The current longitudinal study focused on predicting depression among spouses of former Israeli war veterans (combat veterans or ex-prisoners of war [ex-POWs]). The research examined the direct and moderating role of secondary trauma related to their husbands’ war-related experiences, stress related to being exposed to intimate partner violence in their relationship, being a second-generation Holocaust (SGH) survivor, and the effects of additional stressful life events (SLEs) since the end of the war. Wives of ex-POWs and combat veterans (N = 129) participated in two time measurements. Spouses of ex-POWs were found to be at higher risk of depression and psychological violence. Psychological violence was a risk factor for depression. The three-way interaction among psychological violence, being a SGH survivor, and experiencing SLEs was significant. In addition, experiencing earlier stressful events had a protective effect. The findings suggest that the association between early exposure and additive exposure through life is a complex iteration of factors and does not necessarily follow the vulnerability perspective.
BaiderL.PeretzT.HadaniP. E.PerryS.AvramovR.Kaplan DeNourA. (2000). Transmission of response to trauma? Second-generation Holocaust survivors’ reaction to cancer. American Journal of Psychiatry, 157(6), 904–910.
3.
BakerC. K.NiolonP. H.OliphantH. (2009). A descriptive analysis of transitional housing programs for survivors of intimate partner violence in the United States. Violence Against Women, 15(4), 460–481.
4.
Barros-GomesP.KimmesJ.SmithE.CafferkyB.StithS.DurtschiJ.McCollumE. (2019). The role of depression in the relationship between psychological and physical intimate partner violence. Journal of Interpersonal Violence, 34(18), 3936–3960.
5.
BaumN.RahavG.SharonM. (2014). Heightened susceptibility to secondary traumatization: A meta-analysis of gender differences. American Journal of Orthopsychiatry, 84(2), 111–122.
6.
BeckhamC.MooreS. D.ReynoldsS. (2000). Interpersonal hostility and violence in Vietnam combat veterans with chronic posttraumatic stress disorder: A review of theoretical models and empirical evidence. Aggression and Violent Behavior, 5, 451–466. https://doi.org/10.1016/S1359-1789(98)00018-4
7.
BloxhamD. (2009). The final solution: A genocide. Oxford University Press.
8.
BodenmannG.MeuwlyN.BradburyT. N.GmelchS.LedermannT. (2010). Stress, anger, and verbal aggression in intimate relationships: Moderating effects of individual and dyadic coping. Journal of Social and Personal Relationships, 27(3), 408–424.
9.
BreslauN.ChilcoatH. D.KesslerR. C.DavisG. C. (1999). Previous exposure to trauma and PTSD effects of subsequent trauma: Results from the Detroit Area Survey of Trauma. American Journal of Psychiatry, 156(6), 902–907.
10.
ByrneC. A.RiggsD. S. (1996). The cycle of trauma: Relationship aggression in male Vietnam veterans with symptoms of posttraumatic stress disorder. Violence and Victims, 11, 213–223.
CokerA. L.DavisK. E.AriasI.DesaiS.SandersonM.BrandtH. M.SmithP. H. (2002). Physical and mental health effects of intimate partner violence for men and women. American Journal of Preventive Medicine, 23(4), 260–268.
DekelR.SolomonZ. (2006). Marital relations among former prisoners of war: Contribution of posttraumatic stress disorder, aggression, and sexual satisfaction. Journal of Family Psychology, 20(4), 709–712.
15.
DekelS.MandlC.SolomonZ. (2013). Is the Holocaust implicated in PTG in second generation Holocaust survivors? A prospective study. Journal of Traumatic Stress, 26(4), 530–533.
16.
DekelS.PelegT.SolomonZ. (2013). The relationship of PTSD to negative cognitions: A 17-year longitudinal study. Psychiatry, 76(3), 241–255.
17.
DekelS.SolomonZ.RozenstreichE. (2013). Secondary salutogenic effects in veterans whose parents were Holocaust survivors?Journal of Psychiatric Research, 47(2), 266–271.
18.
DerogatisL. R. (1977). SCL-90: Administration, scoring, and procedure manual. Johns Hopkins University Press.
19.
DerogatisL. R.ClearyP. A. (1977). Confirmation of the dimensional structure of the SCL-90: A study in construct validation. Journal of Clinical Psychology, 33(4), 981–989.
20.
DevriesK. M.MakJ. Y.BacchusL. J.ChildJ. C.FalderG.PetzoldM.AstburyJ.WattsC. H. (2013). Intimate partner violence and incident depressive symptoms and suicide attempts: A systematic review of longitudinal studies. PLoS Medicine, 10(5), e1001439.
21.
