Item request has been placed! ×
Item request cannot be made. ×
loading  Processing Request

Differential impact of type of killing on posttraumatic stress disorder symptoms in U.S. Army soldiers deployed to Afghanistan.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
  • معلومة اضافية
    • المصدر:
      Publisher: Wiley Country of Publication: United States NLM ID: 8809259 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-6598 (Electronic) Linking ISSN: 08949867 NLM ISO Abbreviation: J Trauma Stress Subsets: MEDLINE
    • بيانات النشر:
      Publication: 2005- : Hoboken, NJ : Wiley
      Original Publication: New York ; London : Plenum Press, c1988-
    • الموضوع:
    • نبذة مختصرة :
      Over the past 20 years, U.S. military conflicts in Iraq and Afghanistan have been marked by high rates of combat and wartime killings. Research on Vietnam-era service members suggests that the type of killing (i.e., killing a combatant vs. noncombatant) is an important predictor of later mental health problems, including posttraumatic stress disorder (PTSD). The present study aimed to update these findings by exploring the impact of type of killing on PTSD symptoms using a sample of postdeployment active duty U.S. Army personnel (N = 875). Using multiple regression analysis, we found that the act of killing a noncombatant was significantly associated with PTSD symptoms, B = 7.50, p < .001, whereas killing a combatant was not, B = -0.85, p = .360. This remained significant after controlling for demographic variables, depressive symptoms, and general combat experiences. These findings support the need for thoughtful postdeployment screenings and targeted clinical interventions.
      (© 2023 International Society for Traumatic Stress Studies.)
    • References:
      American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.).
      Bliese, P. D., Wright, K. M., Adler, A. B., Cabrera, O., Castro, C. A., & Hoge, C. W. (2008). Validating the Primary Care Posttraumatic Stress Disorder Screen and the Posttraumatic Stress Disorder Checklist with soldiers returning from combat. Journal Of Consulting and Clinical Psychology, 76(2), 272-281. https://doi.org/10.1037/0022-006X.76.2.272.
      Bryan, C. J., Griffith, J. E., Pace, B. T., Hinkson, K., Bryan, A. O., Clemans, T. A., & Imel, Z. E. (2015). Combat exposure and risk for suicidal thoughts and behaviors among military personnel and veterans: A systematic review and meta-analysis. Suicide and Life-Threatening Behavior, 45(5), 633-649. https://doi.org/10.1111/sltb.12163.
      Fontana, A., & Rosenheck, R. (1999). A model of war zone stressors and posttraumatic stress disorder. Journal of Traumatic Stress, 12(1), 111-126. https://doi.org/10.1023/A:1024750417154.
      Hoge, C. W., Castro, C. A., Messer, S. C., McGurk, D., Cotting, D. I., & Koffman, R. L. (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. New England Journal of Medicine, 351(1), 13-22. https://doi.org/10.1056/NEJMoa040603.
      Kok, B. C., Herrell, R. K., Thomas, J. L., & Hoge, C. W. (2012). Posttraumatic stress disorder associated with combat service in Iraq or Afghanistan: Reconciling prevalence differences between studies. Journal of Nervous And Mental Disease, 200(5), 444-450. https://doi.org/10.1097/NMD.0b013e318253231.
      Kroenke, K., & Spitzer, R. L. (2002). The PHQ-9: A new depression diagnostic and severity measure. Psychiatric Annals, 32(9), 509-515. https://doi.org/10.3928/0048-5713-20020901-06.
      LeardMann, C. A., Matsuno, R. K., Boyko, E. J., Powell, T. M., Reger, M. A., & Hoge, C. W. (2021). Association of combat experiences with suicide attempts among active-duty US service members. JAMA Network Open, 4(2), Article e2036065. https://doi.org/10.1001/jamanetworkopen.2020.36065.
      Litz, B. T., Stein, N., Delaney, E., Lebowitz, L., Nash, W. P., Silva, C., & Maguen, S. (2009). Moral injury and moral repair in war veterans: A preliminary model and intervention strategy. Clinical Psychology Review, 29(8), 695-706. https://doi.org/10.1016/j.cpr.2009.07.003.
      Maguen, S., Lucenko, B. A., Reger, M. A., Gahm, G. A., Litz, B. T., Seal, K. H., Knight, S. J., & Marmar, C. R. (2010). The impact of reported direct and indirect killing on mental health symptoms in Iraq war veterans. Journal of Traumatic Stress, 23(1), 86-90. https://doi.org/10.1002/jts.20434.
      Maguen, S., Metzler, T. J., Litz, B. T., Seal, K. H., Knight, S. J., & Marmar, C. R. (2009). The impact of killing in war on mental health symptoms and related functioning. Journal Of Traumatic Stress, 22(5), 435-443. https://doi.org/10.1002/jts.20451.
      Stander, V. A., Thomsen, C. J., & Highfill-McRoy, R. M. (2014). Etiology of depression comorbidity in combat-related PTSD: A review of the literature. Clinical Psychology Review, 34(2), 87-98. https://doi.org/10.1016/j.cpr.2013.12.002.
      U.S. Department of the Army. (2011). Joint Mental Health Advisory Team 7 (J-MHAT 7): Operation Enduring Freedom 2010 Afghanistan. https://armymedicine.health.mil/-/media/Files/ArmyMedicine/Reports/J_MHAT_7.ashx.
      Van Winkle, E. P., & Safer, M. A. (2011). Killing versus witnessing in combat trauma and reports of PTSD symptoms and domestic violence. Journal of Traumatic Stress, 24(1), 107-110. https://doi.org/10.1002/jts.20614.
      Weathers, F., Litz, B., Herman, D., Huska, J., & Keane, T. (1993, October). The PTSD Checklist (PCL): Reliability, validity, and diagnostic utility [Conference presentation]. Annual meeting of the International Society for Traumatic Stress Studies, San Antonio, TX, USA.
      Wilk, J. E., Bliese, P. D., Kim, P. Y., Thomas, J. L., McGurk, D., & Hoge, C. W. (2010). Relationship of combat experiences to alcohol misuse among US soldiers returning from the Iraq war. Drug and Alcohol Dependence, 108(1-2), 115-121. https://doi.org/10.7205/MILMED-D-13-00400.
    • الموضوع:
      Date Created: 20230913 Date Completed: 20231216 Latest Revision: 20231226
    • الموضوع:
      20231227
    • الرقم المعرف:
      10.1002/jts.22971
    • الرقم المعرف:
      37705140