RESUMEN
Domestic violence rates among veterans with posttraumatic stress disorder (PTSD) are higher than those of the general population. Individuals who have been diagnosed with PTSD who seek couples therapy with their partners constitute an understudied population. Self-report measures of domestic violence, relationship satisfaction, and intimacy were administered at intake to 179 couples seeking relationship therapy at a Veterans Affairs clinic. Couples in which the veteran was diagnosed with combat-related PTSD were compared with two other groups based on the veteran's primary diagnosis (depression, adjustment disorder/V-code). Both the PTSD- and depression-diagnosed veterans perpetrated more violence than did those with adjustment/V-code diagnoses. Domestic violence rates among depressed and PTSD-diagnosed veterans were much higher than those found in previous research. Implications for assessment and treatment are discussed.
Asunto(s)
Trastornos de Combate/terapia , Violencia Doméstica/psicología , Terapia Conyugal , Veteranos/psicología , Trastornos de Adaptación/diagnóstico , Trastornos de Adaptación/epidemiología , Trastornos de Adaptación/psicología , Trastornos de Adaptación/terapia , Adulto , Trastornos de Combate/diagnóstico , Trastornos de Combate/epidemiología , Trastornos de Combate/psicología , Comorbilidad , Trastorno Depresivo Mayor/diagnóstico , Trastorno Depresivo Mayor/epidemiología , Trastorno Depresivo Mayor/psicología , Trastorno Depresivo Mayor/terapia , Violencia Doméstica/prevención & control , Violencia Doméstica/estadística & datos numéricos , Femenino , Hospitales de Veteranos , Humanos , Masculino , Matrimonio/psicología , Persona de Mediana Edad , Servicio Ambulatorio en Hospital , Aceptación de la Atención de Salud/psicología , Solución de Problemas , Factores de Riesgo , Autorrevelación , Veteranos/estadística & datos numéricosRESUMEN
The objectives of this study were to perform an initial needs assessment of partners of Vietnam veterans with combat-related posttraumatic stress disorder (PTSD) and to assess the partners' current rates of treatment use. A telephone survey was conducted with 89 cohabitating female partners of male combat veterans who were receiving outpatient PTSD treatment at two Department of Veterans Affairs medical centers. Although large majorities of partners rated individual therapy and family therapy to help cope with PTSD in the family as highly important, only about one-quarter of the partners had received any mental health care in the previous six months. The most commonly requested service was a women-only group.
Asunto(s)
Cuidadores/psicología , Trastornos de Combate/psicología , Necesidades y Demandas de Servicios de Salud/estadística & datos numéricos , Servicios de Salud Mental/estadística & datos numéricos , Esposos/psicología , Veteranos/psicología , Adulto , Anciano , Ansiedad/diagnóstico , Ansiedad/epidemiología , Ansiedad/terapia , Cuidadores/estadística & datos numéricos , Costo de Enfermedad , Estudios Transversales , Depresión/diagnóstico , Depresión/epidemiología , Depresión/terapia , Terapia Familiar/estadística & datos numéricos , Femenino , Estudios de Seguimiento , Encuestas Epidemiológicas , Hospitales de Veteranos/estadística & datos numéricos , Humanos , Entrevista Psicológica , Masculino , Persona de Mediana Edad , Satisfacción del Paciente/estadística & datos numéricos , Psicoterapia/estadística & datos numéricos , Trastornos Somatomorfos/diagnóstico , Trastornos Somatomorfos/epidemiología , Trastornos Somatomorfos/terapia , Esposos/estadística & datos numéricos , VietnamRESUMEN
Several prior reports have suggested that chromosomal region 13q32 may harbor a schizophrenia susceptibility gene. In an attempt to replicate this finding, we assessed linkage between chromosome 13 markers and schizophrenia in 166 families, each with two or more affected members. The families, assembled from multiple centers by the Department of Veterans Affairs Cooperative Studies Program, included 392 sampled affected subjects and 216 affected sib pairs. By DSM-III-R criteria, 360 subjects (91.8%) had a diagnosis of schizophrenia and 32 (8.2%) were classified as schizoaffective disorder, depressed. The families had mixed ethnic backgrounds. The majority were northern European-American families (n = 62, 37%), but a substantial proportion were African-American kindreds (n = 60, 36%). Chromosome 13 markers, spaced at intervals of approximately 10 cM over the entire chromosome and 2-5 cM for the 13q32 region were genotyped and the data analyzed using semi-parametric affected only linkage analysis. For the combined sample (with race broadly defined and schizophrenia narrowly defined) the maximum LOD score was 1.43 (Z-score of 2.57; P = 0.01) at 79.0 cM between markers D13S1241 (76.3 cM) and D13S159 (79.5 cM). Both ethnic groups showed a peak in this region. The peak is within 3 cM of the peak reported by Brzustowicz et al. [1999: Am J Hum Genet 65:1096-1103].