Posttraumatic growth in Veterans of Operations Enduring Freedom and Iraqi Freedom

• Published in: Journal of affective disorders 2010-10, Vol.126 (1), p.230-235
• Main Authors: Pietrzak, Robert H, Goldstein, Marc B, Malley, James C, Rivers, Alison J, Johnson, Douglas C, Morgan, Charles A, Southwick, Steven M
• Format: Article
• Language: English
• Subjects: Adult and adolescent clinical studies; Afghan Campaign 2001; Anxiety disorders. Neuroses; Biological and medical sciences; Freedom; Humans; Iraq War, 2003-2011; Linear Models; Medical sciences; Mental Health - statistics & numerical data; Mood disorders; Multivariate Analysis; Perseveration; Personal growth; Post-traumatic stress disorder; Posttraumatic growth; Posttraumatic stress disorder; Psychiatric Status Rating Scales; Psychiatry; Psychology. Psychoanalysis. Psychiatry; Psychopathology; Psychopathology. Psychiatry; Psychosocial; Resilience; Resilience, Psychological; Social Adjustment; Social Support; Stress Disorders, Post-Traumatic - psychology; Trauma; Veterans; Veterans - psychology
• ISSN: 0165-0327; 1573-2517
• DOI: 10.1016/j.jad.2010.03.021

Abstract Objective A growing body of research has examined the prevalence and correlates of psychopathology, mild traumatic brain injury, and related problems in Veterans of Operations Enduring Freedom and Iraqi Freedom (OEF-OIF). While these studies help characterize the deleterious effects of combat, no known study has examined factors that may enhance posttraumatic growth or positive changes experienced as a result of combat in this population. Method A total of 272 predominantly older Reservist/National Guard OEF-OIF Veterans completed an anonymous mail survey that assessed combat exposure, psychopathology, psychosocial functioning, social support, and posttraumatic growth. Results Seventy-two percent of the sample endorsed a significant degree of posttraumatic growth in at least one of the areas assessed, the most common of which were changing priorities about what is important in life (52.2%), being able to better appreciate each day (51.1%), and being better able to handle difficulties (48.5%). Hierarchical regression analysis revealed that younger age, greater posttraumatic stress disorder (PTSD) symptoms, and increased perceptions of unit member support and effort/perseverance were significantly associated with posttraumatic growth. Respondents with PTSD scored higher on an overall measure of posttraumatic growth and on items reflecting appreciation of life and personal strength. Limitations This study is limited by a relatively low survey return rate and employment of an abbreviated measure of posttraumatic growth. Conclusions Results of this study suggest that interventions to bolster unit member support and to enhance perceptions of effort and perseverance may help promote posttraumatic growth in OEF-OIF Veterans.