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Intimate partner violence (IPV) is a prevalent issue among veteran populations. Strength at Home (SAH) is a 12-week cognitive behavioral and trauma-informed group intervention shown to reduce IPV among veterans via a randomized controlled trial and several implementation and pilot studies. The program is currently being implemented nationally in the Department of Veterans Affairs, with initial data showing that clients evidence significant reductions in physical and psychological IPV, post-traumatic stress disorder (PTSD) symptoms, and alcohol misuse. The present study explored the subjective experience of veterans who participated in SAH during this rollout. Following their final group session, participants completed a treatment satisfaction survey. A qualitative thematic analysis of 291 surveys was conducted to evaluate (a) if SAH led participants to pursue other intervention; (b) what participants perceived as most beneficial about the program; (c) what participants perceived as least beneficial about the program; and (d) the ways in which SAH impacted their lives. These evaluations shed light on which aspects of the program may be most and least impactful, which may be utilized to modify and enhance the SAH program to best address the needs of individuals using and experiencing IPV.

Objectives US military veterans face many challenges in transitioning to civilian life; little information is available regarding veterans' reintegration experiences over time. The current study characterized veterans' postdeployment stressful life events and concurrent psychosocial wellbeing over one year and determined how stressors and wellbeing differ by demographic factors. Methods Recent Post-911 veterans (n = 402) were assessed approximately every three months for 1 year. Participants were 60% men, primarily White (78%), and 12% Latinx; the average age was 36 years. Results The frequency of stressful events decreased over time but was higher for men and minority-race veterans (independent of time since separation). Veterans reported high mean levels of posttraumatic stress disorder, anxiety, and insomnia symptoms, which improved slightly over time. Minority-race and Latinx veterans had higher symptom levels and slower rates of symptom reduction. Conclusion Veterans remain distressed in their overall transition to civilian life. Interventions to promote resilience and help veterans manage readjustment to civilian life appear urgently needed.

Interpersonal depression theories posit that excessive submissiveness in social interactions perpetuates negative mood. Correspondingly, many psychotherapies postulate that improvement can be facilitated by patient-therapist interactions. However, few studies have tested in-session patient and therapist behaviors that should, in theory, associate with depression reduction. Addressing this gap, the present study examined such associations in interpersonal psychotherapy (IPT). We hypothesized that decreases in patients´ submissive interpersonal impacts on their therapist would be associated with greater depression reduction, as would increases in therapists´ friendly submissive impacts on their patient; theoretically, such therapist behavior would pull for patients to complement it with adaptive assertiveness, thereby disrupting their submissive tendencies. Data derived from an open trial of 16 IPT sessions for adults with major depression. Patients (N = 119) and therapists (N = 39) rated the others´ interpersonal impacts at Sessions 3 and 16 via the Impact Message Inventory. Patients rated their depression on the Beck Depression Inventory-Second Edition after each session. As predicted, multilevel modeling revealed that decreases in patients´ submissive impacts were associated with greater concurrent depression reduction (p = .03) and lower posttreatment depression level (p = .03). Also, although therapists did not differ in their change in friendly submissive impacts, thus precluding a test of the influence of such change on outcome, a greater average level of therapist friendly submissiveness related to lower posttreatment depression (p = .008). Results support interpersonal depression theories and the therapeutic benefit of specific patient and therapist change processes in IPT. Fil: Coyne, Alice E.. University of Massachusetts Amherst; Estados Unidos Fil: Constantino, Michael J.. University of Massachusetts Amherst; Estados Unidos Fil: Gómez Penedo, Juan Martín. Universidad de Buenos Aires; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina Fil: Gnall, Katherine E.. University of Massachusetts Amherst; Estados Unidos Fil: Ravitz, Paula. University of Toronto; Canadá Fil: McBride, Carolina. University of Toronto; Canadá