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Resilience and Post...
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Polusny, M. A.Minneapolis VA Medical Center, Minneapolis Minnesota, USA; Center for Chronic Disease Outcomes Research, Minneapolis VA Health Care System, Minneapolis Minnesota, USA; Department of Psychiatry, University of Minnesota Medical School, Minneapolis Minnesota, USA
(författare)
Resilience and Posttraumatic Stress Disorder Symptoms in National Guard Soldiers Deployed to Iraq : A Prospective Study of Latent Class Trajectories and Their Predictors
- Artikel/kapitelEngelska2017
Förlag, utgivningsår, omfång ...
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2017-08
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Wiley-Blackwell,2017
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:oru-78666
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https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-78666URI
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https://doi.org/10.1002/jts.22199DOI
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Språk:engelska
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Sammanfattning på:engelska
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Klassifikation
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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Funding Agencies:Minnesota Medical Foundation 3662-9227-06United States Department of Defense W81XWH-07-2-003
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This study examined the prospective course of posttraumatic stress disorder (PTSD) symptoms in a cohort of National Guard soldiers (N = 522) deployed to combat operations in Iraq. Participants were assessed 4 times: 1 month before deployment, 2-3 months after returning from deployment, 1 year later, and 2 years postdeployment. Growth mixture modeling revealed 3 distinct trajectories: low-stable symptoms, resilient, 76.4%; new-onset symptoms, 14.2%; and chronic distress, 9.4%. Relative to the resilient class, membership in both the new-onset symptoms and chronic distress trajectory classes was predicted by negative emotionality/neuroticism, odds ratios (ORs) = 1.09, 95% CI [1.02, 1.17], and OR = 1.22, 95% CI [1.09,1.35], respectively; and combat exposure, OR = 1.07, 95% CI [1.02, 1.12], and OR = 1.12, 95% CI [1.02, 1.24], respectively. Membership in the new-onset trajectory class was predicted by predeployment military preparedness, OR = 0.95, 95% CI [0.91, 0.98], perceived threat during deployment, OR = 1.07, 95% CI [1.03, 1.10], and stressful life events following deployment, OR = 1.44, 95% CI [1.05, 1.96]. Prior deployment to Iraq or Afghanistan, OR = 3.85, 95% CI [1.72, 8.69], predeployment depression, OR = 1.27, 95% CI [1.20, 1.36], and predeployment concerns about a deployment's impact on civilian/family life, OR = 1.09, 95% CI [1.02, 1.16], distinguished the chronic distress group relative to the resilient group. Identifying predeployment vulnerability and postdeployment contextual factors provides insight for future efforts to bolster resilience, prevent, and treat posttraumatic symptoms.
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Biuppslag (personer, institutioner, konferenser, titlar ...)
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Erbes, C. R.Minneapolis VA Medical Center, Minneapolis Minnesota, USA; Center for Chronic Disease Outcomes Research, Minneapolis VA Health Care System, Minneapolis Minnesota, USA; Department of Psychiatry, University of Minnesota Medical School, Minneapolis Minnesota, USA
(författare)
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Kramer, Mark,1973-Minneapolis VA Medical Center, Minneapolis Minnesota, USA; Department of Psychiatry, University of Minnesota Medical School, Minneapolis Minnesota, USA(Swepub:oru)mkkr
(författare)
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Thuras, PMinneapolis VA Medical Center, Minneapolis Minnesota, USA; Department of Psychiatry, University of Minnesota Medical School, Minneapolis Minnesota, USA
(författare)
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DeGarmo, DPrevention Science Institute, and the Department of Educational Methodology, Policy, and Leadership, University of Oregon, Eugene Oregon, USA
(författare)
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Koffel, EMinneapolis VA Medical Center, Minneapolis Minnesota, USA; Center for Chronic Disease Outcomes Research, Minneapolis VA Health Care System, Minneapolis Minnesota, USA; Department of Psychiatry, University of Minnesota Medical School, Minneapolis Minnesota, USA
(författare)
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Litz, BMassachusetts Veterans Epidemiological Research and Information Center, VA Boston Healthcare System, Boston Massachusetts, USA; Department of Psychological and Brain Sciences and Department of Psychiatry, Boston University, Boston Massachusetts, USA
(författare)
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Arbisi, P. A.Minneapolis VA Medical Center, Minneapolis Minnesota, USA; Department of Psychiatry, University of Minnesota Medical School, Minneapolis Minnesota, USA; Department of Psychology, University of Minnesota, Minneapolis Minnesota, USA
(författare)
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Minneapolis VA Medical Center, Minneapolis Minnesota, USA; Center for Chronic Disease Outcomes Research, Minneapolis VA Health Care System, Minneapolis Minnesota, USA; Department of Psychiatry, University of Minnesota Medical School, Minneapolis Minnesota, USAMinneapolis VA Medical Center, Minneapolis Minnesota, USA; Department of Psychiatry, University of Minnesota Medical School, Minneapolis Minnesota, USA
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Journal of Traumatic Stress: Wiley-Blackwell30:4, s. 351-3610894-98671573-6598
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