Impact of Coping Style and PTSD on Family Functioning After Deployment in Operation Desert Shield/Storm Returnees

Journal of Traumatic Stress - Tập 26 Số 4 - Trang 507-511 - 2013
Suzannah K. Creech1,2,3, Justin K. Benzer4,5, Brittany K. Liebsack1, Susan P. Proctor6,7,8, Casey T. Taft1,9
1Behavioral Sciences Division, National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts, USA
2Department of Psychiatry, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA
3Vulnerable Veteran Populations Research group Providence VA Medical Center Providence Rhode Island USA
4Center for Organization, Leadership and Management Research; VA Boston Healthcare System; Boston Massachusetts USA
5Department of Health Policy and Management, Boston University, Boston, Massachusetts, USA
6Department of Environmental Health Boston University School of Public Health Boston Massachusetts USA
7Military Performance Division, US Army Research Institute of Environmental Medicine, Natick, Massachusetts, USA
8Research Service; VA Boston Healthcare System; Boston Massachusetts USA
9Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts, USA

Tóm tắt

The relationship between military combat and postdeployment family functioning difficulties has been frequently investigated in the literature, as has the relationship between types of coping and posttraumatic stress disorder (PTSD). Few studies, however, have examined these variables together, and no studies of which we are aware have examined the effect of coping on family functioning after combat exposure. This study examined coping style measured immediately after return from deployment, and PTSD symptoms and family functioning 18–24 months after return from deployment in a sample of Operation Desert Shield/Storm veterans (N = 2,949). Structural equation models suggested that the relationships between distinct coping styles on family functioning were differentially mediated by postdeployment PTSD symptoms. Results are consistent with full mediation for avoidant coping (βdirect = −.09, p = .07; βindirect = −.17, p < .001) and partial mediation for approach coping (βdirect = .16, p < .001; βindirect = .09, p < .001). Results suggest that the strategies used to cope with a combat stress event may impact both PTSD and family functioning outcomes, and highlight the potential utility of pre‐ and postdeployment coping skills training.

Từ khóa


Tài liệu tham khảo

American Psychiatric Association, 1980, Diagnostic and statistical manual of mental disorders

10.1037/0021‐843X.109.2.205

10.1177/1074840707312237

10.1037/0021‐9010.70.4.662

10.1111/j.1545-5300.1990.00095.x

10.1037/a0024007

10.1037/a0015877

Gallops M., 1981, Legacies of Vietnam: Comparative adjustments of veterans and their peers

10.1037/a0020571

10.1111/1467‐9450.00285

10.1037/0022‐006X.56.1.85

10.1146/annurev.psych.58.110405.085542

Moos R., 1990, Coping Responses Inventory manual

Muthén L. K., 2007, Mplus user's guide

10.1111/j.1752-0606.2005.tb01552.x

Olson D. H., 1982, FACES II: Family adaptability and cohesion evaluation scales

10.1037/0022‐3514.77.2.360

10.1016/j.janxdis.2004.09.006

10.1037/0278‐6133.4.3.249

10.1037/a0012576

10.1111/j.1741‐3729.2002.00130.x

10.1037/0022-006X.67.4.520