Relationship of service members' deployment trauma, PTSD symptoms, and experiential avoidance to postdeployment family reengagement
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This research examined whether military service members' deployment-related trauma exposure, posttraumatic stress disorder (PTSD) symptoms, and experiential avoidance are associated with their observed levels of positive social engagement, social withdrawal, reactivity-coercion, and distress avoidance during postdeployment family interaction. Self reports of deployment related trauma, postdeployment PTSD symptoms, and experiential avoidance were collected from 184 men who were deployed to the Middle East conflicts, were partnered, and had a child between 4 and 13 years of age. Video samples of parent-child and partner problem solving and conversations about deployment issues were collected, and were rated by trained observers to assess service members' positive engagement, social withdrawal, reactivity-coercion, and distress avoidance, as well as spouse and child negative affect and behavior. Service members' experiential avoidance was reliably associated with less observed positive engagement and more observed withdrawal and distress avoidance after controlling for spouse and child negative affect and behavior during ongoing interaction. Service members' experiential avoidance also diminished significant associations between service members' PTSD symptoms and their observed behavior. The results are discussed in terms of how service members' psychological acceptance promotes family resilience and adaption to the multiple contextual challenges and role transitions associated with military deployment. Implications for parenting and marital interventions are described.
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Avoidant coping after trauma is associated with problematic behaviors such as less social engagement or high-risk sexual behavior.
“The employment of avoidant coping strategies in response to trauma is associated with potentially problematic behaviors, such as less social engagement or high-risk sexual behavior”
From Effects of traumatic experiences on obsessive-compulsive and internalizing symptoms: The role of avoidance and mindfulness. (2018) · cites this paper as Brockman et al., 2016
The Discussion reports that service members’ experiential avoidance was associated with less positive social engagement during interactions with spouses and children. The cited paper does not support the claim’s additional example of high-risk sexual behavior; its reported behavioral outcomes concern family interaction. (LLM, conf=0.88)
Experimental — accuracy not yet measuredAvoidant coping after trauma is associated with psychological difficulties such as PTSD symptoms.
“as well as with psychological difficulties, such as PTSD symptoms (Batten et al., 2002; Brockman et al., 2016; Orcutt et al., 2005).”
From Effects of traumatic experiences on obsessive-compulsive and internalizing symptoms: The role of avoidance and mindfulness. (2018) · cites this paper as Brockman et al., 2016
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Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., Waltz, T., & Zettle, R. D. (2011) · Behavior Therapy · doi:10.1016/j.beth.2011.03.007 · Cited by 3,950 · see citing works
Self-citationHayes, S. C., Wilson, K. G., Gifford, E. V., Follette, V. M., & Strosahl, K. (1996) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.64.6.1152 · Cited by 3,595 · see citing works
Predictors of posttraumatic stress disorder and symptoms in adults: a meta-analysis
Ozer, E. J., Best, S. R., Lipsey, T. L., & Weiss, D. S. (2003) · Psychological Bulletin · doi:10.1037/0033-2909.129.1.52 · Cited by 3,322 · see citing works
Psychological flexibility as a fundamental aspect of health
Kashdan, T. B., & Rottenberg, J. (2010) · Clinical Psychology Review · doi:10.1016/j.cpr.2010.03.001 · Cited by 3,054 · see citing works
(1982) · Medical Entomology and Zoology · Cited by 2,951 · see citing works
Milliken, C. S., Auchterlonie, J. L., & Hoge, C. W. (2007) · JAMA · doi:10.1001/jama.298.18.2141 · Cited by 1,640 · see citing works
Resilience in Development: A Synthesis of Research across Five Decades
Luthar, S. S. (2015) · Wiley eBooks · doi:10.1002/9780470939406.ch20 · Cited by 1,472 · see citing works
Predictors of posttraumatic stress disorder and symptoms in adults: A meta-analysis.