DokkedahlS.KristentenT. R.MurphyS.ElklitA. (2021). The complex trauma of psychological violence: Cross-sectional findings from a cohort of four Danish Women Shelters. European Journal of Psychotraumatology, 12(1), 1863580. https://doi.org./10.1080/20008198.2020.1863580
22.
Domenech del RioI.Garcia del ValleE. S. (2017). The consequences of intimate partner violence on health: A further disaggregation of psychological violence–evidence from Spain. Violence Against Women, 23(4), 1771–1789.
23.
DyeH. L. (2019). Is emotional abuse as harmful as physical and/or sexual abuse?Journal of Child & Adolescent Trauma, 13, 399–407.
24.
FaulF.ErdfelderE.LangA. G.BuchnerA. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behaviour Research Methods, 39(2), 175–191.
25.
FilsonJ.UlloaE.RunfolaC.HokodaA. (2010). Does powerlessness explain the relationship between intimate partner violence and depression?Journal of Interpersonal Violence, 25(3), 400–415.
26.
FollingstadD. R.DehartD. D. (2000). Defining psychological abuse of husbands toward wives: Contexts, behaviors, and typologies. Journal of Interpersonal Violence, 15(9), 891–920.
27.
ForanH. M.HeymanR. E.Smith SlepA. M. (2014). Emotional abuse and its unique ecological correlates among military personnel and spouses. Psychology of Violence, 4(2), 128–142.
28.
GangiS.TalamoA.FerracutiS. (2009). The long-term effects of extreme war-related trauma on the second generation of Holocaust survivors. Violence and Victims, 24(5), 687–700.
29.
GreeneT.LahavY.BronsteinI.SolomonZ. (2014). The role of ex-POWs’ PTSD symptoms and trajectories in wives’ secondary traumatization. Journal of Family Psychology, 28(5), 666–674.
30.
HammenC. (2016). Depression and stressful environments: Identifying gaps in conceptualization and measurement. Anxiety, Stress, & Coping, 29(4), 335–351.
31.
HawcroftC.HughesR.ShaheenA.UstaJ.ElkadiH.DaltonT.GinwallaK.FederG. (2019). Prevalence and health outcomes of domestic violence amongst clinical populations in Arab countries: A systematic review and meta-analysis. BMC Public Health, 19, 315.
32.
HayesA. F. (2012). PROCESS: A versatile computational tool for observed variable mediation, moderation, and conditional process modeling. https://www.afhayes.com/public/process2012.pdf
33.
HermanJ. L. (2015). Trauma and recovery: The aftermath of violence—from domestic abuse to political terror. Hachette.
34.
KoiralaP.ChuemchitM. (2020). Depression and domestic violence experiences among Asian women: A systematic review. International Journal of Women’s Health, 12, 21–33.
35.
KucharskaJ. (2017). Sex differences in the appraisal of traumatic events and psychopathology. Psychological Trauma: Theory, Research, Practice, and Policy, 9(5), 575–582.
36.
La FlairL. N.BradshawC. P.CampbellJ. C. (2012). Intimate partner violence/abuse and depressive symptoms among female health care workers: Longitudinal findings. Women’s Health Issues, 22(1), e53–e59.
37.
LahavY.RenshawK. D.SolomonZ. (2019). Domestic abuse and forgiveness among military spouses. Journal of Aggression, Maltreatment & Trauma, 28(2), 243–260.
38.
Martin-de-las-HerasS.KhanK. S.VelascoC.CanoA.Dios LunaJ.RubioL. (2022). Propensity score analysis of psychological intimate partner violence and preterm birth. Scientific Reports, 12, 2942. https://doi.org/10.1038/s41598-022-06990-2
39.
NorrisD.EichlerM.CrammH.Tam-SetoL.Smith-EvansK. (2018). Operational stress injuries and the mental health and well-being of veteran spouses: A scoping review. Journal of Family Theory & Review, 10(3), 657–671.
40.
O’DonnellC.CookJ. M.ThompsonR.RileyK.NeriaY. (2006). Verbal and physical aggression in World War II former prisoners of war: Role of posttraumatic stress disorder and depression. Journal of Traumatic Stress, 19(6), 859–866. https://doi.org/10.1002/jts.20157
41.
OverstreetN. M.WillieC. T.HellmuthJ. C.SullivanT. P. (2015). Psychological intimate partner violence and sexual risk behaviour: Examining the role of distinct posttraumatic stress disorder symptoms in the partner violence-sexual risk link. Women’s Health Issues, 25(1), 73–78.
42.
Pico-AlfonsoM. A. (2005). Psychological intimate partner violence: The major predictor of posttraumatic stress disorder in abused women. Neuroscience & Biobehavioral Reviews, 29(1), 181–193.
