Post-Deployed Military Families

Mindfulness has drawn increased attention in prevention programs targeting parents. Commonly, mindfulness-based programs are provided to reduce parental stress and improve child outcomes. Less often, researchers incorporate a mindfulness-informed approach, integrating a low dose of mindfulness exercises into an existing evidence-based parent training model. Little is known about participant engagement with mindfulness exercises in such programs. This non-experimental study focuses on families who are at risk for impaired parenting due to the unique stressor of a parent’s deployment to war. The goal is to examine military parents’ online engagement in mindfulness exercises and associations between engagement and dispositional mindfulness within a web-enhanced parent training program. Online tracking records and self-reported data were obtained from 370 military parents (207 families) who were assigned to the program; at 6-month follow-up, 68.6% of these parents were retained (at least one parent reported from 75.4% of families). Results showed that nearly half (44.6%) of the parents engaged with the exercises. Participants who attended face-to-face group sessions (i.e., attendees) engaged throughout the intervention period, whereas participants who never attended group sessions (i.e., non-attendees) mostly engaged during the first month in the program. Attendees and mothers engaged more than non-attendees and fathers. While engaged parents self-reported increased dispositional mindfulness at 6-month follow-up compared to baseline, only mothers’ engagement accounted for a significant proportion of the variance (3%) in dispositional mindfulness at 6-month follow-up, after controlling for covariates. Implications for incorporating online mindfulness exercises into parent training are discussed in the context of programming for military families.

The role of dissociation in revictimization across the lifespan: A 32-year prospective study

Exposure to childhood abuse puts women at risk for revictimization in adult intimate relationships, but knowledge about the mechanism by which it occurs is limited. The present study investigated whether dissociation mediates the effect of exposure to physical or sexual child abuse on intimate partner violence in adulthood. We tested this using prospective data collected from birth to age 32 from 80 female participants in the Minnesota Longitudinal Study of Risk and Adaptation. We found that women who experienced sexual or physical abuse during the first 17.5 years of life (n = 37) were more likely (r = 0.30, p < .01) to experience intimate partner violence in adulthood (ages 20-32). Furthermore, we found that dissociation partially mediated this effect. Specifically, exposure to childhood abuse predicted greater dissociation in late adolescence (age 19), which in turn predicted more intimate partner violence during early to mid-adulthood. The results of this study highlight the mediating role played by dissociation in the revictimization of women abused during childhood, and speak to the need to develop interventions designed to prevent intimate partner violence among abused girls or adult women with a history of abuse.