Personality assessment inventory internalizing and externalizing structure in veterans with posttraumatic stress disorder: Associations with aggression

Aggressive Behavior

Volumn 40, Issue 6, 2014, Pages 582-592

  Van Voorhees, Elizabeth E ^a,b,c   Dennis, Paul A ^b   Elbogen, Eric B ^b,d   Clancy, Carolina P ^b,c   Hertzberg, Michael A ^b,c   Beckham, Jean C ^a,b,c   Calhoun, Patrick S ^a,b,c  

^a and Clinical Center ^*  (United States)

^b DURHAM VA MEDICAL CENTER   (United States)

^c DUKE UNIVERSITY MEDICAL CENTER   (United States)

^d UNIVERSITY OF NORTH CAROLINA SCHOOL OF MEDICINE   (United States)

Author keywords

Aggression; Externalizing; Internalizing; PTSD; Veterans

Indexed keywords

ADDICTION; ADULT; AGGRESSION; ANTISOCIAL PERSONALITY DISORDER; ANXIETY; BIPOLAR DISORDER; BORDERLINE STATE; DEPRESSION; HUMAN; MALE; MIDDLE AGED; PARANOID PSYCHOSIS; PERSONALITY; PERSONALITY TEST; POSTTRAUMATIC STRESS DISORDER; PSYCHOLOGY; SOMATOFORM DISORDER; VETERAN; YOUNG ADULT;

ADULT; AGGRESSION; ANTISOCIAL PERSONALITY DISORDER; ANXIETY; BIPOLAR DISORDER; BORDERLINE PERSONALITY DISORDER; DEPRESSION; HUMANS; MALE; MIDDLE AGED; PARANOID DISORDERS; PERSONALITY; PERSONALITY INVENTORY; SOMATOFORM DISORDERS; STRESS DISORDERS, POST-TRAUMATIC; SUBSTANCE-RELATED DISORDERS; VETERANS; YOUNG ADULT;

EID: 84911959955     PISSN: 0096140X     EISSN: 10982337     Source Type: Journal    
DOI: 10.1002/ab.21554     Document Type: Article

References (84)

