POSTTRAUMATIC STRESS DISORDER SYMPTOMS INFLUENCE HEALTH STATUS OF DEPLOYED PEACEKEEPERS AND NONDEPLOYED MILITARY PERSONNEL

Posttraumatic stress disorder (PTSD) is associated with depression and alcohol abuse. PTSD symptoms also contribute to poor health among military veterans. The aim of the present study was to test models pertaining to the direct and indirect influences of PTSD symptoms on the health status of deployed and sociodemographically comparable nondeployed military personnel. Participants were 1187 deployed male peacekeepers and 669 nondeployed male military personnel who completed a battery of questionnaires, including measures of PTSD symptoms, depression, alcohol use, and general health status. Structural equation modeling was used to test predictions regarding the direct and indirect influences of PTSD symptoms on health status. Results indicate that PTSD symptoms have a direct influence on health, regardless of deployment status. PTSD symptoms also indirectly promote poorer health through influence on depression, but not alcohol use, in deployed and nondeployed peacekeepers. Increased alcohol use did not contribute to poorer health beyond the contribution of PTSD symptoms alone. Future research directions are discussed.

[1]  P. Bentler,et al.  Fit indices in covariance structure modeling : Sensitivity to underparameterized model misspecification , 1998 .

[2]  R. Ursano,et al.  Relationship of Physical Symptoms to Posttraumatic Stress Disorder Among Veterans Seeking Care for Gulf War-Related Health Concerns , 2000, Psychosomatic medicine.

[3]  Schnurr Pp,et al.  Physical health and post-traumatic stress disorder: review and synthesis. , 1999, Seminars in clinical neuropsychiatry.

[4]  L. Radloff The CES-D Scale , 1977 .

[5]  P. Haberman,et al.  AMERICAN DRINKING PRACTICES. A National Study of Drinking Behavior and Attitudes , 1970 .

[6]  D. Forbes,et al.  The validity of the PTSD checklist as a measure of symptomatic change in combat-related PTSD. , 2001, Behaviour research and therapy.

[7]  B. Litz,et al.  Posttraumatic stress disorder associated with peacekeeping duty in Somalia for U.S. military personnel. , 1997, The American journal of psychiatry.

[8]  J. Peto,et al.  Drinking in a London suburb. Reinterview of a subsample and assessment of response consistency. , 1973, Quarterly Journal of Studies on Alcohol.

[9]  Irvin Sam Schonfeld,et al.  Center for Epidemiologic Studies Depression Scale , 2020, Definitions.

[10]  R. Kimerling,et al.  Associations among symptoms of depression and posttraumatic stress disorder and self-reported health in sexually assaulted women. , 2000, The Journal of nervous and mental disease.

[11]  D. Erickson,et al.  An Investigation of the Impact of Posttraumatic Stress Disorder on Physical Health , 2000, Journal of traumatic stress.

[12]  R. Acierno,et al.  Health impact of interpersonal violence. 2: Medical and mental health outcomes. , 1997, Behavioral medicine.

[13]  M. Newcomb,et al.  The male role, alcohol use, and alcohol problems: A structural modeling examination in adult women and men. , 1999 .

[14]  M. Keller,et al.  Chronicity in Posttraumatic Stress Disorder (PTSD) and Predictors of Course of PTSD in Patients with Anxiety Disorders , 1999, Journal of traumatic stress.

[15]  J. Vasterling,et al.  Psychopathology in war-zone deployed and nondeployed Operation Desert Storm troops assigned graves registration duties. , 1994, Journal of abnormal psychology.

[16]  K. Brady,et al.  Sexual and Physical Assault History and Posttraumatic Stress Disorder in Substance-Dependent Individuals , 1995 .

[17]  E. Blanchard,et al.  Psychometric properties of the PTSD Checklist (PCL). , 1996, Behaviour research and therapy.

[18]  J M Golding,et al.  Posttraumatic stress disorder and functioning and quality of life outcomes in a nationally representative sample of male Vietnam veterans. , 1997, The American journal of psychiatry.

[19]  P. J. Brown,et al.  Substance abuse and post-traumatic stress disorder comorbidity. , 1994, Drug and alcohol dependence.

[20]  A. L. Crawford,et al.  Chronic posttraumatic stress disorder and chronic pain in Vietnam combat veterans. , 1997, Journal of psychosomatic research.

[21]  M. Massagli,et al.  Disability associated with psychiatric comorbidity and health status in Bosnian refugees living in Croatia. , 1999, JAMA.

[22]  H. M. van der Ploeg,et al.  Predeployment personality traits and exposure to trauma as predictors of posttraumatic stress symptoms: a prospective study of former peacekeepers. , 2000, The American journal of psychiatry.

[23]  G. J. Asmundson,et al.  Posttraumatic stress disorder and work-related injury. , 1998, Journal of anxiety disorders.

[24]  Peter M. Bentler,et al.  EQS : structural equations program manual , 1989 .

[25]  E. Foa,et al.  PTSD Severity and Health Perceptions in Female Victims of Sexual Assault , 2000, Journal of traumatic stress.

[26]  D. McCreary,et al.  Stress, alcohol use and alcohol-related problems: the influence of negative and positive affect in two cohorts of young adults. , 2000, Journal of studies on alcohol.

[27]  N. Breslau,et al.  A second look at comorbidity in victims of trauma: the posttraumatic stress disorder–major depression connection , 2000, Biological Psychiatry.

[28]  B. Byrne Book Review: Structural Equation Modeling with EQS and EQS/Windows: Basic Concepts, Applications, and Programming , 1994 .

[29]  P. Schnurr,et al.  Combat exposure, posttraumatic stress disorder symptoms, and health behaviors as predictors of self-reported physical health in older veterans. , 1999, The Journal of nervous and mental disease.

[30]  J. Fairbank,et al.  Health status, somatization, and severity of posttraumatic stress disorder in Vietnam combat veterans with posttraumatic stress disorder. , 1998, The American journal of psychiatry.

[31]  Anthony F Jorm,et al.  Posttraumatic stress disorder and other predictors of health care consumption by Vietnam veterans. , 1998, Psychiatric services.

[32]  R. Kimerling,et al.  Relationships Among Trauma Exposure, Chronic Posttraumatic Stress Disorder Symptoms, and Self-Reported Health in Women: Replication and Extension , 2000, Journal of traumatic stress.

[33]  M. Browne,et al.  Alternative Ways of Assessing Model Fit , 1992 .

[34]  R. P. McDonald,et al.  Goodness-of-fit indexes in confirmatory factor analysis : The effect of sample size , 1988 .

[35]  S. Orr,et al.  Prospective study of posttraumatic stress disorder and depression following trauma. , 1998, The American journal of psychiatry.