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Maladaptive Dependency Schemas, Posttraumatic Stress Hyperarousal Symptoms, and Intimate Partner Aggression Perpetration

Authors

  • Lorig K. Kachadourian,

    Corresponding author
    1. National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts, USA
    2. Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts, USA
    • Correspondence concerning this article should be addressed to Lorig Kachadourian, National Center for PTSD, VA Connecticut Healthcare System (116B-2), 950 Campbell Avenue, West Haven, CT 06516. E-mail: lorig.kachadourian@va.gov

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  • Casey T. Taft,

    1. National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts, USA
    2. Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts, USA
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  • Darren W. Holowka,

    1. National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts, USA
    2. Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts, USA
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  • Halley Woodward,

    1. Department of Psychology, University of Iowa, Iowa City, Iowa, USA
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  • Brian P. Marx,

    1. National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts, USA
    2. Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts, USA
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  • Anthony Burns

    1. Common Purpose, Inc, Boston, Massachusetts, USA
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  • Lorig Kachadourian is now at the National Center for PTSD, VA Connecticut Healthcare System, and Yale University School of Medicine.

Abstract

This study examined the associations between maladaptive dependency-related schemas, posttraumatic stress disorder (PTSD) hyperarousal symptoms, and intimate-partner psychological and physical aggression in a sample of court-referred men (N = 174) participating in a domestic-abuser-intervention program. The men were largely African American; average age was 33.5 years. The extent to which hyperarousal symptoms moderated the association between dependency schemas and aggression was also examined. Maladaptive dependency-related schemas were positively associated with severe psychological, and mild and severe physical aggression perpetration. Hyperarousal symptoms were positively associated with mild and severe psychological aggression, and mild physical aggression perpetration. Multiple regression analyses showed a significant interaction for mild physical aggression: For those with high levels of hyperarousal symptoms, greater endorsement of maladaptive dependency schemas was associated with the perpetration of aggression (B = 0.98, p = .001). For those with low levels of hyperarousal symptoms, there was no association between dependency schemas and aggression (B = 0.04, ns). These findings suggest that focusing on problematic dependency and PTSD-hyperarousal symptoms in domestic-abuser-intervention programs may be helpful, and that examining related variables as possible moderators between dependency schemas and intimate aggression would be a fruitful area for future research.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題:不良適應的依賴架構,創傷後壓力症過激反應症狀和親密伴侶暴力延續的關係

撮要:本文檢視參與一個家庭暴力介入治療方案的男士樣本(全由法庭轉介,N=174)中,不良適應的依賴相關架構,創傷後壓力症(PTSD)過激反應症狀,和親密伴侶心理及身體暴力之間的關係。大部份是非裔美國人,平均年齡為33.5歲。過激反應症狀在依賴架構和暴力之間是否起緩和作用也會在本研究中分析。不良適應依賴相關架構與嚴重心理暴力、及輕度和嚴重身體暴力延續呈正相連。過激反應症狀則與輕度和嚴重心理暴力、及輕度身體暴力延續呈正相關。多元回歸分析指出輕度身體暴力有顯著作用:嚴重過激反應症狀患者對不良反應依賴結構的强認受會與暴力延續有相連(B = .98, p = .001)。輕度過激反應症狀患者中,依賴結構和暴力並不相關(B = .04, ns)。上述發現顯示:在家庭暴力介入治療方案中需要聚焦依賴問題和PTSD過激反應症狀,而未來研究或應檢視依賴結構和親密關係暴力之間的相關變數是否在兩者之間起了緩解作用。

标题:不良适应的依赖架构,创伤后压力症过激反应症状和亲密伴侣暴力延续的关系

撮要:本文检视参与一个家庭暴力介入治疗方案的男士样本(全由法庭转介,N=174)中,不良适应的依赖相关架构,创伤后压力症(PTSD)过激反应症状,和亲密伴侣心理及身体暴力之间的关系。大部份是非裔美国人,平均年龄为33.5岁。过激反应症状在依赖架构和暴力之间是否起缓和作用也会在本研究中分析。不良适应依赖相关架构与严重心理暴力、及轻度和严重身体暴力延续呈正相连。过激反应症状则与轻度和严重心理暴力、及轻度身体暴力延续呈正相关。多元回归分析指出轻度身体暴力有显著作用:严重过激反应症状患者对不良反应依赖结构的强认受会与暴力延续有相连(B = .98, p = .001)。轻度过激反应症状患者中,依赖结构和暴力并不相关(B = .04, ns)。上述发现显示:在家庭暴力介入治疗方案中需要聚焦依赖问题和PTSD过激反应症状,而未来研究或应检查依赖结构和亲密关系暴力之间的相关变量是否在两者之间起了缓解作用。

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