Predictors of Symptom Increase in Subsyndromal PTSD Among Previously Deployed Military Personnel

Autor: Emily A. Schmied, Jordan A Levine, Robyn M Highfill-McRoy, Sonya J Norman, Cynthia J. Thomsen, Gerald E. Larson
Rok vydání: 2020
Předmět:
Military service
Population
Separation (statistics)
Psychological intervention
Logistic regression
behavioral disciplines and activities
Stress Disorders
Post-Traumatic
03 medical and health sciences
0302 clinical medicine
mental disorders
Behavioral and Social Science
Adaptation
Psychological
Medicine
Humans
Adaptation
education
Strategic
Stress Disorders
Veterans
education.field_of_study
business.industry
Public Health
Environmental and Occupational Health
Positive coping
General Medicine
Human Movement and Sports Sciences
Post-Traumatic Stress Disorder (PTSD)
Symptom Flare Up
Anxiety Disorders
030227 psychiatry
Brain Disorders
Defence & Security Studies
Military personnel
Increased risk
Mental Health
Military Personnel
Post-Traumatic
Public Health and Health Services
Psychological
business
030217 neurology & neurosurgery
Clinical psychology
Zdroj: Military medicine, vol 187, iss 5-6
ISSN: 1930-613X
Popis: Introduction Subsyndromal PTSD (sub-PTSD) is associated with functional impairment and increased risk for full PTSD. This study examined factors associated with progression from sub-PTSD to full PTSD symptomatology among previously deployed military veterans. Materials and Methods Data were drawn from a longitudinal survey of Navy and Marine Corps personnel leaving military service between 2007 and 2010 administered immediately before separation (baseline) and ~1 year later (follow-up). Survey measures assessed PTSD symptoms at both times; the baseline survey also assessed potential predictors of symptom change over time. Logistic regression models were used to identify predictors of progression from sub-PTSD to full PTSD status. Results Compared to those with no or few PTSD symptoms at baseline, individuals with sub-PTSD were almost three times more likely to exhibit full PTSD symptomatology at follow-up. Risk factors for symptom increase among those with sub-PTSD included moderate or high levels of combat exposure and utilization of fewer positive coping behaviors. Use of prescribed psychotropic medication was protective against symptom increase. Conclusion This study identified several predictors of symptom increase in military veterans with sub-PTSD. Interventions targeting modifiable risk factors for symptom escalation, including behavioral and pharmacological treatments, may reduce rates of new-onset PTSD in this population.
Databáze: OpenAIRE
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