1. Barrett, E. L., Mills, K. L., & Teesson, M. 2011. Hurt people who hurt people: Violence amongst individuals with comorbid substance use disorder and post traumatic stress disorder. Addictive Behavior, 36, 721-728. doi: S0306-4603(11)00076-1
2. Beckham, J. C., Feldman, M. E., & Kirby, A. C. 1998. Atrocities exposure in Vietnam combat veterans with chronic posttraumatic stress disorder: Relationship to combat exposure, symptom severity, guilt, and interpersonal violence. Journal of Traumtic Stress, 11, 777-785. doi: 0.1023/A:1024453618638
3. Beckham, J. C., Feldman, M. E., Kirby, A. C., Hertzberg, M. A., & Moore, S. D. 1997. Interpersonal violence and its correlates in Vietnam veterans with chronic posttraumatic stress disorder. Journal of Clinical Psychology, 53, 859-869. doi: 10.1002/(SICI)1097-679(199712)53:8<859::AID-JCLP11>3.0.CO;2-J
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. Begic, D., & Jokic-Begic, N. 2001. Aggressive behavior in combat veterans with post-traumatic stress disorder. Military Medicine, 166, 671-676.
6. Biddle, D., Elliott, P., Creamer, M., Forbes, D., & Devilly, G. J. 2002. Self-reported problems: A comparison between PTSD-diagnosed veterans, their spouses, and clinicians. Behaviour Research and Therapy, 40, 853-865.
7. Blake, D. D., Weathers, F. W., Nagy, L. M., Kaloupek, D. G., Gusman, F. D., Charney, D. S., & Keane, T. M. 1995. The development of a Clinician-Administered PTSD Scale. Journal of Traumatic Stress, 8, 75-90.
8. Bogenschutz, M. P., & Nurnberg, H. G. 2000. Theoretical and methodological issues in psychiatric comorbidity. Harvard Review of Psychiatry, 8, 18-24.
9. Brady, K. T., Killeen, T. K., Brewerton, T., & Lucerini, S. 2000. Comorbidity of psychiatric disorders and posttraumatic stress disorder. Journal of Clinical Psychiatry, 61 (Suppl 7): 22-32.
10. Byrne, C. A., & Riggs, D. S. 1996. The cycle of trauma; relationship aggression in male Vietnam veterans with symptoms of posttraumatic stress disorder. Violence and Victims, 11, 213-225.
11. Calhoun, P. S., Beckham, J. C., Feldman, M. E., Barefoot, J. C., Haney, T., & Boswort, H. B. 2002. Partners' ratings of combat veterans' anger. Journal of Traumatic Stress, 15, 133-136. doi: 10.1023/A:1014808008142
12. Chemtob, C. M., Novaco, R. W., Hamada, R. S., & Gross, D. M. 1997. Cognitive-behavioral treatment for severe anger in posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 65, 184-189.
13. Coyne, J. C., Fechner-Bates, S., & Schwenk, T. L. 1994. Prevalence, nature, and comorbidity of depressive disorders in primary care. General Hospital Psychiatry, 16, 267-276.
14. Crawford, E. F., Calhoun, P. S., Braxton, L. E., & Beckham, J. C. 2007. Validity of the Personality Assessment Inventory Aggression scales and Violence Potential index in veterans with PTSD. Journal of Personlity Assessment, 88, 90-98. doi: 10.1080/00223890709336839
15. Curran, P. J., West, S. G., & Finch, J. F. 1996. The robustness of test statistics to nonnormality and specification error in confirmatory factor analysis. Psychological Methods, 1, 16-29.
16. Dutra, L., de Blank, G., Scheiderer, E., & Taft, C. 2012. Correlates of female veterans' perpetration of relationship aggression. Psychological Trauma: Theory, Research, Practice, and Policy, 4, 323-329. doi: 10.1037/a0026849
17. Elbogen, E. B., Fuller, S., Johnson, S. C., Brooks, S., Kinneer, P., Calhoun, P. S., & Beckham, J. C. 2010. Improving risk assessment of violence among military veterans: An evidence-based approach for clinical decision-making. Clinical Psychology Review, 30, 595-607. doi: S0272-7358(10)00049-8
18. Elbogen, E. B., Wagner, H. R., Fuller, S. R., Calhoun, P. S., Kinneer, P. M., & Beckham, J. C. 2010. Correlates of anger and hostility in Iraq and Afghanistan war veterans. American Journal of Psychiatry, 167, 1051-1058. doi: appi.ajp.2010.09050739
19. Foa, E. B., Riggs, D. S., Massie, E. D., & Yarczower, M. 1995. The impact of fear activation and anger on the efficacy of exposure treatment for posttraumatic stress disorder. Behavior Therapy, 26, 487-499.
20. Foa, E. B., Steketee, G. S., & Rothbaum, B. 1989. Behavioral/cognitive conceptualizations of posttraumatic stress disorder. Behavior Therapy, 20, 155-176.
21. Forbes, D., & Bryant, R. A. 2013. When the violence of war comes home. Lancet, 381, 883-884. doi: 10.1016/S0140-6736(13)60635-2S0140-6736(13)60635-2