Ozer, E. J., Best, S. R., Lipsey, T. L., & Weiss, D. S. (2008) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/1942-9681.s.1.3 · Cited by 1,252 · see citing works
Gottman, J. M. (2014) · Psychology Press eBooks · doi:10.4324/9781315806808 · Cited by 1,196 · see citing works
Wilkins, K. C., Lang, A. J., & Norman, S. B. (2011) · Depression and Anxiety · doi:10.1002/da.20837 · Cited by 946 · see citing works
A Model of Mindful Parenting: Implications for Parent–Child Relationships and Prevention Research
Duncan, L. G., Coatsworth, J. D., & Greenberg, M. T. (2009) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-009-0046-3 · Cited by 934 · see citing works
Hayes, S. C., Villatte, M., Levin, M., & Hildebrandt, M. (2011) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-032210-104449 · Cited by 800 · see citing works
(2002) · American Psychological Association eBooks · doi:10.1037/10468-000 · Cited by 795 · see citing works
Smith, T. C., Ryan, M. A. K., Wingard, D. L., Slymen, D. J., Sallis, J. F., & Kritz‐Silverstein, D. C. (2008) · BMJ · doi:10.1136/bmj.39430.638241.ae · Cited by 631 · see citing works
King, L. A., King, D. W., Vogt, D. S., Knight, J., & Samper, R. E. (2006) · Military Psychology · doi:10.1207/s15327876mp1802_1 · Cited by 599 · see citing works
Galovski, T. E., & Lyons, J. A. (2003) · Aggression and Violent Behavior · doi:10.1016/s1359-1789(03)00045-4 · Cited by 491 · see citing works
Family Problems Among Recently Returned Military Veterans Referred for a Mental Health Evaluation
Sayers, S. L., Farrow, V. A., Ross, J., & Oslin, D. W. (2009) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.07m03863 · Cited by 425 · see citing works
Pietrzak, R. H., Johnson, D. C., Goldstein, M. B., Malley, J. C., & Southwick, S. M. (2009) · Depression and Anxiety · doi:10.1002/da.20558 · Cited by 420 · see citing works
The Long War and Parental Combat Deployment
Lester, P. E., Peterson, K. A., Reeves, J., Knauss, L., Glover, D. A., Mogil, C., Duan, N., Saltzman, W. R., Pynoos, R. S., Wilt, K., et al. (2010) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2010.01.003 · Cited by 406 · see citing works
Conceptualizing mindfulness and acceptance as components of psychological resilience to trauma
Thompson, R. W., Arnkoff, D. B., & Glass, C. R. (2011) · Trauma, Violence, & Abuse · doi:10.1177/1524838011416375 · Cited by 387 · see citing works
Monson, C. M., Taft, C. T., & Fredman, S. J. (2009) · Clinical Psychology Review · doi:10.1016/j.cpr.2009.09.002 · Cited by 382 · see citing works
Vogt, D. S., Proctor, S. P., King, D. W., King, L. A., & Vasterling, J. J. (2008) · Assessment · doi:10.1177/1073191108316030 · Cited by 335 · see citing works
Ruscio, A. M., Weathers, F. W., King, L. A., & King, D. W. (2002) · Journal of Traumatic Stress · doi:10.1023/a:1020125006371 · Cited by 313 · see citing works
Gewirtz, A. H., Polusny, M. A., DeGarmo, D. S., Khaylis, A., & Erbes, C. R. (2010) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0020571 · Cited by 287 · see citing works
Self-citationDumas, J. E. (2005) · Journal of Clinical Child & Adolescent Psychology · doi:10.1207/s15374424jccp3404_20 · Cited by 285 · see citing works
Vasterling, J. J., Proctor, S. P., Friedman, M. J., Hoge, C. W., Heeren, T., King, L. A., & King, D. W. (2010) · Journal of Traumatic Stress · doi:10.1002/jts.20487 · Cited by 255 · see citing works
Kashdan, T. B., Morina, N., & Priebe, S. (2009) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2008.06.006 · Cited by 237 · see citing works
Saltzman, W. R., Lester, P. E., Beardslee, W. R., Layne, C. M., Woodward, K. R., & Nash, W. P. (2011) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-011-0096-1 · Cited by 225 · see citing works
A Theory of Risk and Resilience Factors in Military Families
Palmer, C. D. (2008) · Military Psychology · doi:10.1080/08995600802118858 · Cited by 219 · see citing works
Polusny, M. A., Erbes, C. R., Murdoch, M., Arbisi, P. A., THURAS, P. D., & Rath, M. B. (2010) · Psychological Medicine · doi:10.1017/s0033291710002047 · Cited by 192 · see citing works
Snyder, J. J., Edwards, P., McGraw, K., Kilgore, K., & Holton, A. (1994) · Development and Psychopathology · doi:10.1017/s0954579400004600 · Cited by 170 · see citing works
Self-citationKumpula, M. J., Orcutt, H. K., Bardeen, J. R., & Varkovitzky, R. L. (2011) · Journal of Abnormal Psychology · doi:10.1037/a0023927 · Cited by 162 · see citing works
Helping military families through the deployment process: Strategies to support parenting.
Gewirtz, A. H., Erbes, C. R., Polusny, M. A., Forgatch, M. S., & DeGarmo, D. S. (2011) · Professional Psychology Research and Practice · doi:10.1037/a0022345 · Cited by 153 · see citing works
Self-citationKhaylis, A., Polusny, M. A., Erbes, C. R., Gewirtz, A. H., & Rath, M. B. (2011) · Military Medicine · doi:10.7205/milmed-d-10-00094 · Cited by 148 · see citing works
Self-citationMindfulness in the treatment of posttraumatic stress disorder among military veterans
Vujanovic, A. A., Niles, B., Pietrefesa, A., Schmertz, S. K., & Potter, C. M. (2011) · Professional Psychology: Research and Practice · doi:10.1037/a0022272 · Cited by 128 · see citing works
Gewirtz, A. H., Pinna, K. L. M., Hanson, S. K., & Brockberg, D. (2014) · Psychological Services · doi:10.1037/a0034134 · Cited by 120 · see citing works
Self-citationReinforcement and coercion mechanisms in the development of antisocial behavior: The family.
