Factors Associated With High Functioning Despite Distress in Post-9/11 Veterans

被引:7
作者
McCaslin, Shannon E. [1 ,2 ]
Cloitre, Marylene [1 ,2 ]
Neylan, Thomas C. [3 ,4 ]
Garvert, Donn W. [1 ,5 ]
Herbst, Ellen [3 ,4 ]
Marmar, Charles [6 ,7 ]
机构
[1] Natl Ctr PTSD, Disseminat & Training Div, 795 Willow Rd NC PTSD 334, Menlo Pk, CA 94025 USA
[2] Stanford Univ, Dept Psychiat & Behav Sci, Sch Med, Stanford, CA 94305 USA
[3] San Francisco VA Med Ctr, San Francisco, CA USA
[4] Univ Calif San Francisco, Dept Psychiat, Sch Med, San Francisco, CA 94143 USA
[5] Stanford Univ, Div Infect Dis & Geog Med, Sch Med, Stanford, CA 94305 USA
[6] Steven & Alexandra Cohen Vet Ctr Study Posttrauma, New York, NY USA
[7] NYU, Sch Med, New York, NY 10003 USA
关键词
functioning; posttraumatic stress disorder; resilience; veterans; POSTTRAUMATIC-STRESS-DISORDER; RESILIENCE; INVENTORY; PTSD; LIFE;
D O I
10.1037/rep0000271
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objective: This study aimed to identify modifiable factors associated with perceived functioning among veterans with high symptoms of posttraumatic stress disorder (PTSD). Method: Two hundred fifty-one post-9/11 veterans completed a survey of psychosocial symptoms and functioning; a subset participated in a follow-up survey (n = 109). Latent profile analysis (LPA) at baseline identified groups that differed by level of functioning (high/low). Items utilized in the LPA analysis were derived from the World health Organization Quality of Life-Bref self-report measure. Veterans with high PTSD symptoms in both groups were compared and logistic regression was utilized to predict group membership. Results: Veterans with high functioning/high symptoms (n = 45) had significantly lower alcohol use and sleep problems. and higher postdeployment social support, posttraumatic growth, and optimism than veterans with low functioning/high symptoms (n = 100). Fewer sleep difficulties and higher postdeployment social support and optimism were associated with membership in the high functioning/high symptom group. Conclusions: These findings support the importance of identifying factors that can facilitate higher social, occupational, and general functional capacity for those with high levels of PTSD symptomatology.
引用
收藏
页码:377 / 382
页数:6
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