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The impact of social support on psychological distress for U.S. Afghanistan/Iraq era veterans with PTSD and other psychiatric diagnoses.
Psychiatry Res. 2014 Jun 30; 217(1-2):86-92.PR

Abstract

This study aimed to examine the degree to which posttraumatic stress disorder (PTSD) affects the relationship between social support and psychological distress for U.S. Afghanistan/Iraq era veterans with and without co-occurring psychiatric disorders. Veterans (N=1825) were administered self-report questionnaires and a structured diagnostic interview as part of a multi-site study of post-deployment mental health through the Department of Veterans Affairs (VA) Mid-Atlantic Mental Illness Research, Education and Clinical Center (MIRECC). Main and interaction effects models assessed the association between psychological distress and social support for three comparisons conditions (Controls vs. PTSD-only, non-PTSD, and PTSD plus co-morbid diagnoses). Having PTSD was a critical factor in attenuating the strength of this association, more so than other diagnoses. Furthermore, those with PTSD plus co-morbid diagnoses did not demonstrate significantly larger attenuation in that association compared to the PTSD-only group, indicating that psychiatric comorbidity may be less important in considering the role of social support in PTSD. By understanding this relationship, new avenues for engaging and enhancing treatment outcomes related to social support for veterans of this cohort may be identified. Additional longitudinal research could help evaluate the effect of PTSD symptom clusters, social support type, and trauma exposure type on these relationships.

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Authors+Show Affiliations

Brancu M
Mid-Atlantic VA Mental Illness Research, Education and Clinical Center (VISN 6 MIRECC), Durham, NC 27705, United States; Durham VA Medical Center, Durham, NC 27705, United States; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27705, United States. Electronic address: Mira.Brancu@va.gov.
Thompson NL
Hunter Holmes McGuire VA Medical Center, Richmond, VA 23224, United States; Virginia Commonwealth University, Department of Psychology, Richmond, VA 23284, United States.
Beckham JC
Mid-Atlantic VA Mental Illness Research, Education and Clinical Center (VISN 6 MIRECC), Durham, NC 27705, United States; Durham VA Medical Center, Durham, NC 27705, United States; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27705, United States.
Green KT
Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27705, United States.
Calhoun PS
Mid-Atlantic VA Mental Illness Research, Education and Clinical Center (VISN 6 MIRECC), Durham, NC 27705, United States; Durham VA Medical Center, Durham, NC 27705, United States; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27705, United States.
Elbogen EB
Mid-Atlantic VA Mental Illness Research, Education and Clinical Center (VISN 6 MIRECC), Durham, NC 27705, United States; Durham VA Medical Center, Durham, NC 27705, United States; Department of Psychiatry, University of North Carolina, Chapel Hill, NC 27514, United States.
Robbins AT
Mid-Atlantic VA Mental Illness Research, Education and Clinical Center (VISN 6 MIRECC), Durham, NC 27705, United States; Durham VA Medical Center, Durham, NC 27705, United States.
Fairbank JA
Mid-Atlantic VA Mental Illness Research, Education and Clinical Center (VISN 6 MIRECC), Durham, NC 27705, United States; Durham VA Medical Center, Durham, NC 27705, United States; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27705, United States.
VA Mid-Atlantic MIRECC Registry Workgroup
No affiliation info available
Wagner HR
Mid-Atlantic VA Mental Illness Research, Education and Clinical Center (VISN 6 MIRECC), Durham, NC 27705, United States; Durham VA Medical Center, Durham, NC 27705, United States; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27705, United States.

MeSH

AdultAfghan Campaign 2001-AfghanistanComorbidityFemaleHumansIraqIraq War, 2003-2011MaleMental DisordersSelf ReportSocial SupportStress Disorders, Post-TraumaticSurveys and QuestionnairesUnited StatesVeterans

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24679515

Citation

Brancu, Mira, et al. "The Impact of Social Support On Psychological Distress for U.S. Afghanistan/Iraq Era Veterans With PTSD and Other Psychiatric Diagnoses." Psychiatry Research, vol. 217, no. 1-2, 2014, pp. 86-92.
Brancu M, Thompson NL, Beckham JC, et al. The impact of social support on psychological distress for U.S. Afghanistan/Iraq era veterans with PTSD and other psychiatric diagnoses. Psychiatry Res. 2014;217(1-2):86-92.
Brancu, M., Thompson, N. L., Beckham, J. C., Green, K. T., Calhoun, P. S., Elbogen, E. B., Robbins, A. T., Fairbank, J. A., & Wagner, H. R. (2014). The impact of social support on psychological distress for U.S. Afghanistan/Iraq era veterans with PTSD and other psychiatric diagnoses. Psychiatry Research, 217(1-2), 86-92. https://doi.org/10.1016/j.psychres.2014.02.025
Brancu M, et al. The Impact of Social Support On Psychological Distress for U.S. Afghanistan/Iraq Era Veterans With PTSD and Other Psychiatric Diagnoses. Psychiatry Res. 2014 Jun 30;217(1-2):86-92. PubMed PMID: 24679515.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The impact of social support on psychological distress for U.S. Afghanistan/Iraq era veterans with PTSD and other psychiatric diagnoses. AU - Brancu,Mira, AU - Thompson,Nivonne L, AU - Beckham,Jean C, AU - Green,Kimberly T, AU - Calhoun,Patrick S, AU - Elbogen,Eric B, AU - Robbins,Allison T, AU - Fairbank,John A, AU - ,, AU - Wagner,H Ryan, Y1 - 2014/02/25/ PY - 2013/02/08/received PY - 2014/02/10/revised PY - 2014/02/14/accepted PY - 2014/4/1/entrez PY - 2014/4/1/pubmed PY - 2014/12/15/medline KW - Interview KW - Mental disorders KW - Posttraumatic KW - Psychological KW - Psychosocial support systems KW - Resilience KW - Veterans health SP - 86 EP - 92 JF - Psychiatry research JO - Psychiatry Res VL - 217 IS - 1-2 N2 - This study aimed to examine the degree to which posttraumatic stress disorder (PTSD) affects the relationship between social support and psychological distress for U.S. Afghanistan/Iraq era veterans with and without co-occurring psychiatric disorders. Veterans (N=1825) were administered self-report questionnaires and a structured diagnostic interview as part of a multi-site study of post-deployment mental health through the Department of Veterans Affairs (VA) Mid-Atlantic Mental Illness Research, Education and Clinical Center (MIRECC). Main and interaction effects models assessed the association between psychological distress and social support for three comparisons conditions (Controls vs. PTSD-only, non-PTSD, and PTSD plus co-morbid diagnoses). Having PTSD was a critical factor in attenuating the strength of this association, more so than other diagnoses. Furthermore, those with PTSD plus co-morbid diagnoses did not demonstrate significantly larger attenuation in that association compared to the PTSD-only group, indicating that psychiatric comorbidity may be less important in considering the role of social support in PTSD. By understanding this relationship, new avenues for engaging and enhancing treatment outcomes related to social support for veterans of this cohort may be identified. Additional longitudinal research could help evaluate the effect of PTSD symptom clusters, social support type, and trauma exposure type on these relationships. SN - 1872-7123 UR - https://www.unboundmedicine.com/medline/citation/24679515/The_impact_of_social_support_on_psychological_distress_for_U_S__Afghanistan/Iraq_era_veterans_with_PTSD_and_other_psychiatric_diagnoses_ DB - PRIME DP - Unbound Medicine ER -