Abstract
Objectives
The purpose of this study was to identify variables and determine their correlation with violent behavior in trauma- and stressor-related disorder diagnostic patients.
Methods
A one-year retrospective study (2012 to 2013) was performed on 91 trauma- and stressor-related disorder diagnosed patients at Hallym University Kangnam Sacred Heart Hospital. Study data were obtained from previous medical records. The subjects were divided into two groups based on the presence of violent behavior.
Results
Of the 91 trauma- and stressor-related disorder diagnosed patients, 33 patients exhibited violent behavior during their clinical course. Sociodemographic factors of age and marital status and their socioeconomic-environmental status were variables significantly related with the presence of violent behavior. Clinical data from Structured Clinical Interview for DSM, Post Traumatic Growth Inventory, and Social Support Scale scores were significantly associated with violence in trauma- and stressor-related disorder patients.
Conclusion
In the clinical course of subjects with trauma- and stressor-related disorder, appearance of violent behavior should be monitored and approached in multiple ways to address socio-demographic, clinical, and psychological problems. Monitoring of significantly related variables and treatment compliance should be considered part of an appropriate therapeutic strategy for trauma- and stressor-related disorder patients.
References
1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-IV. Washington, DC: American Psychiatric Association;1994. p. 143–147.
2. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th edition (DSM-5®). Washington, DC: American Psychiatric Association;2013.
3. Chae JH. Diagnosis and pathophysiology of posttraumatic stress disorder (PTSD). Korean J Psychopharmacol. 2004; 15:14–21.
4. Pharmscore.com [homepage on the Internet]. Seoul: Pharmscore;c2016. cited 2016 Sep 21. Available from: http://www.pharmscore.com/news/articleList.html.
5. Mohw.go.kr[hompage in the Internet]. The Epidemiological Survey of Mental Disorders in Korea. cited 2016 Sep 21. Available from: http://www.pharmscore.com/news/articleList.html.
6. Shalev AY, Peri T, Canetti L, Schreiber S. Predictors of PTSD in injured trauma survivors: a prospective study. Am J Psychiatry. 1996; 153:219–225.
7. Jakupcak M, Conybeare D, Phelps L, Hunt S, Holmes HA, Felker B, et al. Anger, hostility, and aggression among Iraq and Afghanistan War veterans reporting PTSD and subthreshold PTSD. J Trauma Stress. 2007; 20:945–954.
8. Iverson KM, Gradus JL, Resick PA, Suvak MK, Smith KF, Monson CM. Cognitive-behavioral therapy for PTSD and depression symptoms reduces risk for future intimate partner violence among interpersonal trauma survivors. J Consult Clin Psychol. 2011; 79:193–202.
9. Orcutt HK, King LA, King DW. Male-perpetrated violence among Vietnam veteran couples: relationships with veteran's early life characteristics, trauma history, and PTSD symptomatology. J Trauma Stress. 2003; 16:381–390.
10. Farrington DP. Predictors, causes, and correlates of male youth violence. In : Tonry M, Moore MH, editors. Crime and justice: an annual review of research, youth violence. Chicago: University of Chicago Press;1988. p. 421–475.
11. Robins LN, Helzer JE, Croughan J, Ratcliff KS. National Institute of Mental Health Diagnostic Interview Schedule. Its history, characteristics, and validity. Arch Gen Psychiatry. 1981; 38:381–389.
12. Michael B. Structured clinical interview for the DSM (SCID). Washington, DC: American Psychiatric Press, Inc;1996.
13. Tedeschi RG, Calhoun LG. The Posttraumatic Growth Inventory: measuring the positive legacy of trauma. J Trauma Stress. 1996; 9:455–471.
14. Lin N, Dean A, Ensel WM. Social support scales: a methodological note. Schizophr Bull. 1981; 7:73–89.
15. Kuhn E, Drescher K, Ruzek J, Rosen C. Aggressive and unsafe driving in male veterans receiving residential treatment for PTSD. J Trauma Stress. 2010; 23:399–402.
16. Moretti MM, Obsuth I, Odgers CL, Reebye P. Exposure to maternal vs. paternal partner violence, PTSD, and aggression in adolescent girls and boys. Aggress Behav. 2006; 32:385–395.
17. Tull MT, Jakupcak M, Paulson A, Gratz KL. The role of emotional inexpressivity and experiential avoidance in the relationship between posttraumatic stress disorder symptom severity and aggressive behavior among men exposed to interpersonal violence. Anxiety Stress Coping. 2007; 20:337–351.
18. Shehan CL. Spouse support and Vietnam veterans’ adjustment to post-traumatic stress disorder. Fam Relat. 1987; 36:55–60.
19. Mikulincer M, Florian V, Solomon Z. Marital intimacy, family support, and secondary traumatization: a study of wives of veterans with combat stress reaction. Anxiety Stress Coping. 1995; 8:203–213.
20. Shalev AY. Posttraumatic stress disorder among injured survivors of a terrorist attack. Predictive value of early intrusion and avoidance symptoms. J Nerv Ment Dis. 1992; 180:505–509.
21. Kotler M, Iancu I, Efroni R, Amir M. Anger, impulsivity, social support, and suicide risk in patients with posttraumatic stress disorder. J Nerv Ment Dis. 2001; 189:162–167.
22. Clair ME. The relationship between critical incidents, hostility and PTSD symptoms in police officers [dissertation]. Philadelphia: Drexel Univ;2006.
23. Yang KH, Kim JN. An analysis of posttraumatic growth process: triple mediation effects of difficulties in emotion regulation, intrusive and deliberate rumination, and moderation effects of optimism. Korean J Health Psychol. 2014; 19:1041–1062.
24. Snyder CR, Heinze LS. Forgiveness as a mediator of the relationship between PTSD and hostility in survivors of childhood abuse. Cogn Emot. 2005; 19:413–431.
25. Andrews B, Brewin CR, Rose S. Gender, social support, and PTSD in victims of violent crime. J Trauma Stress. 2003; 16:421–427.
26. Vogel LC, Marshall LL. PTSD symptoms and partner abuse: low income women at risk. J Trauma Stress. 2001; 14:569–584.
27. Coker AL, Weston R, Creson DL, Justice B, Blakeney P. PTSD symptoms among men and women survivors of intimate partner violence: the role of risk and protective factors. Violence Vict. 2005; 20:625–643.
28. Laffaye C, Cavella S, Drescher K, Rosen C. Relationships among PTSD symptoms, social support, and support source in veterans with chronic PTSD. J Trauma Stress. 2008; 21:394–401.
29. Jordan BK, Marmar CR, Fairbank JA, Schlenger WE, Kulka RA, Hough RL, et al. Problems in families of male Vietnam veterans with posttraumatic stress disorder. J Consult Clin Psychol. 1992; 60:916–926.
30. Einarsen S, Mikkelsen EG. Individual effects of exposure to bullying at work. In : Einarsen S, Hoel H, Cooper C, editors. Bullying and emotional abuse in the workplace: international perspectives in research and practice. New York: CRC Press;2003. p. 127–144.
31. Taft CT, Niles BL. Assessment and treatment of anger in combat-related PTSD. Iraq War Clinician Guide. Boston: Department of Veterans Affairs, National Center for PTSD;2004. p. 70–74.