Taft Casey T, Weatherill Robin P, Scott Jillian Panuzio, Thomas Sarah A, Kang Han K, Eckhardt Christopher I
Behavioral Sciences Division, National Center for PTSD, VA Boston Healthcare System, and Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts, USA.
Psychology Service, VA Boston Healthcare System, and Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts, USA.
J Trauma Stress. 2015 Aug;28(4):314-21. doi: 10.1002/jts.22017. Epub 2015 Jul 22.
We examined social information processing factors that could represent pathways through which posttraumatic stress disorder (PTSD) symptoms relate to anger expression and intimate partner violence (IPV) perpetration in returning U.S. veterans. The sample included 92 male Operation Enduring Freedom/Operation Iraqi Freedom veterans, primarily Caucasian (77.4%), with smaller numbers of African American, Asian, Hispanic or Latino, American Indian or Alaskan Native, and other minority participants (9.7%, 2.2%, 2.2%, 3.2%, and 5.3% respectively). The average age was 40.37 (SD = 9.63) years. Data were collected through self-report questionnaires (PTSD Checklist, State-Trait Anger Expression Scale, Revised Conflict Tactics Scales) and the Articulated Thoughts in Simulated Situations experimental protocol. Laboratory-based assessment of cognitive biases and hostile attributions were tested as mediators of associations between PTSD symptoms and anger expression and IPV. Among the PTSD symptom clusters, hyperarousal symptoms were most strongly associated with anger expression (r = .50) and IPV perpetration (r = .27). Cognitive biases mediated associations between PTSD total scores and 3 of 4 PTSD cluster scores as well as anger expression. Hostile attribution biases were also associated with IPV perpetration (r = .23). We discuss the implications of these findings for understanding social information processing mechanisms for the relationship between PTSD symptoms and aggression.
我们研究了社会信息加工因素,这些因素可能代表了创伤后应激障碍(PTSD)症状与美国退伍军人回国后愤怒表达及亲密伴侣暴力(IPV)行为之间的关联途径。样本包括92名参加过持久自由行动/伊拉克自由行动的男性退伍军人,主要为白人(77.4%),非裔美国人、亚裔、西班牙裔或拉丁裔、美国印第安人或阿拉斯加原住民以及其他少数族裔参与者人数较少(分别为9.7%、2.2%、2.2%、3.2%和5.3%)。平均年龄为40.37岁(标准差=9.63)。数据通过自我报告问卷(PTSD检查表、状态-特质愤怒表达量表、修订版冲突策略量表)以及模拟情境中的清晰想法实验方案收集。基于实验室的认知偏差和敌意归因评估被作为PTSD症状与愤怒表达及IPV之间关联的中介进行测试。在PTSD症状群中,过度警觉症状与愤怒表达(r=.50)和IPV行为(r=.27)的关联最为强烈。认知偏差介导了PTSD总分与4个PTSD症状群分数中的3个以及愤怒表达之间的关联。敌意归因偏差也与IPV行为相关(r=.23)。我们讨论了这些发现对于理解PTSD症状与攻击行为之间关系的社会信息加工机制的意义。