Sherry M. Walling

Posttraumatic stress among young urban children exposed to family violence and other potentially traumatic events

This study examines the relationship between the number of types of traumatic events experienced by children 3 to 6 years old, parenting stress, and childrens posttraumatic stress (PTS). Parents and caregivers provided data for 154 urban children admitted into community-based mental health or developmental services. By parent and caregiver report, children experienced an average of 4.9 different types of potentially traumatic events. Nearly one quarter of the children evidenced clinically significant PTS. Posttraumatic stress was positively and significantly related to family violence and other family-related trauma exposure, nonfamily violence and trauma exposure, and parenting stress. Additionally, parenting stress partially mediated the relationship between family violence and trauma exposure and PTS. This study highlights the need for early violence and trauma exposure screening in help-seeking populations so that appropriate interventions are initiated.

Social support, organisational support, and religious support in relation to burnout in expatriate humanitarian aid workers

Expatriate humanitarian aid workers are embedded in global crises, exposing them to traumatic and occupational stress and putting them at risk for job burnout. Aid workers (N = 111) from an international faith-based agency completed an interview assessing perceived social support, support from their organisation, support from God, and job burnout. It was hypothesised that the three types of support would be significantly related to each of the three components of burnout as measured by the Maslach Burnout Inventory. The burnout subscales and the support measurements were orthogonalised to facilitate a hierarchical canonical analysis. When controlling for the effects of age and gender, perceived social support contributed significant unique variance to both emotional exhaustion and personal accomplishment; whereas organisational support contributed significantly to emotional exhaustion and depersonalisation. God support demonstrated a complex relationship with burnout, as the interaction between age and God support was significant with depersonalisation.

Intimate Partner Violence Exposure Predicts PTSD Treatment Engagement and Outcome in Cognitive Processing Therapy

Intimate partner violence (IPV) exposure was examined as a predictor of treatment engagement (i.e., starting and completing therapy) and treatment outcome in 150 women taking part in a dismantling study of cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD; Resick et al., 2008). Results indicate that women in a current intimate relationship with recent IPV (i.e., past year) were less likely to begin treatment relative to women who reported past IPV only or no history of IPV. For women who began treatment, IPV exposure was not predictive of whether or not they completed treatment. Among women who began treatment, the frequency of IPV was associated with treatment outcome such that women who experienced more frequent IPV exhibited larger reductions in PTSD and depression symptoms over the course of treatment, but experienced similar levels of PTSD and depression severity at the 6-month follow-up. Findings highlight the importance of targeting treatment engagement among women who report recent IPV and suggest that women who have experienced frequent IPV respond well to CPT treatment in spite of their IPV experiences.

“Strength at Home” Group Intervention for Military Populations Engaging in Intimate Partner Violence: Pilot Findings

In this brief report, we present information on the Strength at Home intervention to treat male active duty or military veteran perpetrators of intimate partner violence (IPV) as well as preliminary pilot study findings. Strength at Home is a 12-session cognitive-behavioral group intervention developed by the authors that is based on a social information processing model of IPV perpetration. Six men referred to two intervention groups and five collateral female partners participated in this pilot study. Findings indicated large reductions for most indices of physical and psychological IPV from pre-treatment to 6-month follow-up. These initial results are promising though the small sample size and other study limitations preclude our ability to draw firm conclusions.

The Relationship of Intimate Partner Aggression to Head Injury, Executive Functioning, and Intelligence.

Measures of head injury, executive functioning, and intelligence were given to a community sample composed of 102 male perpetrators of intimate partner aggression (IPA) and 62 nonaggressive men. A history of head injury and lower mean score on a measure of verbal intelligence were associated with the frequency of male-perpetrated physical IPA as reported by male perpetrators and their female partners. Lower mean scores on a measure of verbal intelligence also predicted frequency of psychological IPA perpetration. Using the perpetrator subtypes outlined by Holtzworth-Munroe et al. (2000), analyses revealed that compared with other groups, the most severely aggressive subtypes (i.e., borderline-dysphoric and generally violent-antisocial) were the most likely to report a history of head injury and to have significantly lower mean scores on a neuropsychological test of verbal intelligence. The possible role of neuropsychological factors in IPA perpetration and implications for prevention and intervention programs are discussed.

Trauma, PTSD, and Partner Violence in Military Families

Intimate partner violence (IPV) is a public health problem in the United States that may be particularly elevated among military populations exposed to trauma who evidence symptoms of posttraumatic stress disorder (PTSD). As this chapter illustrates, evidence indicates that the development of posttraumatic psychopathology, and particularly PTSD, is strongly associated with the development of violence and abusive behavior in relationships. In addition to the review of research on the association between PTSD and IPV in military populations, in this chapter we discuss information processing models explaining the link between PTSD and IPV and potential moderators of this association, as well as strategies to prevent and treat IPV in this population. Recommendations for future work in this area of investigation and program development are also provided.

Strength at Home Intervention to Prevent Conflict and Violence in Military Couples: Pilot Findings

In this article, we report on a pilot study of Strength at Home-Couples (SAH-C), a 10-session cognitive-behavioral couples-based group intervention designed to prevent intimate partner violence (IPV) in military couples. The primary purposes of this pilot study were to determine feasibility of recruiting, retaining, and assessing SAH-C participants in addition to those participating in a comparison Supportive Therapy (ST) group-based couples intervention. Recruitment was challenging for this pilot study and we report on several barriers to recruitment as well as “lessons learned” for enhancing recruitment and overall intervention efforts. Preliminary pilot data were promising with respect to reductions and prevention of IPV in those receiving the SAH-C intervention. Initial results for the secondary intervention targets were less favorable for the SAH-C intervention, with effect sizes suggesting a trend in which relationship satisfaction increased more in the ST intervention.

Multilevel regression analyses to investigate the relationship between two variables over time: examining the longitudinal association between intrusion and avoidance.

Multilevel modeling is a powerful and flexible framework for analyzing nested data structures (e.g., repeated measures or longitudinal designs). The authors illustrate a series of multilevel regression procedures that can be used to elucidate the nature of the relationship between two variables across time. The goal is to help trauma researchers become more aware of the utility of multilevel modeling as a tool for increasing the fields understanding of posttraumatic adaptation. These procedures are demonstrated by examining the relationship between two posttraumatic symptoms, intrusion and avoidance, across five assessment points in a sample of rape and robbery survivors (n = 286). Results revealed that changes in intrusion were highly correlated with changes in avoidance over the 18-month posttrauma period.

Race, resource utilisation, and perceived need among urban community development workers from faith-based organisations

Organisations providing social services in communities of high crime and violence must address staff well-being. The current study surveyed 284 urban community development workers from faith-based organisations in five US cities. The study explored the effects of race and ethnicity on service utilisation and perceived need using binomial logistic regression. Race and ethnicity significantly predicted medical service utilisation, indicating that Caucasian participants were five times more likely and African-American participants were 3.8 times more likely than Latino/a participants to utilise medical services. Race and ethnicity did not predict differences in use of psychological or spiritual services, nor of perceived need for services. Furthermore, volunteer staffs were approximately four times more likely than paid staff to report self-addressing their psychological and spiritual needs rather than utilising services, despite a felt need for support. Barriers to resource utilisation and implications for policies and practices of urban community development organisations are discussed.