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Parent–child relationship quality and family transmission of parent posttraumatic stress disorder symptoms and child externalizing and internalizing symptoms following fathers' exposure to combat trauma

Published online by Cambridge University Press:  14 October 2016

James Snyder ,
Abigail Gewirtz ,
Lynn Schrepferman ,
Suzanne R. Gird ,
Jamie Quattlebaum ,
Michael R. Pauldine ,
Katie Elish ,
Osnat Zamir  and
Charles Hayes
James Snyder
Affiliation:
Wichita State University
Abigail Gewirtz*
Affiliation:
University of Minnesota
Lynn Schrepferman
Affiliation:
Wichita State University
Suzanne R. Gird
Affiliation:
Wichita State University
Jamie Quattlebaum
Affiliation:
Wichita State University
Michael R. Pauldine
Affiliation:
Wichita State University
Katie Elish
Affiliation:
Wichita State University
Osnat Zamir
Affiliation:
University of Minnesota
Charles Hayes
Affiliation:
Wichita State University
*
Address correspondence and reprint requests to: Abigail Gewirtz, Department of Family Social Science, Institute of Child Development, and Institute of Translational Research in Children's Mental Health, University of Minnesota, 290 McNeal Hall, 1985 Buford Avenue, St. Paul, MN 55108; E-mail: [email protected].
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Abstract

Transactional cascades among child internalizing and externalizing symptoms, and fathers’ and mothers’ posttraumatic stress disorder (PTSD) symptoms were examined in a sample of families with a male parent who had been deployed to recent military conflicts in the Middle East. The role of parents’ positive engagement and coercive interaction with their child, and family members’ emotion regulation were tested as processes linking cascades of parent and child symptoms. A subsample of 183 families with deployed fathers and nondeployed mothers and their 4- to 13-year-old children who participated in a randomized control trial intervention (After Deployment: Adaptive Parenting Tools) were assessed at baseline prior to intervention, and at 12 and 24 months after baseline, using parent reports of their own and their child's symptoms. Parents’ observed behavior during interaction with their children was coded using a multimethod approach at each assessment point. Reciprocal cascades among fathers’ and mothers’ PTSD symptoms, and child internalizing and externalizing symptoms, were observed. Fathers’ and mothers’ positive engagement during parent–child interaction linked their PTSD symptoms and their child's internalizing symptoms. Fathers’ and mothers’ coercive behavior toward their child linked their PTSD symptoms and their child's externalizing symptoms. Each family member's capacity for emotion regulation was associated with his or her adjustment problems at baseline. Implications for intervention, and for research using longitudinal models and a family-systems perspective of co-occurrence and cascades of symptoms across family members are described.

Type
Special Issue Articles
Information
Development and Psychopathology , Volume 28 , Special Issue 4pt1: Mechanisms of Comorbidity, Continuity, and Discontinuity in Psychopathology , November 2016 , pp. 947 - 969
Copyright
Copyright © Cambridge University Press 2016 

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References

Arbuckle, J. L. (2009). Amos 18 user's guide. Crawfordville, FL: AMOS Development Corporation.Google Scholar
Beauchaine, T. P. (2001). Vagal tone, development and Gray's motivational theory of nervous system functioning in psychopathology. Development and Psychopathology, 13, 183–214.CrossRefGoogle ScholarPubMed
Beauchaine, T. P. (2013). Genetic and environmental influences on behavior. In Beauchaine, T. P. & Hinshaw, S. P. (Eds.), Child and adolescent psychopathology (2nd ed., pp. 111–140). Hoboken, NJ: Wiley.Google Scholar
