The Cycle of Violence : Associations Between Exposure to Violence, Trauma-Related Symptoms and Aggression-Findings from Congolese Refugees in Uganda
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War-related trauma exposure has been linked to aggression and enhanced levels of community and family violence, suggesting a cycle of violence. Reactive aggression-an aggressive reaction to a perceived threat-has been associated with posttraumatic stress disorder (PTSD). In contrast, appetitive aggression-a hedonic, intrinsically motivated form of aggression-seems to be negatively related to PTSD in offender and military populations. This study examined the associations between exposure to violence, trauma-related symptoms and aggression in a civilian population. In semistructured interviews, 290 Congolese refugees were questioned about trauma exposure, PTSD symptoms, and aggression. War-related trauma exposure correlated positively with exposure to family and community violence in the past month (r = .31, p < .001), and appetitive (r = .18, p = .002) and reactive aggression (r = .29, p < .001). The relationship between war-related trauma exposure and reactive aggressive behavior was mediated by PTSD symptoms and appetitive aggression. In a multiple sequential regression analysis, trauma exposure (β = .43, p < .001) and reactive aggression (β = .36, p < .001) were positively associated with PTSD symptoms, whereas appetitive aggression was negatively associated (β = -.13, p = .007) with PTSD symptoms. Our findings were congruent with the cycle of violence hypothesis and indicate a differential relation between distinct subtypes of aggression and PTSD.
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HECKER, Tobias, Simon FETZ, Herbert AINAMANI, Thomas ELBERT, 2015. The Cycle of Violence : Associations Between Exposure to Violence, Trauma-Related Symptoms and Aggression-Findings from Congolese Refugees in Uganda. In: Journal of Traumatic Stress. 2015, 28(5), pp. 448-455. ISSN 0894-9867. eISSN 1573-6598. Available under: doi: 10.1002/jts.22046BibTex
@article{Hecker2015Cycle-32816, year={2015}, doi={10.1002/jts.22046}, title={The Cycle of Violence : Associations Between Exposure to Violence, Trauma-Related Symptoms and Aggression-Findings from Congolese Refugees in Uganda}, number={5}, volume={28}, issn={0894-9867}, journal={Journal of Traumatic Stress}, pages={448--455}, author={Hecker, Tobias and Fetz, Simon and Ainamani, Herbert and Elbert, Thomas} }
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