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Combat‐Related Posttraumatic Stress Disorder and Comorbid Major Depression in U.S. Veterans: The Role of Deployment Cycle Adversity and Social Support
dc.contributor.authorGoetter, Elizabeth M.
dc.contributor.authorHoeppner, Susanne S.
dc.contributor.authorKhan, Amanda J.
dc.contributor.authorCharney, Meredith E.
dc.contributor.authorWieman, Sarah
dc.contributor.authorVenners, Margaret R.
dc.contributor.authorAvallone, Kimberly M.
dc.contributor.authorRauch, Sheila A. M.
dc.contributor.authorSimon, Naomi M.
dc.date.accessioned2020-07-02T20:33:42Z
dc.date.availableWITHHELD_12_MONTHS
dc.date.available2020-07-02T20:33:42Z
dc.date.issued2020-06
dc.identifier.citationGoetter, Elizabeth M.; Hoeppner, Susanne S.; Khan, Amanda J.; Charney, Meredith E.; Wieman, Sarah; Venners, Margaret R.; Avallone, Kimberly M.; Rauch, Sheila A. M.; Simon, Naomi M. (2020). "Combat‐Related Posttraumatic Stress Disorder and Comorbid Major Depression in U.S. Veterans: The Role of Deployment Cycle Adversity and Social Support." Journal of Traumatic Stress 33(3): 276-284.
dc.identifier.issn0894-9867
dc.identifier.issn1573-6598
dc.identifier.urihttps://hdl.handle.net/2027.42/155948
dc.description.abstractPosttraumatic stress disorder (PTSD) and major depressive disorder (MDD) commonly co‐occur in combat veterans, and this comorbidity has been associated with higher levels of distress and more social and economic costs compared to one disorder alone. In a secondary analysis of a multisite randomized controlled trial of a sample of veterans with combat‐related PTSD, we examined the associations among pre‐, peri‐, and postdeployment adversity, social support, and clinician‐diagnosed comorbid MDD. Participants completed the Deployment Risk and Resilience Inventory and the Beck Depression Inventory–II as well as structured clinical interviews for diagnostic status. Among 223 U.S. veterans of the military operations in Iraq and Afghanistan (86.9% male) with primary combat‐related PTSD, 69.5% had current comorbid MDD. After adjustment for sex, a linear regression model indicated that more concerns about family disruptions during deployment, f2 = 0.065; more harassment during deployment, f2 = 0.020; and lower ratings of postdeployment social support, f2 = 0.154, were associated with more severe self‐reported depression symptoms. Interventions that enhance social support as well as societal efforts to foster successful postdeployment reintegration are critical for reducing the mental health burden associated with this highly prevalent comorbidity in veterans with combat‐related PTSD.
dc.publisherWiley Periodicals, Inc.
dc.publisherPsychological Corporation
dc.titleCombat‐Related Posttraumatic Stress Disorder and Comorbid Major Depression in U.S. Veterans: The Role of Deployment Cycle Adversity and Social Support
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelMedicine (General)
dc.subject.hlbsecondlevelPsychology
dc.subject.hlbtoplevelHealth Sciences
dc.subject.hlbtoplevelSocial Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/155948/1/jts22496_am.pdf
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/155948/2/jts22496.pdf
dc.identifier.doi10.1002/jts.22496
dc.identifier.sourceJournal of Traumatic Stress
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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