22. Forbes, D., Creamer, M., Allen, N., Elliott, P., McHugh, T., Debenham, P., & Hopwood, M. 2003. MMPI-2 based subgroups of veterans with combat-related PTSD: Differential patterns of symptom change after treatment. Journal of Nervous and Mental Disease, 191, 531-537. doi: 10.1097/01.nmd.0000082181.79051.83
23. Forbes, D., Creamer, M., Hawthorne, G., Allen, N., & McHugh, T. 2003. Comorbidity as a predictor of symptom change after treatment in combat-related posttraumatic stress disorder. Journal of Nervous and Mental Diseases, 191, 93-99. doi: 10.1097/01.NMD.0000051903.60517.98
24. Forbes, D., Elhai, J. D., Miller, M. W., & Creamer, M. 2010. Internalizing and externalizing classes in posttraumatic stress disorder: A latent class analysis. Journal of Traumatic Stress, 23, 340-349. doi: 10.1002/jts.20526
25. Freeman, T. W., & Roca, V. 2001. Gun use, attitudes toward violence, and aggression among combat veterans with chronic posttraumatic stress disorder. Journal of Nervous and Mental Disease, 189, 317-320.
26. Hartl, T. L., Rosen, C., Drescher, K., Lee, T. T., & Gusman, F. 2005. Predicting high-risk behaviors in veterans with posttraumatic stress disorder. Journal of Nervous and Mental Disease, 193, 464-472. doi: 00005053-200507000-00006
27. Hellmuth, J. C., Stappenbeck, C. A., Hoerster, K. D., & Jakupcak, M. 2012. Modeling PTSD symptom clusters, alcohol misuse, anger, and depression as they relate to aggression and suicidality in returning U.S. veterans. Journal of Traumatic Stress, 25, 527-534. doi: 10.1002/jts.21732
28. Hoge, C. W., Castro, C. A., Messer, S. C., McGurk, D., Cotting, D. I., & Koffman, R. L. 2004. Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. New England Journal of Medicine, 351, 13-22. doi: 10.1056/NEJMoa040603351/1/13
29. Hollingshead, A. B. 1975. Four factor index of social status. New Haven, CT: Yale University.
30. Hopwood, C. J., & Moser, J. S. 2011. Personality assessment inventory internalizing and externalizing structure in college students: Invariance across sex and ethnicity. Personality and Individual Differences, 50, 116-119.
31. Horn, J. L. 1965. A rationale and test for the number of factors in factor analysis. Psychometrika, 30, 179-185.
32. Hoyle, R. H. (Ed.). 1995. Structural equation modeling: Concepts, issues, and applications. Thousand Oaks, CA: Sage Publications, Inc.
33. Hu, L. T., & Bentler, P. M. 1999. Cut-off criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6, 1-55.
34. Hunsley, J., & Meyer, G. J. 2003. The incremental validity of psychological testing and assessment: Conceptual, methodological, and statistical issues. Psychological Assessment, 15, 446-455. doi: 10.1037/1040-3590.15.4.4462003-10462-002
35. Jacobsen, L. K., Southwick, S. M., & Kosten, T. R. 2001. Substance use disorders in patients with posttraumatic stress disorder: A review of the literature. American Journal of Psychiatry, 158, 1184-1190.
36. Jakupcak, M., Conybeare, D., Phelps, L., Hunt, S., Holmes, H. A., Felker, B., ... McFall, M. E. 2007. Anger, hostility, and aggression among Iraq and Afghanistan War veterans reporting PTSD and subthreshold PTSD. Journal of Traumatic tress, 20, 945-954. doi: 10.1002/jts.20258
37. Jordan, B. K., Marmar, C. R., Fairbank, J. A., Schlenger, W. E., Kulka, R. A., Hough, R. L., & Weiss, D. S. 1992. Problems in families of male Vietnam veterans with posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 60, 916-926.
38. Kabakoff, R. I. 2003. Determining the dimensionality of data: A SAS macro for parallel analysis. Paper presented at the 28th Annual SAS Users Group International Conference, Seattle, Washington.
39. Keane, T. M., Wolfe, J., & Taylor, K. L. 1987. Posttraumatic stress disorder: Evidence for diagnostic validity and methods of psychological assessment. Journal of Clinical Psychology, 43, 32-43.
40. Keane, T. M., Fairbank, J. A., Caddell, J. M., Zimering, R. T., Taylor, K. L., & Mora, C. A. 1989. Clinical evaluation of a meaure to assess combat exposure. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 1, 53-55.
41. 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.
42. Kirby, A. C., Beckham, J. C., Calhoun, P. S., Roberts, S. T., Taft, C. T., Elbogen, E. B., & Dennis, M. F. 2012. An examination of general aggression and intimate partner violence in women with posttraumatic stress disorder. Violence and Victims, 27, 777-792.
43. Krueger, R. F. 1999. The structure of common mental disorders. Archives of General Psychiatry, 56, 921-926.
44. Krueger, R. F., Caspi, A., & Moffitt, T. E. 2000. Epidemiological personology: The unifying role of personality in population-based research on problem behaviors. Journal of Personality, 68, 967-998.