Beauchaine, T. P., & Gatzke-Kopp, L. M. (2012). Instantiating the multiple levels of analysis perspective in a program of study on externalizing behavior. Development and Psychopathology, 24, 1003–1018.Google Scholar
Bliese, P. D., Wright, K. M., Adler, A. B., Cabrera, O., Castro, C. A., & Hoge, C. W. (2008). Validating the primary care posttraumatic stress disorder screen and the posttraumatic stress disorder checklist with soldiers returning from combat. Journal of Consulting and Clinical Psychology, 76, 272.CrossRefGoogle ScholarPubMed
Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M, Guenole, N., Orcutt, H. K., et al. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire—II: A revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy, 42, 676–688.Google Scholar
Brockman, C., Snyder, J., Gewirtz, A., Gird, S., Quattlebaum, J., Schmidt, N., et al. (2015). Relationship of service members’ deployment trauma, PTSD symptoms and experiential avoidance to postdeployment family reengagement. Journal of Family Psychology, 30, 52–62.Google Scholar
Buckholdt, K. E., Parra, G. R., & Jobe-Shields, L. (2014). Intergenerational transmission of emotion dysregulation through parental invalidation of emotions: Implications for adolescent internalizing and externalizing disorders. Journal of Child and Family Studies, 23, 324–332.Google Scholar
Calzada, E. J., Eyberg, S. M., Rich, B., & Querido, J. G. (2004). Parenting disruptive preschoolers: Experiences of mothers and fathers. Journal of Abnormal Child Psychology, 12, 203–213.Google Scholar
Cole, P. M., Hall, S. E., & Hajal, N. J. (2013). Emotion dysregulation as a risk factor for psychopathology. In Beauchaine, T. P & Hinshaw, S. P. (Eds.), Child and adolescent psychopathology. (2nd ed., pp. 341–373). Hoboken, NJ: Wiley.Google Scholar
Collins, W. A., Maccoby, E. E., Steinberg, L., Hetherington, E. M., & Bornstein, M. H. (2000). Contemporary research on parenting: The case for nature and nurture. American Psychologist, 55, 218–232.Google Scholar
Conger, R. D., Conger, K. J., Elder, G. H., Lorenz, T. O., & Simons, R. L. (2008). A family process model of economic hardship and adjustment of early adolescent boys. Child Development, 63, 526–541.Google Scholar
Davidson, A. C., & Mellor, D. J. (2001). The adjustment of children of Australian Viet Nam veterans: Is there evidence for the transgenerational transmission of the effects of war-related trauma? Australian and New Zealand Journal of Psychiatry, 35, 345–351.Google Scholar
Department of Defense Task Force on Mental Health. (2007). An achievable vision: Report of the Department of Defense Task Force on Mental Health. Falls Church, VA: Defense Health Board.Google Scholar
Dursa, E. K., Reinhard, M. J., Barth, S. K., & Schneiderman, A. I. (2014). Prevalence of a positive screen for PTSD among OEF/OIF and OEF/OIF-era veterans in a large population-based cohort. Journal of Traumatic Stress, 27, 542–549.CrossRefGoogle Scholar
Ehring, T., & Quack, D. (2010). Emotion regulation difficulties in trauma survivors: The role of trauma type and PTSD symptom severity. Behavior Therapy, 41, 587–598.Google Scholar
Eisenberg, N., Fabes, R. A., Guthrie, I. K., Murphy, B. C., Maszk, P., Holmgren, R., et al. (1996). The relations of regulation and emotionality to problem behavior in elementary school children. Development and Psychopathology, 8, 141–162.CrossRefGoogle Scholar
Eisenberg, N., Sadovsky, A., Spinrad, T. L., Fabes, R. A., Losoya, S. H., Valente, C., et al. (2005). The relations of problem behavior status to children's negative emotionality, effortful control and impulsivity: Concurrent relations and predictors of change. Developmental Psychology, 41, 193–210.Google Scholar
