Modeling physical health and functional health status: The role of combat exposure, posttraumatic stress disorder, and personal resource attributes

Journal of Traumatic Stress - Tập 12 Số 1 - Trang 3-23 - 1999
Casey T. Taft1, Amy S. Stern1, Lynda A. King1, Daniel W. King2
1Women's Health Sciences Division, National Center for PTSD, Boston Department of Veterans Affairs Medical Center, Boston, Massachusetts 02130
2Behavioral Sciences Division, National Center for PTSD, Boston Department of Veterans Affairs Medical Center, Boston, Massachusetts 02130

Tóm tắt

AbstractThis study examined associations of combat exposure and posttraumatic stress disorder (PTSD) with physical health conditions and also incorporated hardiness and social support as mediators and functional health status as an outcome. Data were derived from 1,632 male and female Vietnam veterans who participated in the National Vietnam Veterans Readjustment Study. Path analysis revealed that hardiness and social support operated primarily as intermediary variables between combat exposure and PTSD, and PTSD emerged as the pivotal variable explaining physical health conditions and functional health status. Gender‐based differences in means and patterns of associations among variables were found. The results stress the importance of assessing trauma in clinical settings as a meaningful determinant of health outcomes.

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