45. Krueger, R. F., Caspi, A., Moffitt, T. E., & Silva, P. A. 1998. The structure and stability of common mental disorders (DSM-III-R): A longitudinal-epidemiological study. Journal of Abnormal Psychology, 107, 216-227.
46. Krueger, R. F., & Markon, K. E. (2006a). Reinterpreting comorbidity: A model-based approach to understanding and classifying psychopathology. Annual Review of Clinical Psychology, 2, 111-133. doi: 10.1146/annurev.clinpsy.2.022305.095213
47. Krueger, R. F., & Markon, K. E. (2006b). Understanding psychopathology: Melding behavior genetics, personality, and quantitative psychology to develop an empirically based model. Current Directions in Psychol ogical Science, 15, 113-117.
48. Krueger, R. F., Markon, K. E., Patrick, C. J., & Iacono, W. G. 2005. Externalizing psychopathology in adulthood: A dimensional-spectrum conceptualization and its implications for DSM-V. Journal of Abnormal Psychology, 114, 537-550. doi: 2005-15138-005
49. Kulka, R., Schlenger, W., Fairbank, J., Hough, R., Jordan, B., Marmar, C. R., & Weiss, D. S. 1990. Trauma and the Vietnam War generation: Report of findings from the National Vietnam Veterans Readjustment Study. New York: Routledge.
50. Liau, A., Tan, T. K., & Khoo, A. 2011. Scale measurement: Comparing factor analysis and variable clustering. Paper presented at the SAS Global Forum, Las Vegas, NV.
51. MacCallum, R. C., Browne, M. W., & Sugawara, H. M. 1996. Power analysis and determination of sample size for covariance structural modeling. Psychological Methods, 1, 130-149.
52. Macmanus, D., Dean, K., Jones, M., Rona, R. J., Greenberg, N., Hull, L., ... Fear, N. T. 2013. Violent offending by UK military personnel deployed to Iraq and Afghanistan: A data linkage cohort study. Lancet, 381, 907-917. doi: 10.1016/S0140-6736(13)60354-2S0140-6736(13)60354-2
53. Markon, K. E. 2010. Modeling psychopathology structure: A symptom-level analysis of Axis I and II disorders. Psychological Medicine, 40, 273-288. doi: 10.1017/S0033291709990183
54. Markon, K. E., Krueger, R. F., Bouchard, T. J., Jr., & Gottesman, I. I. 2002. Normal and abnormal personality traits: Evidence for genetic and environmental relationships in the Minnesota Study of Twins Reared Apart. Journal of Personality, 70, 661-693.
55. McFall, M., Fontana, A., Raskind, M., & Rosenheck, R. 1999. Analysis of violent behavior in Vietnam combat veteran psychiatric inpatients with posttraumatic stress disorder. Journal of Traumatic Stress, 12, 501-517. doi: 10.1023/A:1024771121189
56. Meng, X., Rosenthal, R., & Rubin, D. B. 1992. Comparing correlated correlation coefficients. Psychological Bulletin, 111, 172-175.
57. Miller, M. W. 2003. Personality and the etiology and expression of PTSD: A three-factor model perspective. Clinical Psychology: Science and Practice, 10(N4), 373-393.
58. Miller, M. W., Fogler, J. M., Wolf, E. J., Kaloupek, D. G., & Keane, T. M. 2008. The internalizing and externalizing structure of psychiatric comorbidity in combat veterans. Journal of Traumatic Stress, 21, 58-65. doi: 10.1002/jts.20303
59. Miller, M. W., Greif, J. L., & Smith, A. A. 2003. Multidimensional Personality Questionnaire profiles of veterans with traumatic combat exposure: Externalizing and internalizing subtypes. Psychological Assessment, 15, 205-215.
60. Miller, M. W., Kaloupek, D. G., Dillon, A. L., & Keane, T. M. 2004. Externalizing and internalizing subtypes of combat-related PTSD: A replication and extension using the PSY-5 scales. Journal of Abnormal Psychology, 113, 636-645. doi: 2004-20178-014
61. Miller, M. W., & Resick, P. A. 2007. Internalizing and externalizing subtypes in female sexual assault survivors: Implications for the understanding of complex PTSD. Behavior Therapy, 38, 58-71. doi: S0005-7894(06)00069-4
62. Miller, M. W., Wolf, E. J., Reardon, A., Greene, A., Ofrat, S., & McInerney, S. 2012. Personality and the latent structure of PTSD comorbidity. Journal of Anxiety Disorders, 26, 599-607. doi: 10.1016/j.janxdis.2012.02.016S0887-6185(12)00046-1
63. Morey, L. C. 1991. The Personality Assessment Inventory professional manual. Odessa, FL: Psychological Assessment Resources.
64. Morey, L. C. 1996. An interpretive guide to the Personality Assessment Inventory. Odessa, FL: Psychological Assessment Resources.
65. Najt, P., Fusar-Poli, P., & Brambilla, P. 2011. Co-occurring mental and substance abuse disorders: A review on the potential predictors and clinical outcomes. Psychiatry Research, 186, 159-164. doi: 10.1016/j.psychres.2010.07.042S0165-1781(10)00474-9