Eisenberg, N., Valente, C., Spinrad, T. L., Liew, J., Reiser, A., Zhou, Q., et al. (2009). Longitudinal relations of children's effortful control, impulsivity and negative emotionality to externalizing, internalizing and co-occurring problems. Development and Psychopathology, 45, 988–1008.Google Scholar
Elder, G. H. (1999). Children of the Great Depression: Social change in life experience (25th anniv. ed.). Boulder, CO: Westview Press.Google Scholar
Erbes, C. R., Meis, L. A., Polusny, M. A., & Compton, J. S. (2011). Couple adjustment and posttraumatic stress disorder symptoms in National Guard veterans of the Iraq war. Journal of Family Psychology, 25, 479–487.Google Scholar
Fok, C. C. T., & Henry, D. (2015). Increasing sensitivity of measures to change. Prevention Science, 16, 978–986.Google Scholar
Forgatch, M. S., Patterson, G. R., DeGarmo, D. S., & Beldavs, Z. G. (2009). Testing the Oregon delinquency model with 9-year follow-up of the Oregon divorce study. Development and Psychopathology, 21, 637–660.Google Scholar
Galovski, T., & Lyons, J. A. (2004). Psychological sequalae of combat violence: A review of the impact of PTSD on the veteran's family and possible interventions. Aggression and Violent Behavior, 9, 477–501.CrossRefGoogle Scholar
Gewirtz, A. H., & Davis, L. (2014). Parenting practices and emotion regulation in National Guard and reserve families: Early findings from the after deployment Adaptive Parenting Tools/ADAPT study. In MacDermid, S. & Riggs, D. S. (Eds.), Military deployment and its consequences for families (pp. 111–131). New York: Springer.CrossRefGoogle Scholar
Gewirtz, A. H., DeGarmo, D. S., & Zamir, O. (2016a). Effects of a military parenting program on parental distress and suicidal ideation: After deployment adaptive parenting tools. Suicide and Life Threatening Behavior, 46(Suppl. 1), S23–S31.Google Scholar
Gewirtz, A. H., DeGarmo, D. S., & Zamir, O. (2016b). After deployment, adaptive parenting tools: One-year outcomes of an evidence-based parenting program for military families. Manuscript submitted for publication.Google Scholar
Gewirtz, A. H., Erbes, C. R., Polusny, M. A., & Forgatch, M. S. (2011). Helping military families through the deployment process: Strategies to support parenting. Professional Psychology: Research and Practice, 42, 56–62.CrossRefGoogle ScholarPubMed
Gewirtz, A. H., McMorris, B. J., Hanson, S., & Davis, L. (2014). Family adjustment of deployed and non-deployed mothers in families with a parent deployed to Iraq or Afghanistan. Professional Psychology: Research and Practice, 45, 465–477.CrossRefGoogle ScholarPubMed
Gewirtz, A. H., Pinna, K. L., Hanson, S. K., & Brockberg, D. (2014). Promoting parenting to support reintegrating families: After deployment, adaptive parenting tools. Psychological Services, 11, 31–49.CrossRefGoogle ScholarPubMed
Gewirtz, A. H., Polusny, M. A., DeGarmo, D. S., Khaylis, A., & Erbes, C. R. (2010). Posttraumatic stress symptoms among National Guard soldiers deployed to Iraq: Associations with parenting behaviors and couple adjustment. Journal of Consulting and Clinical Psychology, 78, 599–610.Google Scholar
Goldsmith, H. H., Lemry, K. S., Buss, K. A., & Compos, J. J. (1999). Genetic analyses of focal aspects of temperament. Developmental Psychology, 35, 972–985.Google Scholar
Gorman, L. A., Blow, A. J., Ames, B. D., & Reed, P. L. (2011). National Guard families after combat: Mental health, use of mental health services, and perceived treatment barriers. Psychiatric Services, 62, 28–34.Google Scholar
Gratz, K. L., & Gunderson, J. G. (2006). Preliminary data on acceptance-based emotion regulation group intervention for deliberate self-harm among women with borderline personality disorder. Behavior Therapy, 37, 21–35.Google Scholar
Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology & Behavior Assessment, 26, 41–54.Google Scholar
Hammen, C., & Rudolph, K. D. (2003). Childhood mood disorders. In Mash, E. J. & Barkley, R. A. (Eds.), Childhood psychopathology (2nd ed., pp. 233–278). New York: Guildford Press.Google Scholar
Hariri, A. R., & Holmes, A. (2006). Genetics of emotion regulation: The role of serotonin transporter in neural function. Trends in Cognitive Science, 10, 182–191.Google Scholar
Jovanovic, T., & Ressier, K. J. (2010). How the neurochemistry and genetics of fear inhibition may inform our understanding of PTSD. American Journal of Psychiatry, 167, 648–662.Google Scholar
Kashdan, T. B., Morina, N., & Priebe, S. (2009). Post-traumatic stress disorder, social anxiety disorder, and depression in survivors of the Kosovo War: Experiential avoidance as a contributor to distress and quality of life. Journal of Anxiety Disorders, 23, 185–196.Google Scholar
Kendler, K. S., Davis, C. G., & Kessler, R. C. (1997). The familial aggregation of common psychiatric and substance use disorders in the national Comorbidity Survey: A family history study. British Journal of Psychiatry, 170, 541–548.Google Scholar
Khaylis, A., Polusny, M. A., Erbes, C. R., Gewirtz, A., & Rath, M. (2011). Posttraumatic stress, family adjustment, and treatment preferences among National Guard soldiers deployed to OEF/OIF. Military Medicine, 176, 126–131.CrossRefGoogle ScholarPubMed
Kiff, C. J., Lengua, L. J., & Zalewski, M. (2011). Nature and nurture: Parenting in the context of child temperament. Clinical Child and Family Psychology Review, 14, 251–301.CrossRefGoogle ScholarPubMed
King, L. A., King, D. W., Vogt, D. S., Knight, J., & Samper, R. E. (2006). Deployment risk and resilience inventory: A collection of measures for studying deployment-related experiences of military personnel and veterans. Military Psychology, 18, 89–120.Google Scholar
Kopala-Sibley, D. C., Kotov, R., Bromet, E. J., Carlson, G. A., Danzig, A. P., Black, S. R., et al. (2016). Personality diatheses and Hurricane Sandy: Effects on post-disaster depression. Psychological Medicine, 46, 865–875.Google Scholar
Kumpula, M. J., Orcutt, H. K., Bardeen, J. R., & Varkovitzky, R. L. (2011). Peritraumatic dissociation and experiential avoidance as prospective predictors of posttraumatic stress symptoms. Journal of Abnormal Psychology, 120, 617–627.Google Scholar
Lemeirse, E. A., & Arsenio, W. F. (2000). An integrated model of emotional processes and cognition in social information processing. Child Development, 71, 107–118.Google Scholar
Lester, P., Peterson, K., Reeves, J., Krauss, L., Glover, D., Mogil, C., et al. (2010). The long war and parental combat deployment: Effects on military children and at-home spouses. Journal of the American Academy of Child & Adolescent Psychiatry, 49, 310–320.Google Scholar
MacDermid, S. M. (2006). Multiple transitions of deployment and reunion of military families. Retrieved from http://www.cfs.purdue.edu/mfri/index.html Google Scholar
Merikangas, K. R., He, J., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., et al. (2010). Lifetime prevalence of mental disorders in U.S. adolescents: Results from the National Comorbidity Survey Replication—Adolescent supplement (NCS-A). Journal of the American Academy of Child & Adolescent Psychiatry, 49, 980–989.Google Scholar
Meyer, E. C., Morissette, S. B., Kimbrel, N. A., Kruse, M. I., & Bird Gulliver, S. (2013). Acceptance and Action questionnaire—II scores as a predictor of posttraumatic stress disorder symptoms among war veterans. Psychological Trauma: Theory, Research, Practice and Policy, 5, 521–528.Google Scholar