Snyder, J. J., & Stoolmiller, M. (2002) · American Psychological Association eBooks · doi:10.1037/10468-004 · Cited by 102 · see citing works
Self-citationErbes, C. R., Meis, L. A., Polusny, M. A., & Compton, J. S. (2011) · Journal of Family Psychology · doi:10.1037/a0024007 · Cited by 102 · see citing works
Renshaw, K. D., Allen, E. S., RHOADES, G. K., Blais, R. K., Markman, H. J., & Stanley, S. M. (2011) · Journal of Family Psychology · doi:10.1037/a0023994 · Cited by 100 · see citing works
Shea, S., & Coyne, L. (2011) · Child & Family Behavior Therapy · doi:10.1080/07317107.2011.596004 · Cited by 90 · see citing works
Meyer, E. C., Morissette, S. B., Kimbrel, N. A., Kruse, M. I., & Gulliver, S. B. (2013) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/a0030178 · Cited by 82 · see citing works
Mindfulness in the treatment of posttraumatic stress disorder among military veterans.
Vujanovic, A. A., Niles, B. L., Pietrefesa, A. S., Schmertz, S. K., & Potter, C. M. (2013) · Spirituality in Clinical Practice · doi:10.1037/2326-4500.1.s.15 · Cited by 61 · see citing works
Boden, M. T., Bonn‐Miller, M. O., Vujanovic, A. A., & Drescher, K. D. (2012) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-012-9293-6 · Cited by 54 · see citing works
Postdeployment Alcohol Use, Aggression, and Post-Traumatic Stress Disorder
Brown, J. M., Williams, J. G., Bray, R. M., & Hourani, L. L. (2012) · Military Medicine · doi:10.7205/milmed-d-11-00119 · Cited by 35 · see citing works
Pietrzak, R. H., Johnson, D. C., Goldstein, M. B., Malley, J. C., & Southwick, S. M. (2009) · Journal of Special Operations Medicine · doi:10.55460/lanu-hrwc · Cited by 29 · see citing works
Gewirtz, A. H., & Davis, L. (2013) · Springer eBooks · doi:10.1007/978-1-4614-8712-8_7 · Cited by 23 · see citing works
Self-citationSnyder, J. J., Low, S. K., Bullard, L., Schrepferman, L., Wachlarowicz, M., Marvin, C., & Reed, A. (2012) · American Psychological Association eBooks · doi:10.1037/13948-009 · Cited by 23 · see citing works
Self-citationKelley, M. L., & Jouriles, E. N. (2011) · Journal of Family Psychology · doi:10.1037/a0024569 · Cited by 18 · see citing works
Sandoz, E. K., Moyer, D. N., & Armelie, A. P. (2014) · Journal of Marital and Family Therapy · doi:10.1111/jmft.12086 · Cited by 16 · see citing works
Coercive Process and Intimate Partner Violence in Committed Relationships
Slep, A. M. S., Heyman, R. E., & Lorber, M. F. (2015) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780199324552.013.15 · Cited by 12 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- Leonard LM Follette VM Compton JS Follette V Ruzek J A principle based intervention for couples affected by trauma. Cognitive-behavior therapies for trauma 2006 362 387 Guilford Press New York 2nd Edition
Cited by
Sorted by citations
Creech, S. K., & Misca, G. (2017) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.01101 · Cited by 126 · see citing works
“At the univariate level, PTSD symptoms were associated with increased distress avoidance (fear, wariness, ignoring or low empathy in response to aversive behavior or affective distress of the child) during the observed interaction with children (Brockman et al., 2016).”
BackgroundInfluentialDaks, J. S., & Rogge, R. D. (2020) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2020.09.010 · Cited by 101 · see citing works
Veterans’ perceptions of the impact of PTSD on their parenting and children.
Sherman, M. D., Smith, J. L. G., Straits-Tröster, K. A., Larsen, J. L., & Gewirtz, A. H. (2016) · Psychological Services · doi:10.1037/ser0000101 · Cited by 85 · see citing works
Self-citationKroska, E. B., Miller, M. L., Roche, A. I., Kroska, S. K., & O’Hara, M. W. (2018) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.08.039 · Cited by 80 · see citing works
Parent Management Training—Oregon Model: Adapting Intervention with Rigorous Research
Forgatch, M. S., & Kjøbli, J. (2016) · Family Process · doi:10.1111/famp.12224 · Cited by 82 · see citing works
Gewirtz, A. H., DeGarmo, D. S., & Zamir, O. (2016) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12255 · Cited by 65 · see citing works
Self-citationTesting a Military Family Stress Model
Gewirtz, A. H., DeGarmo, D. S., & Zamir, O. (2017) · Family Process · doi:10.1111/famp.12282 · Cited by 64 · see citing works
“The avoidance and emotion dysregulation symptoms characteristic of PTSD may be disturbing to an elementary-aged child (Brockman et al., 2016).”
