Retrospective Appraisals Mediate the Effects of Combat Experiences on PTS and Depression Symptoms in U.S. Army Medics

Journal of Traumatic Stress
Barbara L Pitts, Martin A Safer

Abstract

A life-threatening traumatic experience can cause physical and psychological distress, but it can also be remembered with pride from having demonstrated one's courage and abilities under severe circumstances. Characteristics of the event, early response, as well as later personal reflection, together determine the individual's response to a traumatic event. We investigated how traumatic combat experiences and retrospective appraisals of those experiences affected reports of symptoms of posttraumatic stress and depression in 324 U.S. Army medics. Higher levels of combat experiences were associated with both appraisals of threat to life (r = .40) and appraisals of personal benefit of the deployment (r = .15). Threat appraisals were associated with increases (r = .33 and .29), whereas benefit appraisals were associated with decreases (r = -.28 and -.30, respectfully), in symptoms of posttraumatic stress and depression. These opposing mediation pathways led to weak or nonsignificant total effects, which concealed the effects of combat intensity on posttraumatic stress (R(2) = .28) and depression (R(2) = .24). Acknowledging the beneficial effects that a combat experience had on one's life was associated with less intense behavioral ...Continue Reading

References

Jul 1, 1991·Journal of Gerontology·M P LawtonM Rovine
Aug 1, 1996·Behaviour Research and Therapy·E B BlanchardC A Forneris
Aug 5, 1998·Journal of Traumatic Stress·A Fontana, R Rosenheck
Sep 15, 2001·Journal of General Internal Medicine·K KroenkeJ B Williams
Jul 2, 2004·The New England Journal of Medicine·Charles W HogeRobert L Koffman
Feb 14, 2006·Clinical Psychology Review·Stephen Joseph, P Alex Linley
Mar 9, 2007·Journal of Traumatic Stress·Dawne S Vogt, Lynlee R Tanner
Apr 4, 2007·Psychological Methods·Scott E Maxwell, David A Cole
Jun 29, 2007·Journal of Traumatic Stress·Zahava Solomon, Rachel Dekel
Jan 12, 2010·Drug and Alcohol Dependence·Joshua E WilkCharles W Hoge
Feb 4, 2014·Clinical Psychology Review·Valerie A StanderRobyn M Highfill-McRoy

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