A systematic review of the psychosocial impact of emotional numbing in US combat veterans
| Autor: | Donna L. Schuman, John C. Bricout, H. Leona Peterson, Sheila Barnhart |
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| Rok vydání: | 2018 |
| Předmět: |
050103 clinical psychology
05 social sciences Human factors and ergonomics Poison control Context (language use) Mental health Occupational safety and health 030227 psychiatry 03 medical and health sciences Clinical Psychology 0302 clinical medicine Quality of life (healthcare) Arts and Humanities (miscellaneous) Injury prevention 0501 psychology and cognitive sciences Psychology Psychosocial Clinical psychology |
| Zdroj: | Journal of Clinical Psychology. 75:644-663 |
| ISSN: | 0021-9762 |
| DOI: | 10.1002/jclp.22732 |
| Popis: | CONTEXT Previous studies have linked posttraumatic emotional numbing symptoms in US combat veterans with an adverse impact in multiple important life domains. OBJECTIVES We updated and evaluated the evidence examining the psychosocial impact of combat-related emotional numbing, including ethnoracial and gender differences. METHOD We reviewed 1,209 articles published betwen January 2012 and 2018 and selected 24 studies for inclusion. We assessed the overall study quality as fair using a national quality assessment tool. RESULTS Studies found emotional numbing to wield adverse effects in the areas of symptom nonimprovement, mental health difficulties, increased service utilization, poor relationship functioning, reduced quality of life, substance use disorders, suicidality, and aggression/violence. We also found evidence of ethnoracial and gender differences in veterans' posttraumatic stress disorder-related emotional numbing symptoms. CONCLUSION Clinicians should incorporate findings on emotional numbing into assessment, treatment planning, and monitoring, to improve treatment retention and psychosocial outcomes. Implications for ethnoracial and gender differences require further exploration. |
| Databáze: | OpenAIRE |
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