Milliken, C. S., Auchterlonie, J. L., & Hoge, C. W. (2007). Longitudinal assessment of mental health problems among active and reserve component soldiers returning from the Iraq war. Journal of the American Medical Association, 298, 2141–2148.CrossRefGoogle ScholarPubMed
Monson, C. M., Taft, C. T., & Fredman, S. J. (2009). Military-related PTSD and intimate relationships: From description to theory-driven research and intervention development. Clinical Psychology Review, 29, 707–714.CrossRefGoogle ScholarPubMed
Morris, A. S., Silk, J. S., Steinber, L., Myers, S. S., & Robinson, L. R. (2009). The role of family context in the development of emotion regulation. Social Development, 16, 361–388.Google Scholar
Nigg, J. T. (2006). Temperament and developmental psychopathology. Journal of Child Psychology and Psychiatry, 47, 395–422.Google Scholar
Oland, A., & Shaw, D. S. (2005). Pure versus co-occurring externalizing and internalizing symptoms in children: The potential role of socio-developmental milestones. Clinical Child and Family Psychology Review, 8, 247–270.Google Scholar
Patterson, G. R. (1980). Mothers: The unacknowledged victims. Monographs of the Society for Research in Child Development, 45, 1–64.Google Scholar
Patterson, G. R., & Reid, J. B. (1970). Reciprocity and coercion: Two facets of social systems. In Neuringer, C. & Michael, J. L. (Eds.), Behavior modification in clinical psychology (pp. 133–177). New York: Appleton-Century-Crofts.Google Scholar
Patterson, G. R., & Stoolmiller, M. (1991). Replication of a dual failure model for boys’ depressed mood. Journal of Consulting and Clinical Psychology, 59, 491–498.Google Scholar
Peterson, J. Winter, C., Jabson, J., & Dishion, T. J. (2010). Relationship affect coding manual. Unpublished manuscript, University of Oregon, Child & Family Center.Google Scholar
Pietrzak, R. H., Johnson, D. C., Goldstein, M. B., Malley, J. C., & Southwick, S. M. (2009). Psychological resilience and post-deployment social support protect against traumatic stress and depression symptoms in soldiers returning from Operations Enduring Freedom and Iraqi Freedom. Journal of Special Operations, 9, 67–77.Google Scholar
Polusny, M. A., Erbes, C. R., Murdock, M., Arbisi, P. A., Thuras, P., & Rath, M. B. (2011). Prospective risk factors for new onset post-traumatic stress disorder in National Guard soldiers deployed to Iraq. Psychological Medicine, 41, 687–698.Google Scholar
Reynolds, C. R., & Kamphaus, R. W. (2004). BASC-2: Behavior assessment system for children second edition manual. Circle Pines, MN: American Guidance Service.Google Scholar
Salzman, W. R., Lester, P., Beardslee, W. R., Layne, C. M., Woodward, K., & Nash, W. P. (2011). Mechanisms of risk and resilience in military families: Theoretical and empirical basis for a family-focused resilience enhancement program. Child and Family Psychology Review, 14, 213–230.CrossRefGoogle Scholar
Sandoz, E. K., Moyer, D. N., & Armelie, A. P. (2015). Psychological flexibility as a framework for understanding and improving family reintegration following military deployment. Journal of Marital and Family Therapy, 41, 495–507.CrossRefGoogle ScholarPubMed
Shapinsky, A. C., Rapport, L. J., Henderson, M. J., & Axelrod, B. N. (2005). Civilian PTSD scales: Relationships with trait characteristics and everyday distress. Assessment, 12, 220–230.Google Scholar
Smith, T. C., Ryan, M. A., Wingard, D. L., Slymen, D. J., Sallis, J. F., & Kritz-Silverstein, D. (2007). New onset and persistent symptoms of post-traumatic stress disorder self-reported after deployment and combat exposures: Prospective population based US military cohort study. British Medical Journal, 336, 366–337.Google Scholar
Snyder, J. (2013). Macro-Level Family Interaction Coding System (MFICS): Technical report. Unpublished manuscript, Wichita State University, Department of Psychology.Google Scholar
