Childhood trauma differentially impacts depression and stress associations with reintegration challenges among post-9/11 U.S. veterans.
Nurs Outlook
; 70(2): 323-336, 2022.
Article
en En
| MEDLINE
| ID: mdl-34895737
ABSTRACT
BACKGROUND:
Post-9/11 veterans exhibit high prevalence of deployment stress, psychological conditions, and traumatic brain injury (TBI) which impact reintegration, especially among those with a history of interpersonal early life trauma (I-ELT). The relative importance of each risk factor is unclear.PURPOSE:
We examined major deployment and clinical exposures of reintegration challenges among veterans with and without I-ELT.METHOD:
We analyzed cross-sectional data of 155 post-9/11 veterans from the Translational Research Center for TBI and Stress Disorders study.FINDINGS:
Depression severity had the strongest association with reintegration challenges, followed by posttraumatic stress disorder (PTSD) severity, post-deployment stress, and deployment safety concerns. Deployment safety concerns had a stronger, significant association among veterans with I-ELT. In nearly every model, PTSD and depression severities were weaker for veterans with I-ELT, compared to those without.DISCUSSION:
Clinicians should consider the relative risk of concurrent clinical conditions and trauma histories when considering veterans' reintegration needs.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Trastornos por Estrés Postraumático
/
Veteranos
/
Lesiones Traumáticas del Encéfalo
/
Experiencias Adversas de la Infancia
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Humans
Idioma:
En
Revista:
Nurs Outlook
Año:
2022
Tipo del documento:
Article