Associations Among Meaning in Life, Coping, and Distress in Trauma-Exposed US Military Veterans

被引:3
作者
Morse, Jessica L. [1 ,2 ]
Wooldridge, Jennalee S. [1 ,2 ,3 ]
Afari, Niloofar [1 ,2 ,3 ]
Angkaw, Abigail C. [1 ,2 ,3 ,4 ]
Schnurr, Paula P. [4 ,5 ]
Lang, Ariel J. [2 ,3 ]
Capone, Christy [6 ,7 ]
Norman, Sonya B. [1 ,2 ,3 ,4 ]
机构
[1] VA San Diego Healthcare Syst, San Diego, CA USA
[2] Univ Calif San Diego, Dept Psychiat, San Diego, CA USA
[3] VA Ctr Excellence Stress & Mental Hlth, San Diego, CA USA
[4] VA Med Ctr, Natl Ctr PTSD, White River Jct, VT USA
[5] Geisel Sch Med Dartmouth, Dept Psychiat, Hanover, NH USA
[6] Providence VA Med Ctr, Providence, RI USA
[7] Brown Univ, Warren Alpert Sch Med, Ctr Alcohol & Addict Studies, Dept Psychiat & Human Behav, Providence, RI USA
关键词
meaning in life; coping; trauma; anxiety; military service; POSTTRAUMATIC-STRESS-DISORDER; MORAL INJURY; GUILT; DEPRESSION; SEVERITY; SYMPTOMS; HEALTH;
D O I
10.1037/ser0000755
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Experiencing meaning in life may be particularly relevant following traumatic experiences as individuals who report meaning post trauma report less psychological distress. Engaging in avoidant coping, however, may be a sign of underlying psychological distress in the aftermath of traumatic experiences. We sought to examine associations among meaning in life, avoidant coping, and psychological distress in a sample of trauma-exposed veterans. Secondary cross-sectional analyses were conducted on data from veterans exposed to a traumatic event(s) who experienced clinically meaningful guilt (N = 145). Questionnaires on meaning in life, avoidant coping, and psychological distress were administered, and structural equation modeling was used to test direct effects. Path analysis revealed that greater meaning was associated with lower depression, anxiety, and posttraumatic stress symptomatology, while higher avoidant coping was associated with greater depression, anxiety, posttraumatic stress, and somatization symptomatology. Participants who report more meaning in life and report lower avoidant coping post trauma may experience less psychological distress. If replicated longitudinally, results could suggest cultivating meaning in life and reducing avoidant coping may decrease psychological distress.
引用
收藏
页码:247 / 253
页数:7
相关论文
共 45 条
[1]  
[Anonymous], 1990, Sociological Methodology, DOI DOI 10.2307/271084
[2]   The Effect of Self Efficacy and Meaning in Life on Posttraumatic Stress Disorder and Depression Severity Among Veterans [J].
Blackburn, Laura ;
Owens, Gina P. .
JOURNAL OF CLINICAL PSYCHOLOGY, 2015, 71 (03) :219-228
[3]   Psychometric Properties of the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (PCL-5) in Veterans [J].
Bovin, Michelle J. ;
Marx, Brian P. ;
Weathers, Frank W. ;
Gallagher, Matthew W. ;
Rodriguez, Paola ;
Schnurr, Paula P. ;
Keane, Terence M. .
PSYCHOLOGICAL ASSESSMENT, 2016, 28 (11) :1379-1391
[4]   Trauma Informed Guilt Reduction (TrIGR) therapy for guilt, shame, and moral injury resulting from trauma: Rationale, design, and methodology of a two-site randomized controlled trial [J].
Capone, Christy ;
Norman, Sonya B. ;
Haller, Moira ;
Davis, Brittany ;
Shea, M. Tracie ;
Browne, Kendall ;
Lang, Ariel J. ;
Schnurr, Paula P. ;
Golshan, Shahrokh ;
Afari, Niloofar ;
Pittman, James ;
Allard, Carolyn B. ;
Westendorf, Laura .
CONTEMPORARY CLINICAL TRIALS, 2021, 101
[5]   You want to measure coping but your protocol's too long: Consider the brief COPE [J].
Carver, CS .
INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE, 1997, 4 (01) :92-100
[6]   Moral Injury, Meaning Making, and Mental Health in Returning Veterans [J].
Currier, Joseph M. ;
Holland, Jason M. ;
Malott, Jesse .
JOURNAL OF CLINICAL PSYCHOLOGY, 2015, 71 (03) :229-240
[7]  
Derogatis L. R., 2004, The use of psychological testing for treatment planning and outcomes assessment: Instruments for adults, P1, DOI DOI 10.4324/9781410610614
[8]   THE BRIEF SYMPTOM INVENTORY - AN INTRODUCTORY REPORT [J].
DEROGATIS, LR ;
MELISARATOS, N .
PSYCHOLOGICAL MEDICINE, 1983, 13 (03) :595-605
[9]   The relationship between meaning in life and post-traumatic stress symptoms in US military personnel: A meta-analysis [J].
Fischer, Ian C. ;
Shanahan, Mackenzie L. ;
Hirsh, Adam T. ;
Stewart, Jesse C. ;
Rand, Kevin L. .
JOURNAL OF AFFECTIVE DISORDERS, 2020, 277 :658-670
[10]   A Review of Research on Moral Injury in Combat Veterans [J].
Frankfurt, Sheila ;
Frazier, Patricia .
MILITARY PSYCHOLOGY, 2016, 28 (05) :318-330