BackgroundSelf-citationBoysen, G. A. (2017) · Scholarship of Teaching and Learning in Psychology · doi:10.1037/stl0000084 · Cited by 58 · see citing works
“…clearly demonstrates that avoidance of traumarelated thoughts and emotions maintains and exacerbates symptoms of PTSD (Andrews et al., 2013; Brockman et al., 2016; Ehring, Ehlers, & Glucksman, 2008; Kumpula, Orcutt, Bardeen, & Varkovitzky, 2011; Maack, Tull, & Gratz, 2012; McNeill &…”
BackgroundSnyder, J. J., Gewirtz, A. H., Schrepferman, L., Gird, S. R., Quattlebaum, J., Pauldine, M. R., Elish, K., Zamir, O., & Hayes, C. (2016) · Development and Psychopathology · doi:10.1017/s095457941600064x · Cited by 53 · see citing works
Self-citationWeathering the storm? The impact of trauma on romantic relationships
Marshall, E. M., & Kuijer, R. G. (2016) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2016.04.013 · Cited by 43 · see citing works
Miethe, S., Wigger, J., Wartemann, A., Fuchs, F. O., & Trautmann, S. (2023) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-023-10022-2 · Cited by 55 · see citing works
Piehler, T. F., Ausherbauer, K. L., Gewirtz, A. H., & Gliske, K. (2016) · The Journal of Early Adolescence · doi:10.1177/0272431616678990 · Cited by 41 · see citing works
“This may be a particular challenge for fathers experiencing PTSD and related sequelae of combat (e.g., Brockman et al., 2016).”
BackgroundSelf-citationHayes, S. C., Hofmann, S. G., & Stanton, C. E. (2020) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2020.08.009 · Cited by 39 · see citing works
Reed, D. E., Fischer, I. C., Williams, R. M., Na, P. J., & Pietrzak, R. H. (2024) · Journal of General Internal Medicine · doi:10.1007/s11606-024-08803-w · Cited by 35 · see citing works
“9,41 However, in the current study, co-occurring chronic pain and PTSD was associated with even more interference relative to either chronic pain or probable PTSD alone.”
Moyer, D. N., Page, A. R., McMakin, D. Q., Murrell, A. R., Lester, E. G., & Walker, H. A. (2018) · Journal of Family Violence · doi:10.1007/s10896-018-9956-5 · Cited by 30 · see citing works
“Avoidance has been related to decreased positive engagement with children and spouses among service members with deployment-related trauma exposure (Brockman et al. 2016).”
BackgroundBlakey, S. M., Halverson, T. F., Evans, M. K., Patel, T. A., Hair, L. P., Meyer, E. C., DeBeer, B. B., Beckham, J. C., Pugh, M. J., Calhoun, P. S., et al. (2021) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2021.07.033 · Cited by 31 · see citing works
PTSD as a moderator of a parenting intervention for military families.
Chesmore, A. A., Piehler, T. F., & Gewirtz, A. H. (2017) · Journal of Family Psychology · doi:10.1037/fam0000366 · Cited by 30 · see citing works
Self-citationBruno, F., Vozzo, F., Arcuri, D., Maressa, R., La Cava, E., Malvaso, A., Lau, C., & Chiesi, F. (2024) · Current Psychology · doi:10.1007/s12144-022-03502-3 · Cited by 28 · see citing works
“Psychological inflexibility was related with the onset and severity of PTSD Symptoms in several populations such as veterans (e.g., Brockman et al., 2016; Crabtree et al., 2021; Meyer et al., 2019), war survivors (Kashdan et al., 2009), community members (Bardeen & Fergus, 2016), and inpatient…”
Prudenzi, A., Graham, C. D., Rogerson, O., & O’Connor, D. B. (2023) · Psychology & Health · doi:10.1080/08870446.2021.2020272 · Cited by 27 · see citing works
“…studies have shown that at times of great difficulty, such as wars (Tol et al., 2020), school shootings, devastating storms, or violent crime (e.g. Brockman et al., 2016; Gold & Marx 2007; Kumpula et al., 2011), higher psychological flexibility can help people function effectively even when…”
BackgroundResultCombatting intergenerational effects of psychotrauma with multifamily therapy
Mooren, T., van Ee, E., Hein, I., & Bala, J. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.867305 · Cited by 24 · see citing works
“Mothers with more symptoms of PTSD, however, were observed to be less sensitive and responsive (22–25), more avoidant (26), more intrusive (27), and more overprotective (28).”
BackgroundSijercic, I., Liebman, R. E., Ip, J., Whitfield, K. M., Ennis, N., Sumantry, D., Sippel, L. M., Fredman, S. J., & Monson, C. M. (2022) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2022.102613 · Cited by 25 · see citing works
Franz, M. R., Kumar, S. A., Brock, R. L., Calvi, J. L., & DiLillo, D. (2021) · Journal of Family Psychology · doi:10.1037/fam0000865 · Cited by 24 · see citing works
Investigating the role of psychological inflexibility, mindfulness, and self-compassion in PTSD
Cheng, Z. H., Lozier, C. C., Lewis, M. M., O'Neil, M. E., Luoma, J. B., & Morasco, B. J. (2021) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2021.10.004 · Cited by 22 · see citing works
Baker, L. D., Stroman, J. C., Kalantar, E. A., Bock, R. C., & Berghoff, C. R. (2021) · Journal of Traumatic Stress · doi:10.1002/jts.22677 · Cited by 21 · see citing works
The influence of psychosocial factors in veteran adjustment to civilian life
Bowes, M. A., Ferreira, N., & Henderson, M. (2018) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2182 · Cited by 20 · see citing works
Feingold, D., & Zerach, G. (2020) · Addictive Behaviors · doi:10.1016/j.addbeh.2020.106776 · Cited by 20 · see citing works
Relationship maintenance among military couples
Knobloch, L. K., Monk, J. K., & Wadsworth, S. M. (2022) · Journal of Social and Personal Relationships · doi:10.1177/02654075221105025 · Cited by 19 · see citing works
“Several activities were more prominent in our findings compared to Ogolsky et al.’s (2017) review of work on relationship maintenance as a whole.”
