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Conceptualizing comorbid PTSD and depression among treatment-seeking, active duty military service members.

Publication ,  Journal Article
Moring, JC; Nason, E; Hale, WJ; Wachen, JS; Dondanville, KA; Straud, C; Moore, BA; Mintz, J; Litz, BT; Yarvis, JS; Young-McCaughan, S ...
Published in: J Affect Disord
September 1, 2019

BACKGROUND: Among active duty service members and veterans with PTSD, depression is the most commonly diagnosed comorbid psychiatric condition. More research is warranted to investigate the relationship between PTSD and depression to improve treatment approaches. Byllesby et al. (2017) used confirmatory factor analyses in a sample of trauma-exposed combat veterans with PTSD and found that only the general distress factor, and not any specific symptom cluster of PTSD, predicted depression. This study seeks to replicate Byllesby et al. (2017) in a sample of treatment-seeking active duty soldiers. METHODS: Confirmatory factor analyses, bifactor modeling, and structural equation modeling (SEM) were used with data gathered at pretreatment and posttreatment as part of a large randomized clinical trial. RESULTS: Confirmatory factor analyses and bifactor modeling demonstrated that PTSD symptom clusters, Negative Alterations in Cognition and Mood (NACM) and Alterations in Arousal and Reactivity (AAR), as well as the general distress factor significantly predicted depression at pretreatment and posttreatment. LIMITATIONS: The current study was predominantly male, limiting the generalizability to female service members with PTSD. Also, self-report measures were used, which may introduce response-bias. CONCLUSIONS: The current study did not replicate Byllesby et al. (2017). Results demonstrated that the relationship between PTSD and depression among active duty service members can be explained by both transdiagnostic factors and disorder-specific symptoms.

Duke Scholars

Published In

J Affect Disord

DOI

EISSN

1573-2517

Publication Date

September 1, 2019

Volume

256

Start / End Page

541 / 549

Location

Netherlands

Related Subject Headings

  • Veterans
  • Syndrome
  • Stress Disorders, Post-Traumatic
  • Self Report
  • Psychiatry
  • Mood Disorders
  • Military Personnel
  • Middle Aged
  • Male
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
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Moring, J. C., Nason, E., Hale, W. J., Wachen, J. S., Dondanville, K. A., Straud, C., … STRONG STAR Consortium, . (2019). Conceptualizing comorbid PTSD and depression among treatment-seeking, active duty military service members. J Affect Disord, 256, 541–549. https://doi.org/10.1016/j.jad.2019.06.039
Moring, John C., Erica Nason, Willie J. Hale, Jennifer Schuster Wachen, Katherine A. Dondanville, Casey Straud, Brian A. Moore, et al. “Conceptualizing comorbid PTSD and depression among treatment-seeking, active duty military service members.J Affect Disord 256 (September 1, 2019): 541–49. https://doi.org/10.1016/j.jad.2019.06.039.
Moring JC, Nason E, Hale WJ, Wachen JS, Dondanville KA, Straud C, et al. Conceptualizing comorbid PTSD and depression among treatment-seeking, active duty military service members. J Affect Disord. 2019 Sep 1;256:541–9.
Moring, John C., et al. “Conceptualizing comorbid PTSD and depression among treatment-seeking, active duty military service members.J Affect Disord, vol. 256, Sept. 2019, pp. 541–49. Pubmed, doi:10.1016/j.jad.2019.06.039.
Moring JC, Nason E, Hale WJ, Wachen JS, Dondanville KA, Straud C, Moore BA, Mintz J, Litz BT, Yarvis JS, Young-McCaughan S, Peterson AL, Resick PA, STRONG STAR Consortium. Conceptualizing comorbid PTSD and depression among treatment-seeking, active duty military service members. J Affect Disord. 2019 Sep 1;256:541–549.
Journal cover image

Published In

J Affect Disord

DOI

EISSN

1573-2517

Publication Date

September 1, 2019

Volume

256

Start / End Page

541 / 549

Location

Netherlands

Related Subject Headings

  • Veterans
  • Syndrome
  • Stress Disorders, Post-Traumatic
  • Self Report
  • Psychiatry
  • Mood Disorders
  • Military Personnel
  • Middle Aged
  • Male
  • Humans