This study examined marital adjustment and relations among couples where husbands had been a prisoner-of-war (i.e., POW) and couples where husbands were veterans, but not POWs. The study also examined the relative contribution of the husband's post-traumatic stress disorder (i.e., PTSD) and POW experience to both spouses' marital adjustment. Results from 157 couples (85 former POWs and spouses as well as 72 veterans but not POWs and their spouses as controls) indicated that former POW couples had lower marital adjustment, sexual satisfaction, and self-disclosure, and higher verbal abuse than the control couples. Captivity indirectly influenced the husband's marital adjustment through his PTSD. In turn, PTSD had an indirect effect on both spouses' marital adjustment, fully mediated through marital relations variables.
American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed., DSM-IV). Washington, DC: Author.
2.
Arbuckle, J.L., & Wothke, W. (1999). Amos user's guide version 4.0. Chicago: Small Waters Corporation.
3.
Bradbury, T.N., Cohan, C.L., & Karney, B.R. (1998). Optimizing longitudinal research for understanding and preventing marital dysfunction. In T. N. Bradbury (Ed.), The developmental course of marital dysfunction (pp. 279-311). Cambridge: Cambridge University Press.
4.
Beckham, J.C., Moore, S.D., & Reynolds, V. (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.
5.
Bernstein, M. (1998). Conflicts in adjustment: WW2 prisoners of war and their families. In Y. Danieli (Ed.), International handbook of multigenerational legacies of trauma (pp. 119-124). New York: Plenum Press.
6.
Bolton, E., Glenn, M., Orsillo, S., Roemer, L., & Litz, B. (2003). The relationship between self-disclosure and symptoms of posttraumatic stress disorder in peacekeepers deployed to Somalia. Journal of Traumatic Stress, 16, 203-210.
7.
Carroll, E.M., Rueger, D.B., Foy, D.W., & Donahoe, C.P. (1985). Vietnam combat veterans with posttraumatic stress disorder: Analysis of marital and cohabitating adjustment. Journal of Abnormal Psychology, 94, 329-337.
8.
Center for Policy Research (1979). The adjustment of Vietnam veterans to civilian life. New York: Center for Policy Research.
9.
Cohen, O. (2003). Israeli family. In J. Ponzetti (Ed.), International encyclopedia of marriage and family (Vol. 2, pp. 960-964). New York: Macmillan.
10.
Cook, J.M., Riggs, D.S., Thompson, R., & Coyne, J.C. (2004). Posttraumatic stress disorder and current relationship functioning among World War 2 ex-prisoners of war. Journal of Family Psychology, 18, 36-45.
11.
Dekel, R., Goldblatt, H., Keidar, M., Solomon, Z., & Polliack, M. (2005). Being a spouse of a PTSD veteran. Family Relations, 54, 24-36.
12.
Dent, O.F., Tennant, C., Fairley, M.J., Sulway, M., Broe, G.A., Jorm, A., et al. (1998). Prisoner of war experience: effects on wives. The Journal of Nervous & Mental Disease, 186, 231-237.
13.
Engdahl, B.E., Dikel, T.N., Eberly, R., & Blank, A. (1997). Posttraumatic Stress Disorder in community group of former Prisoners of War: A normative response to severe trauma. American Journal of Psychiatry, 154, 1576-1581.
14.
Evans, L., McHugh,T., Hopwood, M., & Watt, C. (2003). Chronic posttraumatic stress disorder and family functioning of Vietnam veterans and their partners. Australian and New Zealand Journal of Psychiatry, 37, 765-772.
15.
Finkenauer, C., & Hazam, H. (2000). Disclosure and secrecy in marriage: Do both contribute to marital satisfaction? Journal of Social and Personal Relationships , 17, 245-263.
16.
Frueh, C.B., Henning, K.R., Pellegrin, K.L., & Chobot, K. (1997). Relationship between scores on anger measures and PTSD symptomatology, employment, and compensation-seeking status in combat veterans. Journal of Clinical Psychology, 53, 871-878.
17.
Goldstein, G., van Kammen, W., Shelly, C., Miller, D.J., & van Kammen, D.P. (1987). Survivors of imprisonment in the Pacific theater during World War II. American Journal of Psychiatry, 144, 1210-1213.