ResultMcGuire, A. P., Howard, B. A. N., Erickson, T. M., & Creech, S. K. (2023) · JMIR Formative Research · doi:10.2196/39894 · Cited by 18 · see citing works
“PTSD and moral injury are prevalent concerns for post-9/11 veterans in particular [5,6], and treatment for both is a high priority within this population, given their associations with poor mental health outcomes, functional impairment, and decreased social engagement [7-9].”
BackgroundZhang, N., Zhang, J., Gewirtz, A. H., & Piehler, T. F. (2018) · Journal of Family Psychology · doi:10.1037/fam0000461 · Cited by 18 · see citing works
“In a prior study, Brockman et al. (2016) have also shown that male military service members’ experiential avoidance was associated with observed parenting practices above and beyond PTSD symptoms.”
Self-citationLaifer, L. M., Blackburn, A. M., Goetter, E. M., Ohye, B. Y., Simon, N. M., & Bui, É. (2019) · Journal of Child and Family Studies · doi:10.1007/s10826-019-01405-9 · Cited by 18 · see citing works
Zhang, J., Palmer, A. R., Zhang, N., & Gewirtz, A. H. (2020) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-020-00625-8 · Cited by 18 · see citing works
Self-citationJulian, M. M., Muzik, M., Kees, M. R., Valenstein, M. M., Dexter, C. A., & Rosenblum, K. L. (2018) · Journal of Family Psychology · doi:10.1037/fam0000431 · Cited by 17 · see citing works
“Prior research shows that experiential avoidance posttraumatic stress disorder (PTSD) symptoms in service members (Brockman et al., 2016; Snyder et al., 2016), and hyperarousal and hypervigilance symptoms (Lieberman, 2004; Zerach, Greene, Ein-Dor, & Solomon, 2012) can both interfere with parenting…”
Lester, P. E., Rauch, P. K., Loucks, L. A., Sornborger, J., Ohye, B. Y., & Karnik, N. S. (2017) · FOCUS The Journal of Lifelong Learning in Psychiatry · doi:10.1176/appi.focus.20170027 · Cited by 18 · see citing works
Very Young Child Well-being in Military Families: A Snapshot
DeVoe, E. R., Kritikos, T. K., Emmert‐Aronson, B. O., Kantor, G. K., & Paris, R. (2018) · Journal of Child and Family Studies · doi:10.1007/s10826-018-1069-5 · Cited by 16 · see citing works
Gewirtz, A. H., Snyder, J. J., Zamir, O., Zhang, J., & Zhang, N. (2019) · Development and Psychopathology · doi:10.1017/s0954579419001238 · Cited by 17 · see citing works
“Previous analyses of ADAPT baseline data (Brockman et al., 2016) suggest that a relatively novel social interaction pattern, distress avoidance, characterizes some fathers’ responses to negative child behavior and emotional distress.”
BackgroundMethodResultInfluentialSelf-citationZhang, N., Rudi, J. H., Zamir, O., & Gewirtz, A. H. (2017) · Mindfulness · doi:10.1007/s12671-017-0810-2 · Cited by 15 · see citing works
“less positive parenting and more observed withdrawal avoidance in deployed fathers (Brockman et al. 2016).”
BackgroundSelf-citationTowards a more comprehensive understanding of PTSD and parenting
Meijer, L., Franz, M. R., Deković, M., van Ee, E., Finkenauer, C., Kleber, R. J., van de Putte, E. M., & Thomaes, K. (2023) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2023.152423 · Cited by 14 · see citing works
Marsac, M. L., & Kassam‐Adams, N. (2016) · European Journal of Psychotraumatology · doi:10.3402/ejpt.v7.31879 · Cited by 14 · see citing works
“For example, in a recent observational study of post-deployment family interactions, Brockman et al. (2016) found that experiential avoidance (and PTSS) in male military members was related to less positive engagement with spouses and children.”
BackgroundMcGuire, A. P., & Mignogna, J. (2021) · Journal of Experimental Psychopathology · doi:10.1177/2043808720982415 · Cited by 14 · see citing works
“People also report more affiliative behaviors, feeling more compassionate and connected to others, and show greater responsiveness in relationships (Cox, 2010; Erickson et al., 2017; Van de Vyver & Abrams, 2017).”
BackgroundMcGuire, A. P., Nosen, E., & Lyons, J. A. (2019) · Military Behavioral Health · doi:10.1080/21635781.2018.1540316 · Cited by 13 · see citing works
Torrisi, R., Arnautovic, E., Perizzolo, V. C., Vital, M., Manini, A., Suardi, F., Gex‐Fabry, M., Serpa, S. R., & Schechter, D. S. (2018) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2018.04.008 · Cited by 13 · see citing works
Monn, A. R., Zhang, N., & Gewirtz, A. H. (2018) · Journal of Traumatic Stress · doi:10.1002/jts.22351 · Cited by 13 · see citing works
“It should be noted that Brockman et al. (2016) did not find a significant correlation (i.e., zero-order effect) between trauma exposure and parenting behaviors using a similar sample of service members and their families.”
