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The Relationship Between Post-Deployment Factors and PTSD Severity in Recent Combat Veterans.
Kyle Possemato1, Shannon McKenzie1, Meghan E McDevitt-Murphy2
1Center for Integrated Healthcare, VA Healthcare Network Upstate New York.
Non-traumatic factors like unemployment and social support significantly impact post-traumatic stress disorder (PTSD) severity in combat veterans. Addressing these issues is crucial for effective PTSD treatment.
Area of Science:
- Psychiatry
- Military Mental Health
- Trauma Studies
Background:
- Combat exposure is a known precursor to post-traumatic stress disorder (PTSD).
- However, non-traumatic factors during and after deployment may also influence PTSD severity.
- Understanding these additional factors is critical for comprehensive veteran care.
Purpose of the Study:
- To identify pre, peri, and post-deployment factors associated with current PTSD severity.
- To investigate the independent predictive power of these factors in combat veterans with PTSD and hazardous alcohol use.
- To inform clinical interventions for PTSD in veterans.
Main Methods:
- Utilized the Deployment Risk and Resilience Inventory.
- Recruited 150 recent combat veterans diagnosed with PTSD and hazardous alcohol use.
- Employed hierarchical linear regression to analyze predictive factors while controlling for covariates.
Main Results:
- Four post-deployment factors independently predicted PTSD severity: unemployment, alcohol use, social support, and stressful non-traumatic life events.
- These factors demonstrated predictive value beyond socio-demographic and combat-specific variables.
- Findings highlight the role of the post-deployment environment in PTSD maintenance.
Conclusions:
- Non-traumatic post-deployment factors significantly contribute to PTSD severity in combat veterans.
- Clinical providers should consider unemployment, alcohol use, social support, and life stressors in PTSD treatment.
- This research underscores the multifaceted nature of PTSD and informs targeted therapeutic strategies.
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