18.
Herman, J.L. (1992). Trauma and recovery. New York : Basic Books.
19.
Horesh, N., & Fennig, S. (2000). Perception of spouses and relationships: a matched control study of patients with severe affective disorder in remission and their spouses. Journal of Nervous and Mental Disease, 188, 463-466.
20.
Hudson, W.W., Harrison, D.F., & Crosscup, P.C. (1981). A short-form scale to measure sexual discord in dyadic relationships. Journal of Sex Research , 17, 157-174.
21.
Hunter, E.J. (1993). The Vietnam prisoner of war experience. In J. P. Wilson & B. Raphael (Eds.), International handbook of traumatic stress syndromes (pp. 297-303). New York: Plenum Press.
22.
Jordan, B.K., Marmar, C.R., Fairbank, J.A., Schlenger, W.E., Kulka, R., Hough, R.L., et al. (1992). Problems in families of male Vietnam veterans with posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 60, 916-926.
23.
Kenny, D., & Cook, W. (1999). Partner effects in relationship research: Conceptual issues, analytic difficulties, and illustrations. Personal Relationships, 6, 443-448.
24.
Kotler, M., Cohen, H., Aizenberg, D., Matar, M., Loewenthal, U., Kaplan, Z., et al. (2000). Sexual dysfunction in male posttraumatic stress disorder patients. Psychotherapy and Psychosomatics , 69, 309-315.
25.
Letourneau, E.J., Schewe, P.A., & Frueh, C.B. (1997). Preliminary evaluation of sexual problems in combat veterans with PTSD. Journal of Traumatic Stress, 10, 125-132.
26.
Mikulincer, M., Florian, V., & Solomon, Z. (1995). Marital intimacy, family support, and secondary traumatization: A study of wives of veterans with combat stress reaction. Anxiety, Stress, and Coping, 8, 203-213.
27.
Mikulincer, M., Horesh, N., Levy-Shiff, R., Manovich, R., & Shalev, J. (1998). The contribution of adult attachment style to the adjustment to infertility. British Journal of Medical Psychology, 71, 265-280.
28.
Miller, L.C., Berg, J.H., & Archer, R.L. (1983). Openers: Individuals who elicit intimate self-disclosure . Journal of Personality and Social Psychology, 44, 1234-1244.
29.
Reeves, R., Parker, J., & Konkle-Parker, D. (2005). War-related mental health problems of today's veterans: New clinical awareness. Journal of Psychosocial Nursing and Mental Health Services, 42, 18-28.
30.
Riggs, D.S., Byrne, C.A., Weathers, F.W., & Litz, B.T. (1998). The quality of the intimate relationships of male Vietnam veterans: problems associated with posttraumatic stress disorder. Journal of Traumatic Stress, 11, 87-101.
31.
Solomon, Z., Benbenishty, R., Neria, Y., Abramowitz, M., Ginzburg, K., & Ohry, A. (1993). Assessment of PTSD: Validation of the revised PTSD Inventory. Israel Journal of Psychiatry and Related Sciences , 30, 110-115.
32.
Solomon, Z., Waysman, M., Levy, G., Fried, B., Mikulincer, M., Benbenishty, R., et al. (1992). From front line to home front: A study of secondary traumatization. Family Process, 31, 289-302.
33.
Spanier, G.B. (1976). Measuring dyadic adjustment: new scales for assessing the quality of marriage and similar dyads. Journal of Marriage and the Family, 38, 15-28.
34.
Straus, M.A. (1979). Measuring intrafamily conflict and violence: The Conflict Tactics (CT) Scales. Journal of Marriage and the Family, 41, 75-88.
35.
Sutker, P.B., & Allain, A.N. (1996). Assessment of PTSD and other mental disorders in World War II and Korean conflict POW survivors and combat veterans. Psychological Assessment, 8, 18-25.
36.
Tarrier, N., Sommerfield, C., & Pilgrim, H. (1999). Relatives expressed emotion and PTSD treatment outcome. Psychological Medicine, 29, 801-811.
37.
Zeiss, R.A., & Dickman, H.R. (1989). PTSD 40 years later: Incidence and person-situation correlates in former POWs. Journal of Clinical Psychology , 45, 35-42.