BackgroundMethodInfluentialSelf-citationA Call for Theoretically Informed and Empirically Validated Military Family Interventions
Gewirtz, A. H. (2018) · Journal of Family Theory & Review · doi:10.1111/jftr.12278 · Cited by 13 · see citing works
“A fourth factor labeled “distress avoidance” emerged as a result of psychometric analyses of the items (Brockman et al., 2016; Snyder et al., 2016).”
BackgroundSelf-citationCooper, D. K., Wieling, E. A., & Pfeiffer, A. (2019) · Australian and New Zealand Journal of Family Therapy · doi:10.1002/anzf.1392 · Cited by 12 · see citing works
“One study found that parents with higher experiential avoidance, a core symptom of PTSD, were less engaged with their children in observed parent-child interactions (Brockman et al., 2016).”
BackgroundAssociations of combat exposure and parental locus of control in deployed mothers and fathers
Darawshy, N. A., Gewirtz, A. H., Cheng, C. H., & Piehler, T. F. (2022) · Family Relations · doi:10.1111/fare.12725 · Cited by 12 · see citing works
Self-citationMiller, M. L., Laifer, L. M., Thomas, E. B. K., Grekin, R., O’Hara, M. W., & Brock, R. L. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.04.079 · Cited by 10 · see citing works
Emotion Regulation Difficulties in Military Fathers Magnify Their Benefit from a Parenting Program
Zhang, J., Zhang, N., Piehler, T. F., & Gewirtz, A. H. (2021) · Prevention Science · doi:10.1007/s11121-021-01287-8 · Cited by 11 · see citing works
Self-citationMcKay, T. E. (2022) · Journal of Interpersonal Violence · doi:10.1177/08862605221106141 · Cited by 12 · see citing works
“Indeed, research with combat veterans finds that deployment-related trauma exposure promotes reactivity (a tendency to respond impulsively to stimuli) and avoidance in familial interactions (Brockman et al., 2016).”
BackgroundHajal, N. J., Aralis, H. J., Kiff, C. J., Wasserman, M. M., Paley, B., Milburn, N. G., Mogil, C., & Lester, P. E. (2020) · Journal of Traumatic Stress · doi:10.1002/jts.22475 · Cited by 11 · see citing works
Zhang, N., Hoch, J. D., & Gewirtz, A. H. (2020) · Prevention Science · doi:10.1007/s11121-020-01122-6 · Cited by 10 · see citing works
“Experiential avoidance is an indicator of poor emotion regulation at an intrapersonal level and is associated with poor parenting behaviors (Brockman et al. 2016).”
BackgroundSelf-citationLaifer, L. M., DiLillo, D., & Brock, R. L. (2023) · Development and Psychopathology · doi:10.1017/s0954579421000894 · Cited by 9 · see citing works
Leisure Experiences of Military Couples Postdeployment
Chandler, K. D., Dattilo, J., Taff, B. D., & Moeller, J. D. (2018) · Family Relations · doi:10.1111/fare.12321 · Cited by 9 · see citing works
Janssen, P. G. J., Stoltz, S. E. M. J., Cillessen, A. H. N., & van Ee, E. (2022) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2022.10.050 · Cited by 8 · see citing works
Health correlates of experiential and behavioral avoidance among trauma-exposed veterans
Schwartz, E. K. C., Palmisano, A. N., Petrakis, I. L., Pietrzak, R. H., & Sofuoglu, M. (2024) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2024.06.014 · Cited by 8 · see citing works
Protective Factors for Military Veteran Fathers’ Parenting Functioning and Satisfaction
Karre, J. K., Morgan, N. R., Bleser, J. A., & Perkins, D. F. (2021) · Journal of Family Issues · doi:10.1177/0192513x21993852 · Cited by 8 · see citing works
“Experiential avoidance, another PTSD symptom, is related to family problems (Brockman et al., 2016).”
BackgroundJiang, B. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1382012 · Cited by 9 · see citing works
Placing Fatherhood Back in the Study and Treatment of Military Fathers
DeGarmo, D. S. (2016) · Springer eBooks · doi:10.1007/978-3-319-12556-5_4 · Cited by 6 · see citing works
Self-citationZerach, G. (2022) · Journal of Child and Family Studies · doi:10.1007/s10826-022-02288-z · Cited by 6 · see citing works
“Importantly, service members’ EA was associated with less observed positive engagement and with more distress avoidance during interaction with children, which may potentially serve as a mediator of the PTSS-Parenting link (Brockman et al., 2016).”
