Lifetime trauma exposure among those with combat-related PTSD: Psychiatric risk among U.S. military personnel
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Reger,_Bourasssa,_Smolenski,_B ...
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Final Accepted Manuscript
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ELSEVIER IRELAND LTDCitation
Reger, G. M., Bourassa, K. J., Smolenski, D., Buck, B., & Norr, A. M. (2019). Lifetime trauma exposure among those with combat-related PTSD: Psychiatric risk among US military personnel. Psychiatry research, 278, 309-314.Journal
PSYCHIATRY RESEARCHRights
Published by Elsevier B.V.Collection Information
This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.Abstract
Research has described the association between lifetime trauma exposure and psychiatric symptoms among various cohorts, but little is known about the effect of lifetime trauma histories on the symptom expression of active-duty military personnel diagnosed with combat-related posttraumatic stress disorder (PTSD). Active-duty soldiers (N = 162) were diagnosed with PTSD from deployments to Iraq or Afghanistan using the Clinician Administered PTSD Scale. Soldiers then completed self-report measures of depression, anxiety, and PTSD. Lifetime exposure to categories of trauma types and the intensity of exposure was reported on the Life Events Checklist. The number of categories of trauma that happened to them significantly predicted the severity of depression, anxiety, and PTSD symptoms, as well as a positive screen for likely depression diagnosis based on self-reported symptoms. Direct exposure to trauma explained most of the association, as witnessing trauma and hearing about trauma did not explain symptoms beyond events that happened to participants. Interpersonal traumatic events were not associated with psychiatric functioning after controlling for non-interpersonal traumatic events. Assessment of trauma history among post-9/11 service members and veterans should include the frequency and variety of lifetime trauma exposure, given the association with psychiatric functioning.Note
12 month embargo; published online: 21 June 2019ISSN
0165-1781PubMed ID
31255954Version
Final accepted manuscriptSponsors
U.S. Army Medical Research Medical Program and Materiel Command Military Operational Medicine Research Program [W81XWH-08-2-0015]ae974a485f413a2113503eed53cd6c53
10.1016/j.psychres.2019.06.033
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