66. Orcutt, H. K., King, L. A., & King, D. W. 2003. Male-perpetrated violence among Vietnam veteran couples: Relationships with veteran's early life characteristics, trauma history, and PTSD symptomatology. Journal of Traumatic Stress, 16, 381-390. doi: 10.1023/A:1024470103325
67. Pasta, D. J., & Suhr, D. 2004. Paper 205-29 Creating scales from questionnaires: PROC VARCLUS vs. factor analysis. Paper presented at the Proceedings of the Twenty-Ninth Annual SAS Users Group International Conference, Cary, NC.
68. Piotrowski, C. 2000. How popular is the Personality Assessment Inventory in practice and training? Psychological Reports, 86, 65-66.
69. Resick, P. A., Galovski, T. E., O'Brien Uhlmansiek, M., Scher, C. D., Clum, G. A., & Young-Xu, Y. 2008. A randomized clinical trial to dismantle components of cognitive processing therapy for posttraumatic stress disorder in female victims of interpersonal violence. Journal of Consulting and Clinical Psychology, 76, 243-258. doi: 2008-03290-007
70. Rizvi, S. L., Vogt, D. S., & Resick, P. A. 2009. Cognitive and affective predictors of treatment outcome in Cognitive Processing Therapy and Prolonged Exposure for posttraumatic stress disorder. Behaviour Research and Therapy, 47, 737-743. doi: 10.1016/j.brat.2009.06.003S0005-7967(09)00137-5
71. Rogers, R., Sewell, K. W., Morey, L. C., & Ustad, K. L. 1996. Detection of feigned mental disorders on the personality assessment inventory: A discriminant analysis. Journal of Personality Assessment, 67, 629-640. doi: 10.1207/s15327752jpa6703_15
72. Ruiz, M. A., & Edens, J. F. 2008. Recovery and replication of internalizing and externalizing dimensions within the personality assessment inventory. Journal of Personality Assessment, 90, 585-592. doi: 10.1080/00223890802388574904261576
73. Savarese, V. W., Suvak, M. K., King, L. A., & King, D. W. 2001. Relationships among alcohol use, hyperarousal, and marital abuse and violence in Vietnam veterans. Journal of Traumatic Stress, 14(4), 717-732. doi: 10.1023/A:1013038021175
74. Shay, J. 1994. Achilles in Vietnam: Combat trauma and the undoing of character. New York: Simon and Schuster.
75. Straus, M. 1979. Measuring intrafamily conflict and violence: The Conflict Tactics Scales. Journal of Marriage and the Family, 41, 75-88.
76. Sullivan, C. P., & Elbogen, E. B. 2014. PTSD symptoms and family versus stranger violence in Iraq and Afghanistan veterans. Law and Human Behavior, 38, 1-9. doi: 2013-15101-001
77. Taft, C., Kaloupek, D., Schumm, J., Marshall, A., Panuzio, J., King, D., & Keane, T. 2007. Posttraumatic stress disorder symptoms, physiological reactivity, alcohol problems, and aggression among military veterans. Journal of Abnormal Psychology, 116, 498-507. doi: 2007-11737-007
78. Taft, C., Street, A. E., Marshall, A. D., Dowdall, D. J., & Riggs, D. S. 2007. Posttraumatic stress disorder, anger, and partner abuse among Vietnam combat veterans. Journal of Family Psychology, 21, 270-277. doi: 2007-09250-014
79. Taft, C., Vogt, D. S., Marshall, A. D., Panuzio, J., & Niles, B. L. 2007. Aggression among combat veterans: Relationships with combat exposure and symptoms of posttraumatic stress disorder, dysphoria, and anxiety. Journal of Traumatic Stress, 20, 135-145. doi: 10.1002/jts.20197
80. Taft, C., Watkins, L. E., Stafford, J., Street, A. E., & Monson, C. M. 2011. Posttraumatic stress disorder and intimate relationship problems: A meta-analysis. Journal of Consulting and Clinincal Psychology, 79(1), 22-33. doi: 2011-01388-003
81. Tuchman, B. 1987. A distant mirror: The calamitous 14th century. New York: Random House Publishing Group.
82. Turner, S. M., Beidel, D. C., & Frueh, B. C. 2005. Multicomponent behavioral treatment for chronic combat-related posttraumatic stress disorder: Trauma management therapy. Behavior Modification, 29, 39-69. doi: 10.1016/j.janxdis.2010.09.006
83. Weathers, F. W., Keane, T. M., & Davidson, J. R. 2001. Clinician-administered PTSD scale: A review of the first ten years of research. Depression and Anxiety, 13, 132-156. doi: 10.1002/da.1029
84. Wright, K. M., Foran, H. M., Wood, M. D., Eckford, R. D., & McGurk, D. 2012. Alcohol problems, aggression, and other externalizing behaviors after return from deployment: Understanding the role of combat exposure, internalizing symptoms, and social environment. Journal of Clinical Psychology, 68, 782-800. doi: 10.1002/jclp.21864