BackgroundMethodResultInfluentialGoodman, F. R., Larrazabal, M. A., West, J. T., & Kashdan, T. B. (2018) · Cambridge University Press eBooks · doi:10.1017/9781108140416.010 · Cited by 8 · see citing works
Ohlsson, A., Nilsson, S., & Larsson, G. (2024) · Journal of Veterans Studies · doi:10.21061/jvs.v10i1.533 · Cited by 5 · see citing works
Conclusions and a Research Agenda for Parenting in Military Families
Gewirtz, A. H., & Youssef, A. M. (2016) · Springer eBooks · doi:10.1007/978-3-319-12556-5_17 · Cited by 5 · see citing works
Self-citationPost‐traumatic stress symptoms and parenting in military families: A systematic integrative review
Gupta, A., Gewirtz, A. H., & Borden, L. M. (2023) · Journal of Family Theory & Review · doi:10.1111/jftr.12530 · Cited by 4 · see citing works
Self-citationSpencer, S. D., Zimmerman, M. B., Donis, N., Rodrigues, M. M., Jackson, D. O., & Dindo, L. N. (2023) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2023.09.007 · Cited by 4 · see citing works
Acceptance and Commitment Therapy for Posttraumatic Stress Disorder
Kelly, M. M., Grigorian, H. L., Wolkowicz, N. R., & Zegel, M. (2025) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2025.02.009 · Cited by 6 · see citing works
Zhang, N., Hoch, J. D., Gewirtz, A. H., Barnes, A. J., & Snyder, J. J. (2020) · Parenting · doi:10.1080/15295192.2020.1804250 · Cited by 4 · see citing works
Self-citationDrew, A. L., Blankenship, A. E., Kritikos, T. K., Jacoby, V. M., Dondanville, K. A., Yarvis, J. S., Sharrieff, A.-F. M., McGeary, C. A., Blount, T. H., Young‐McCaughan, S., et al. (2022) · Journal of Family Issues · doi:10.1177/0192513x211030023 · Cited by 4 · see citing works
“This finding is consistent with prior research documenting that high levels of avoidance are associated with lower levels of engagement with children (Brockman et al., 2016).”
ResultFamily Violence, PTSD, and Parent-Child Interactions: Dyadic Data Analysis with Mexican Families
Cooper, D. K., Erolin, K. S., Wieling, E., Durtschi, J., Aguilar, E., Higuera, M. O. D., & García-Huidobro, D. (2020) · Child and Youth Care Forum · doi:10.1007/s10566-020-09564-3 · Cited by 3 · see citing works
The Contribution of Empathy to the Adjustment of Military Veterans and Their Female Partners
Siegel, A., Dekel, R., & Svetlitzky, V. (2020) · Family Relations · doi:10.1111/fare.12523 · Cited by 4 · see citing works
Military Parent’s PTSD and Children’s Mental Health: A Scoping Review
Collins, T. A. (2018) · The Qualitative Report · doi:10.46743/2160-3715/2018.3225 · Cited by 4 · see citing works
Understanding and supporting parenting in parents seeking PTSD treatment: a qualitative study
Meijer, L., Thomaes, K., Karadeniz, B., & Finkenauer, C. (2025) · European Journal of Psychotraumatology · doi:10.1080/20008066.2025.2468039 · Cited by 3 · see citing works
Laifer, L. M., DiLillo, D., Finch, J. E., & Brock, R. L. (2025) · Development and Psychopathology · doi:10.1017/s095457942510103x · Cited by 3 · see citing works
Yaghoobi, H., Toozandehjani, H., & Zendedel, A. (2021) · Journal of North Khorasan University of Medical Sciences · doi:10.52547/nkums.13.3.113 · Cited by 5 · see citing works
Evidence-Based Parenting Programs for School-Aged Children
Youssef, A. M., Garr, A., & Gewirtz, A. H. (2016) · Springer eBooks · doi:10.1007/978-3-319-12556-5_13 · Cited by 1 · see citing works
Self-citationZhang, J., Buchanan, G. J. R., Monn, A. R., & Gewirtz, A. H. (2021) · Journal of Traumatic Stress · doi:10.1002/jts.22724 · Cited by 3 · see citing works
Self-citationPromoting Resilience in Children Exposed to War and Political Violence by Strengthening Parenting
Gewirtz, A. H., Rahl-Brigman, H. A., & Senich, K. L. (2020) · doi:10.1093/oso/9780190874551.003.0015 · Cited by 2 · see citing works
Self-citationInnovative outpatient treatment for veterans and service members and their family members
Hoover, G. G., Teer, A. P., Lento, R. M., Ward, P., Zakarian, R. J., Tinney, W. J., Sanders, W., Echevarria, K., Bonvie, J. L., Dunford, K., et al. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1377433 · Cited by 5 · see citing works
Chang, O. D., & Wang, X. (2025) · Child & Family Social Work · doi:10.1111/cfs.13269 · Cited by 2 · see citing works
Shafiei, M., Sadeghi, M., & Ramezani, S. (2017) · مجله طب جانباز · doi:10.29252/acadpub.ijwph.9.4.169 · Cited by 2 · see citing works
Miethe, S., Wigger, J., Wartemann, A., & Trautmann, S. (2022) · doi:10.31234/osf.io/egv6t · Cited by 2 · see citing works
Strengthening Parenting in Deployed Military Families
Gewirtz, A. H., & Simenec, T. S. (2021) · National symposium on family issues · doi:10.1007/978-3-030-87759-0_9 · Cited by 1 · see citing works
Self-citationGeuzinge, R., Visse, M. A., Vermetten, E. H. G. J. M., & Duyndam, J. (2025) · SSM - Qualitative Research in Health · doi:10.1016/j.ssmqr.2025.100629 · Cited by 1 · see citing works
Farero, A. M., Kammes, R. R., Blow, A. J., Johnson, T., Kees, M. R., Ufer, L. G., & Guty, D. (2019) · Military Behavioral Health · doi:10.1080/21635781.2019.1644262 · Cited by 1 · see citing works
Trauma Disrupts Reinforcement Learning in Rats—A Novel Animal Model of Chronic Stress Exposure
Bielawski, T., Drapała, J., Krowicki, P., Stańczykiewicz, B., & Frydecka, D. (2022) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2022.903100 · Cited by 1 · see citing works
Emotion socialization profiles in military parents: Associations with post‐traumatic stress disorder
Giff, S. T., Renshaw, K. D., Denham, S. A., Martin, L., & Gewirtz, A. H. (2023) · Family Process · doi:10.1111/famp.12931 · Cited by 1 · see citing works
Self-citationSLEEP QUALITY AND AVOIDANCE BEHAVIOR IN COMBATANTS WITH POST-TRAUMATIC STRESS DISORDER
Boiko, D. I., Mats, O. V., & Shkidchenko, O. I. (2024) · Актуальні проблеми сучасної медицини Вісник Української медичної стоматологічної академії · doi:10.31718/2077-1096.24.2.4 · Cited by 2 · see citing works
“Також демонструються наслідки уникаючої поведінки у військовослужбовців на сімейні стосунки та ба-тьківство [15].”
