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The association of resilience on psychiatric, substance use, and physical health outcomes in combat trauma-exposed military service members and veterans.

Publication ,  Journal Article
Sheerin, CM; Amstadter, AB; Kurtz, ED; Bountress, KE; Stratton, KJ; McDonald, SD; Mid-Atlantic Va Mirecc Workgroup,
Published in: Eur J Psychotraumatol
2019

Objective: Although Combat exposure is associated with a range of psychiatric outcomes, many veterans do not develop psychopathology. Resilience is a multifaceted construct associated with reduced risk of distress and psychopathology; however, few studies have examined the relationship of resilience with a broader spectrum of health outcomes following combat exposure. It also remains important to determine the association of resilience above and beyond other documented risk and protective factors. Method: In a sample of combat-exposed veterans (N = 1,046) deployed to Iraq and Afghanistan, we examined a quantitative method for exploring relative psychological resilience (discrepancy-based psychiatric resilience; DBPR) and tested the hypothesis that resilience would be associated with reduced risk for psychiatric diagnosis count, substance use, and physical health outcomes, above and beyond other known correlates (e.g. combat exposure, social support). Results: In the final model, results suggested an inverse association of discrepancy-based psychiatric resilience with current psychiatric diagnosis count (β = -0.57, p < .001), alcohol use (β = -0.16, p < .001), drug use (β = -0.13, p < .001), and physical health concerns (β = -0.42, p < .001) after accounting for other relevant risk and protective factors. Conclusions: Results extend the nomological net of this quantitative resilience construct to include other relevant health outcomes, and demonstrate that resilience may have more of a buffering relationship with psychiatric and physical health concerns compared to substance use outcomes.

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Published In

Eur J Psychotraumatol

DOI

ISSN

2000-8066

Publication Date

2019

Volume

10

Issue

1

Start / End Page

1625700

Location

United States

Related Subject Headings

  • 5203 Clinical and health psychology
  • 5201 Applied and developmental psychology
  • 3202 Clinical sciences
  • 1701 Psychology
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
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Sheerin, C. M., Amstadter, A. B., Kurtz, E. D., Bountress, K. E., Stratton, K. J., McDonald, S. D., & Mid-Atlantic Va Mirecc Workgroup, . (2019). The association of resilience on psychiatric, substance use, and physical health outcomes in combat trauma-exposed military service members and veterans. Eur J Psychotraumatol, 10(1), 1625700. https://doi.org/10.1080/20008198.2019.1625700
Sheerin, Christina M., Ananda B. Amstadter, Erin D. Kurtz, Kaitlin E. Bountress, Kelcey J. Stratton, Scott D. McDonald, and Scott D. Mid-Atlantic Va Mirecc Workgroup. “The association of resilience on psychiatric, substance use, and physical health outcomes in combat trauma-exposed military service members and veterans.Eur J Psychotraumatol 10, no. 1 (2019): 1625700. https://doi.org/10.1080/20008198.2019.1625700.
Sheerin CM, Amstadter AB, Kurtz ED, Bountress KE, Stratton KJ, McDonald SD, et al. The association of resilience on psychiatric, substance use, and physical health outcomes in combat trauma-exposed military service members and veterans. Eur J Psychotraumatol. 2019;10(1):1625700.
Sheerin, Christina M., et al. “The association of resilience on psychiatric, substance use, and physical health outcomes in combat trauma-exposed military service members and veterans.Eur J Psychotraumatol, vol. 10, no. 1, 2019, p. 1625700. Pubmed, doi:10.1080/20008198.2019.1625700.
Sheerin CM, Amstadter AB, Kurtz ED, Bountress KE, Stratton KJ, McDonald SD, Mid-Atlantic Va Mirecc Workgroup. The association of resilience on psychiatric, substance use, and physical health outcomes in combat trauma-exposed military service members and veterans. Eur J Psychotraumatol. 2019;10(1):1625700.

Published In

Eur J Psychotraumatol

DOI

ISSN

2000-8066

Publication Date

2019

Volume

10

Issue

1

Start / End Page

1625700

Location

United States

Related Subject Headings

  • 5203 Clinical and health psychology
  • 5201 Applied and developmental psychology
  • 3202 Clinical sciences
  • 1701 Psychology
  • 1103 Clinical Sciences