Personality traits and combat exposure as predictors of psychopathology over time
| Autor: | Mark D. Kramer, Melissa A. Polusny, Matthew E. Kaler, Christopher R. Erbes, Paul A. Arbisi, Erin Koffel |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male 050103 clinical psychology Substance-Related Disorders media_common.quotation_subject Combat exposure Article Structural equation modeling Developmental psychology Stress Disorders Post-Traumatic 03 medical and health sciences 0302 clinical medicine Humans Personality 0501 psychology and cognitive sciences Big Five personality traits Iraq War 2003-2011 Applied Psychology media_common Combat Disorders Depressive Disorder 05 social sciences Direct effects Diagnostic classification 030227 psychiatry Psychiatry and Mental health Military Personnel Female National guard Psychology Psychopathology |
| Zdroj: | Psychological Medicine. 46:209-220 |
| ISSN: | 1469-8978 0033-2917 |
| DOI: | 10.1017/s0033291715001798 |
| Popis: | Background.Research suggests that personality traits have both direct and indirect effects on the development of psychological symptoms, with indirect effects mediated by stressful or traumatic events. This study models the direct influence of personality traits on residualized changes in internalizing and externalizing symptoms following a stressful and potentially traumatic deployment, as well as the indirect influence of personality on symptom levels mediated by combat exposure.Method.We utilized structural equation modeling with a longitudinal prospective study of 522 US National Guard soldiers deployed to Iraq. Analyses were based on self-report measures of personality, combat exposure, and internalizing and externalizing symptoms.Results.Both pre-deployment Disconstraint and externalizing symptoms predicted combat exposure, which in turn predicted internalizing and externalizing symptoms. There was a significant indirect effect for pre-deployment externalizing symptoms on post-deployment externalizing via combat exposure (p< 0.01). Negative Emotionality and pre-deployment internalizing symptoms directly predicted post-deployment internalizing symptoms, but both were unrelated to combat exposure. No direct effects of personality on residualized changes in externalizing symptoms were found.Conclusions.Baseline symptom dimensions had significant direct and indirect effects on post-deployment symptoms. Controlling for both pre-exposure personality and symptoms, combat experiences remained positively related to both internalizing and externalizing symptoms. Implications for diagnostic classification are discussed. |
| Databáze: | OpenAIRE |
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