Healing the Scars Within: Psychological Support for the War-Injured
Khoury, B. A., & Daouk, S. (2017) · Springer eBooks · doi:10.1007/978-3-319-56887-4_18 · Cited by 1 · see citing works
Mutuyimana, C., Sezibera, V., & Cassady, C. (2021) · Springer eBooks · doi:10.1007/978-3-030-83707-5_11 · Cited by 1 · see citing works
McGuire, A. P., Nguyen, B. A., Erickson, T. M., & Creech, S. K. (2022) · doi:10.31234/osf.io/kyp6u · Cited by 1 · see citing works
The Role of Self-Compassion in Posttraumatic Growth
Connally, M. L. (2017) · doi:10.12794/metadc1011760
PTSD and Dysfunctional Parenting: Emotional and Biological Mechanisms
Franz, M. R. (2018) · Lincoln (University of Nebraska)
Reducing the Stigma of PTSD in the Military
Pothier, L., Ferrini, L., Wofford, B., & Borges, H. (2018) · Digital WPI
Pracht, S. D. (2019) · Digital Commons (Liberty University)
The influence of parental mental health on child health & development
Jacobs, I., & Jones, H. A. (2022) · Elsevier eBooks · doi:10.1016/b978-0-12-818872-9.00091-1
Karre, J. K., Chesnut, R. P., & Ealy, P. L. (2022) · Springer eBooks · doi:10.1007/978-3-031-14498-1_18
Poshtareh, S., Moghadam, H. E., & Moradi, H. (2024) · doi:10.61838/kman.jayps.5.3.16
Lamade, R. V., Grabanski, C. R., & Frenking, N. S. (2024) · Springer eBooks · doi:10.1007/978-3-030-85493-5_260-1
Child Maltreatment: Parental Mental Health and PTSD in Military Personnel
Frenking, N. S., Grabanski, C. R., & Lamade, R. V. (2025) · Springer eBooks · doi:10.1007/978-3-030-85493-5_259-1
Talmon, A., Ashkenazi, G., Hollander, Y., & Tsur, N. (2025) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2025.107648
Wortham, W. K., Sullivan, K. S., Huang, Y., Kim, S., Lancaster, S. L., Linkh, D. J., Renno, S., & Hassan, A. M. (2026) · Military Psychology · doi:10.1080/08995605.2026.2659398
Geng, F., Guo, R., Xiong, X., & Wang, J. (2026) · Journal of Affective Disorders · doi:10.1016/j.jad.2026.121973
- Authors
- Brockman, C., Snyder, J., Gewirtz, A., Gird, S. R., Quattlebaum, J., Schmidt, N., Pauldine, M. R., Elish, K., Schrepferman, L., Hayes, C., Zettle, R., & DeGarmo, D.
- Affiliations
- Wichita State University (US)
- University of Minnesota (US)
- University of Oregon (US)
- Venue
- Journal of Family Psychology
- Published
- 2016-02
- Volume
- 30
- Issue
- 1
- Pages
- 52-62
- ISSN
- 0893-3200 (ISSN-L)
- 1939-1293
- PMC
- PMC4804869
- OpenAlex
- W2307874756
- Cited by
- 103
- References
- 50
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 9 · 2023: 7 · 2022: 14 · 2021: 12 · 2020: 11 · 2019: 6 · 2018: 13 · 2017: 10 · 2016: 10
- FWCI
- 13.64
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Family Psychology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Holmes Museum Of Anthropology (Wichita State University) (submittedVersion)
- Funders
- National Institute for Drug Abuse (R01 DA030114; R21 DA034166)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Keywords
- military deployment, post-traumatic stress disorder, experiential avoidance, social withdrawal, parent-child interaction, marital interaction, family resilience, military personnel, parenting, marital intervention
- MeSH terms
- Psychological Trauma, Adolescent, Adult, Avoidance Learning, Child, Child, Preschool, Combat Disorders, Family Relations, Father-Child Relations, Humans, Male, Middle Aged, Military Personnel, Stress Disorders, Post-Traumatic, Videotape Recording, Spouses, Young Adult, Self Report
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