43.
RabinovichA. (2004). The Yom Kippur War: The epic encounter that transformed the Middle East. Schocken Books.
44.
RenshawK. D.CaskaC. M. (2012). Relationship distress in partners of combat veterans: The role of partners’ perceptions of posttraumatic stress symptoms. Behavior Therapy, 43(2), 416–426.
45.
RubensS. L.FiteP. J.GabrielliJ.EvansS. C.HendricksonM. L.PedersonC. A. (2013). Examining relations between negative life events, time spent in the United States, language use, and mental health outcomes in Latino adolescents. Child & Youth Care Forum, 42(5), 389–402.
46.
SchumacherJ. A.Smith SlepA. M.HeymanR. E. (2001). Risk factors for male-to-female partner psychological abuse. Aggressive and Violent Behavior, 6(2–3), 255–268.
47.
SeeryM. D. (2011). Resilience: A silver lining to experiencing adverse life events?Current Directions in Psychological Science, 20(6), 390–394.
48.
ShermanM. D.SautterF.JacksonM. H.LyonsJ. A.HanX. (2006). Domestic violence in veterans with posttraumatic stress disorder who seek couples therapy. Journal of Marital and Family Therapy, 32(4), 479–490.
49.
ShriraA.PalgiY.Ben-EzraM.ShmotkinD. (2011). Transgenerational effects of trauma in midlife: Evidence for resilience and vulnerability in offspring of Holocaust survivors. Psychological Trauma: Theory, Research, Practice, and Policy, 3(4), 394–402.
50.
SolomonZ. (1988). The effect of combat-related posttraumatic stress disorder on the family. Psychiatry, 51(3), 323–329.
51.
SolomonZ.DekelR.ZerachG. (2008). The relationships between posttraumatic symptom clusters and marital intimacy among war veterans. Journal of Family Psychology, 22(5), 659–666. https://doi.org/10.1037/a0013596
52.
SolomonZ.KotlerM.MikulincerM. (1988). Combat-related posttraumatic stress disorder among second-generation Holocaust survivors: Preliminary findings. American Journal of Psychiatry, 145(7), 865–868.
53.
SolomonZ.MikulincerM.OhryA.GinzburgK. (2021). Prior trauma, PTSD long-term trajectories, and risk for PTSD during the COVID-19 pandemic: A 29-year longitudinal study. Journal of Psychiatric Research, 141, 141–145.
54.
SolomonZ.MikulincerM.WaysmanM. (1991). Delayed and immediate onset posttraumatic stress disorder: The role of life events and social resources. Journal of Community Psychology, 19(3), 231–236.
55.
SolomonZ.ShklarR.MikulincerM. (2005). Frontline treatment of combat stress reaction: A 20-year longitudinal evaluation study. American Journal of Psychiatry, 162(12), 2309–2314. https://doi.org/10.1176/appi.ajp.162.12.2309
56.
StraightE. S.HarperF. W.AriasI. (2003). The impact of partner psychological abuse on health behaviors and health status in college women. Journal of Interpersonal Violence, 18(9), 1035–1054.
57.
StrausM. A. (1979). Measuring intrafamily conflict and violence: The Conflict Tactics (CT) scales. Journal of Marriage and the Family, 41(1), 75–88.
58.
StrausM. A.GellesR. J.AsplundL. M. (1990). Physical violence in American families: Risk factors and adaptations to violence in 8,145 families. Transaction.
59.
SulimanS.MkabileS. G.FinchamD. S.AhmedR.SteinD. J.SeedatS. (2009). Cumulative effect of multiple trauma on symptoms of posttraumatic stress disorder, anxiety, and depression in adolescents. Comprehensive Psychiatry, 50(2), 121–127.
60.
TaftC. T.O’FarrellT. J.TorresS. E.PanuzioJ.MonsonC. M.MurphyM.MurphyC. M. (2006). Examining the correlates of psychological aggression among a community sample of couples. Journal of Family Psychology, 20(4), 581–588.
61.
Van LizendoornM. H.FridmanA.Bakermans-KranenburgM. J.Sagi-SchwartzA. (2013). Aftermath of genocide: Holocaust survivors’ dissociation moderates offspring level of cortisol. Journal of Loss and Trauma, 18(1), 64–80.
62.
WongJ. Y. H.TiwariA.FongD. Y. T.HumphreysJ.BullockL. (2011). Depression among women experiencing intimate partner violence in a Chinese community. Nursing Research, 60(1), 58–65.
63.
ZimmermannS.ForstmeierS. (2020). From fragments to identity: Reminiscence, life review and well-being of Holocaust survivors: An integrative review. Aging & Mental Health, 24(4), 525–549.
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