Risk and Protective Factors for Difficulty Controlling Violent Behavior in National Guard and Reserve Service Members

Abstract

Violent behavior is an important problem for military service members and veterans. A representative cohort of U.S. Reserve and National Guard personnel ( N = 1,293) were interviewed to assess self-reported problems controlling violent behavior, deployment traumas, posttraumatic stress disorder (PTSD), alcohol abuse, and social support. Poisson regression models were used to estimate the associations of violent behavior with risk and protective factors. Problems controlling violent behavior were uncommon among male (3.3%) and female (1.7%) service members. Adjusted prevalence ratios (aPR) showed associations between violent behavior and deployment traumas (aPR = 1.67, 95% confidence interval [CI] = [1.34, 2.08]), PTSD (aPR = 9.95, 95% CI = [5.09, 19.48]), and PTSD symptom severity (aPR for each additional PTSD symptom = 1.07, 95% CI = [1.06, 1.09]). Social support was associated with lower prevalence of violent behavior (aPR = 0.62, 95% CI = [0.52, 0.76]). The association between violent behavior and alcohol abuse was not statistically significant (aPR = 1.94, 95% CI = [0.92, 4.09]). Results were consistent when the population was restricted to personnel who had deployed to a war zone. Problems controlling violent behavior were less common in this cohort than has been documented in other studies. Associations of violent behavior with risk and protective factors are consistent with prior research.

Document Details

Document Type
Pub Defense Publication
Publication Date
Nov 08, 2017
Source ID
10.1177/0886260517737552

Entities

People

  • Carol Fullerton
  • Gregory Cohen
  • Jennifer Ahern
  • Laura Sampson
  • Miranda Worthen
  • Robert Ursano
  • Robert Gifford
  • Sandro Galea
  • Sujit D. Rathod

Organizations

  • Boston University
  • Columbia University
  • London School of Hygiene & Tropical Medicine
  • National Institute of Mental Health
  • San José State University
  • Uniformed Services University of the Health Sciences
  • United States Army Medical Research and Development Command
  • University of California, Berkeley

Tags

Fields of Study

  • Psychology

Readers

  • Psychological Intervention/Treatment for Stress, Anxiety, PTSD, and Related Emotional and Cognitive Health Symptoms.
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