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Gender differences in associations between DSM-5 posttraumatic stress disorder symptom clusters and functional impairment in war veterans.
Psychol Serv 2018; 15(2):230-237PS

Abstract

Understanding the links between posttraumatic stress disorder (PTSD) symptoms and functional impairment is essential for assisting veterans in transitioning to civilian life. Moreover, there may be differences between men and women in the relationships between PTSD symptoms and functional impairment. However, no prior studies have examined the links between functional impairment and the revised symptom clusters as defined in the Diagnostic and Statistical Manual of Mental Disorders, 5th ed. (DSM-5; American Psychiatric Association, 2013) or whether the associations between PTSD symptom clusters and functional impairment differ by gender. We examined the associations between the DSM-5 PTSD symptom clusters and functional impairment in 252 trauma-exposed Iraq and Afghanistan war veterans (79 females). Regression analyses included demographic factors and exposure to both combat and military sexual trauma as covariates. In the total sample, both the intrusions cluster (β = .18, p = .045) and the negative alterations in cognition and mood cluster (β = .45, p < .001) were associated with global functional impairment. Among male veterans, global functional impairment was associated only with negative alterations in cognition and mood (β = .52, p < .001). However, by contrast, among female veterans, only marked alterations in arousal and reactivity were associated with global functional impairment (β = .35, p = .027). These findings suggest that there may be important gender differences with respect to the relationship between PTSD symptoms and functional impairment. (PsycINFO Database Record

Authors+Show Affiliations

Department of Veterans Affairs VISN 17 Center of Excellence for Research on Returning War Veterans at Central Texas Veterans Healthcare System.Department of Veterans Affairs VISN 20 Virtual- Integrated Multisite Patient Aligned Care Team Hub.VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center at Durham Veterans Affairs Medical Center.Department of Veterans Affairs VISN 17 Center of Excellence for Research on Returning War Veterans at Central Texas Veterans Healthcare System.National Center for PTSD at VA Boston Healthcare System.Department of Psychology, Wright State University.College of Medicine, Texas A&M University Health Science Center.Warriors Research Institute, Baylor Scott & White Health.Department of Psychology, The University of Texas at San Antonio.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29723025

Citation

Meyer, Eric C., et al. "Gender Differences in Associations Between DSM-5 Posttraumatic Stress Disorder Symptom Clusters and Functional Impairment in War Veterans." Psychological Services, vol. 15, no. 2, 2018, pp. 230-237.
Meyer EC, Konecky B, Kimbrel NA, et al. Gender differences in associations between DSM-5 posttraumatic stress disorder symptom clusters and functional impairment in war veterans. Psychol Serv. 2018;15(2):230-237.
Meyer, E. C., Konecky, B., Kimbrel, N. A., DeBeer, B. B., Marx, B. P., Schumm, J., ... Morissette, S. B. (2018). Gender differences in associations between DSM-5 posttraumatic stress disorder symptom clusters and functional impairment in war veterans. Psychological Services, 15(2), pp. 230-237. doi:10.1037/ser0000171.
Meyer EC, et al. Gender Differences in Associations Between DSM-5 Posttraumatic Stress Disorder Symptom Clusters and Functional Impairment in War Veterans. Psychol Serv. 2018;15(2):230-237. PubMed PMID: 29723025.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Gender differences in associations between DSM-5 posttraumatic stress disorder symptom clusters and functional impairment in war veterans. AU - Meyer,Eric C, AU - Konecky,Brian, AU - Kimbrel,Nathan A, AU - DeBeer,Bryann B, AU - Marx,Brian P, AU - Schumm,Jeremiah, AU - Penk,Walter E, AU - Gulliver,Suzy Bird, AU - Morissette,Sandra B, PY - 2018/5/4/entrez PY - 2018/5/4/pubmed PY - 2018/12/12/medline SP - 230 EP - 237 JF - Psychological services JO - Psychol Serv VL - 15 IS - 2 N2 - Understanding the links between posttraumatic stress disorder (PTSD) symptoms and functional impairment is essential for assisting veterans in transitioning to civilian life. Moreover, there may be differences between men and women in the relationships between PTSD symptoms and functional impairment. However, no prior studies have examined the links between functional impairment and the revised symptom clusters as defined in the Diagnostic and Statistical Manual of Mental Disorders, 5th ed. (DSM-5; American Psychiatric Association, 2013) or whether the associations between PTSD symptom clusters and functional impairment differ by gender. We examined the associations between the DSM-5 PTSD symptom clusters and functional impairment in 252 trauma-exposed Iraq and Afghanistan war veterans (79 females). Regression analyses included demographic factors and exposure to both combat and military sexual trauma as covariates. In the total sample, both the intrusions cluster (β = .18, p = .045) and the negative alterations in cognition and mood cluster (β = .45, p < .001) were associated with global functional impairment. Among male veterans, global functional impairment was associated only with negative alterations in cognition and mood (β = .52, p < .001). However, by contrast, among female veterans, only marked alterations in arousal and reactivity were associated with global functional impairment (β = .35, p = .027). These findings suggest that there may be important gender differences with respect to the relationship between PTSD symptoms and functional impairment. (PsycINFO Database Record SN - 1939-148X UR - https://www.unboundmedicine.com/medline/citation/29723025/Gender_differences_in_associations_between_DSM_5_posttraumatic_stress_disorder_symptom_clusters_and_functional_impairment_in_war_veterans_ L2 - http://content.apa.org/journals/ser/15/2/230 DB - PRIME DP - Unbound Medicine ER -