Differences in Relationship Conflict, Attachment, and Depression in Treatment-Seeking Veterans With Hazardous Substance Use, PTSD, or PTSD and Hazardous Substance Use

Owens, Gina P.; Held, Philip; Blackburn, Laura; Auerbach, John S.; Clark, Allison A.; Herrera, Catherine J.; Cook, Jerome; Stuart, Gregory L.

doi:10.1177/0886260513506274

Cited by 29Posttraumatic Stress Disorder ResearchSubstance Abuse Treatment and OutcomesIntimate Partner and Family Violence

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Differences in Relationship Conflict, Attachment, and Depression in Treatment-Seeking Veterans With Hazardous Substance Use, PTSD, or PTSD and Hazardous Substance Use

Owens, Gina P., Held, Philip, Blackburn, Laura, Auerbach, John S., Clark, Allison A., Herrera, Catherine J., Cook, Jerome, Stuart, Gregory L.·2014·Journal of Interpersonal Violence

DOI 10.1177/0886260513506274

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Abstract

Veterans (N = 133) who were seeking treatment in either the Posttraumatic Stress Program or Substance Use Disorders Program at a Veterans Affairs Medical Center (VAMC) and, based on self-report of symptoms, met clinical norms for posttraumatic stress disorder (PTSD) or hazardous substance use (HSU) completed a survey related to relationship conflict behaviors, attachment styles, and depression severity. Participants were grouped into one of three categories on the basis of clinical norm criteria: PTSD only, HSU only, and PTSD + HSU. Participants completed the PTSD Checklist-Military, Experiences in Close Relationships Scale-Short Form, Center for Epidemiologic Studies-Depression scale, Alcohol Use Disorders Identification Test, Drug Use Disorders Identification Test, and Psychological Aggression and Physical Violence subscales of the Conflict Tactics Scale. Most participants were male and Caucasian. Significant differences were found between groups on depression, avoidant attachment, psychological aggression perpetration and victimization, and physical violence perpetration and victimization. Post hoc analyses revealed that the PTSD + HSU group had significantly higher levels of depression, avoidant attachment, and psychological aggression than the HSU only group. The PTSD + HSU group had significantly higher levels of physical violence than did the PTSD only group, but both groups had similar mean scores on all other variables. Potential treatment implications are discussed.

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Studies conducted on clinical participants suffering from PTSD or depression are in line with results supporting a relationship between physical IPV victimization and attachment.
“Also, studies conducted on clinical participants suffering from PTSD or depression are in line with these results (Owens et al., 2014; Karakoç et al., 2015).”
From Exploring Relationships: A Systematic Review on Intimate Partner Violence and Attachment (2018) · cites this paper as Owens et al., 2014

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Authors: Owens, G. P., Held, P., Blackburn, L., Auerbach, J. S., Clark, A. A., Herrera, C. J., Cook, J., & Stuart, G. L.
Affiliations: University of Tennessee at Knoxville (US)
North Florida/South Georgia Veterans Health System (US)
Naval Hospital Camp Lejeune, NC, USA
Dwight D. Eisenhower Army Medical Center, Ft. Gordon, GA, USA
United States Department of Veterans Affairs (US)
ORCID: Owens, Gina P.
Held, Philip
Auerbach, John S.
Stuart, Gregory L.
Venue: Journal of Interpersonal Violence
Publisher: SAGE Publications
Published: 2013-11-18
Volume: 29
Issue: 7
Pages: 1318-1337
ISSN: 0886-2605 (ISSN-L)
1552-6518
DOI: 10.1177/0886260513506274
OpenAlex: W2143813651
Cited by: 29
References: 47
Citations by year: 2024: 1 · 2023: 2 · 2022: 2 · 2021: 4 · 2020: 5 · 2019: 2 · 2018: 4 · 2017: 3 · 2016: 3 · 2015: 3
FWCI: 2.22
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Journal of Interpersonal Violence (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Health › Intimate Partner and Family Violence
Keywords: veterans, post-traumatic stress disorder, comorbidities, relationship conflict, attachment styles, attachment avoidance, depression, psychological aggression, physical violence, intimate partner violence, treatment-seeking veterans
MeSH terms: Conflict, Psychological, Depression, Female, Humans, Interpersonal Relations, Male, Middle Aged, Stress Disorders, Post-Traumatic, Veterans, Substance-Related Disorders

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Differences in Relationship Conflict, Attachment, and Depression in Treatment-Seeking Veterans With Hazardous Substance Use, PTSD, or PTSD and Hazardous Substance Use

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