Snyder, J. (2016). Coercive family processes and the development of child social behavior and self-regulation. In Dishion, T. J. & Snyder, J. (Eds.), Handbook of coercive relationship dynamics (pp. 101–113). New York: Oxford University Press.Google Scholar
Snyder, J., Brockman, C., Gewirtz, A., Gird, S., Quattlebaum, J., Schmidt, N., et al. (2016). Relationship of service members’ deployment trauma, PTSD symptoms and experiential avoidance to post-deployment family reengagement. Journal of Family Psychology, 30, 52–62.Google Scholar
Snyder, J., Lowe, S., Bullard, L., Schrepferman, L., Wachlarowicz, M., Marvin, C., et al. (2013). Effective parenting practices: Social interaction learning theory and the role of emotion coaching and mindfulness. In Larzelere, R. E., Sheffield, A., & Harrist, A. W. (Eds.). Authoritative parenting: Synthesizing nurturance and discipline for optimal child development (pp. 189–210). Washington, DC: American Psychological Association Press.Google Scholar
Snyder, J., Schrepferman, L., & St. Peter, C. (1997). Origins of antisocial behavior: Negative reinforcement and affect dysregulation of behavior as socialization mechanisms in family interaction. Behavior Modification, 21, 187–215.Google Scholar
Snyder, J., & Stoolmiller, M. (2002). Reinforcement and coercion mechanisms in the development of antisocial behavior: The family. In Reid, J. B., Patterson, G. R., & Snyder, J. (Eds.), Antisocial behavior in children and adolescents: A developmental analysis and model for intervention (pp. 65–100). Washington, DC: American Psychological Association Press.Google Scholar
Snyder, J., Stoolmiller, M., Wilson, M., & Yamamoto, M. (2003). Child anger regulation, parental responses to children's anger displays, and early child antisocial behavior. Social Development, 12, 335–360.Google Scholar
Tackett, J. L., Lahey, B. B., VanHulle, C., Waldman, I., Krueger, R. F., & Rathouz, P. J. (2013). Common genetic influences on negative emotionality and a general psychopathology factor in childhood and adolescence. Journal of Abnormal Psychology, 122, 1142–1153.Google Scholar
Tull, M. T., Barrett, H. M., McMillan, E. S., & Roemer, L. (2007). A preliminary investigation of the relationship between emotion regulation difficulties and posttraumatic stress symptoms. Behavior Therapy, 38, 303–313.Google Scholar
Vasterling, J. J., Proctor, S. P., Friedman, M. J., Hoge, C. W., Heeren, T., King, L. A., et al. (2010). PTSD symptom increases in Iraq-deployed soldiers: Comparison with nondeployed soldiers and associations with baseline symptoms, deployment experiences and postdeployment stress. Journal of Traumatic Stress, 23, 41–51.CrossRefGoogle ScholarPubMed
Vogt, D. S., Proctor, S. P., King, D. W., King, L. A., & Vasterling, J. J. (2008). Validation of scales from the deployment risk and resilience inventory in a sample of Operation Iraqi Freedom veterans. Assessment, 15, 391–403.Google Scholar
Weathers, F., Litz, B., Huska, J., & Keane, T. (1994). PTSD checklist—Military version. Boston: National Center for PTSD, Behavioral Sciences Division.Google Scholar
Westerink, J., & Giarratano, L. (1999). The impact of posttraumatic stress disorder on partners and children of Australian Vietnam veterans. Australian and New Zealand Journal of Psychiatry, 33, 841–847.Google Scholar
Wilkins, K. C., Lang, A. J., & Norman, S. B. (2011). Synthesis of the psychometric properties of the PTSD checklist (PCL) military, civilian and specific versions. Depression and Anxiety, 28, 596–606.Google Scholar
Wothke, W. (2000). Longitudinal and multi-group modeling with missing data. In Little, T. D., Shnabel, K. U., & Baumert, J. (Eds.), Modeling longitudinal and multi-level data: Practical issues, applied approaches, and specific examples (pp. 219–240). Mahwah, NJ: Erlbaum.Google Scholar