Mutual maintenance of PTSD and physical symptoms for Veterans returning from deployment. Issue 1 (31st December 2019)

• Record Type: Journal Article
• Authors: McAndrew, Lisa M.; Lu, Shou-En; Phillips, L. Alison; Maestro, Kieran; Quigley, Karen S.
• Is Part Of: European journal of psychotraumatology. Volume 10:Issue 1(2019)
• Publication Date: 2019-12-31
• Subjects: Post-traumatic stress disorder -- pain -- symptom -- comorbid -- mutual maintenance -- medically unexplained symptoms -- Veteran; trastorno de estrés postraumático -- dolor -- síntoma -- comórbido -- mantención mutua -- síntomas medicamente inexplicables -- veterano; 创伤后应激障碍，疼痛，症状，共病，相互维持，医学上无法解释的症状，退伍军人; Post-traumatic stress disorder -- Periodicals; Stress Disorders, Post-Traumatic; Post-traumatic stress disorder; Electronic journals; Periodicals; Periodicals; Fulltext; Internet Resources; Periodicals; 616.8521
• DOI: 10.1080/20008198.2019.1608717
• Languages: English
• ISSNs: 2000-8198

Abstract

ABSTRACT: Background : The mutual maintenance model proposes that post-traumatic stress disorder (PTSD) symptoms and chronic physical symptoms have a bi-directional temporal relationship. Despite widespread support for this model, there are relatively few empirical tests of the model and these have primarily examined patients with a traumatic physical injury. Objective : To extend the assessment of this model, we examined the temporal relationship between PTSD and physical symptoms for military personnel deployed to combat (i.e., facing the risk of death) who were not evacuated for traumatic injury. Methods : The current study used a prospective, longitudinal design to understand the cross-lagged relationships between PTSD and physical symptoms before, immediately after, 3 months after, and 1 year after combat deployment. Results : The cross-lagged results showed physical symptoms at every time point were consistently related to greater PTSD symptoms at the subsequent time point. PTSD symptoms were related to subsequent physical symptoms, but only at one time-point with immediate post-deployment PTSD symptoms related to physical symptoms at three months after deployment. Conclusion : The findings extend prior work by providing evidence that PTSD and physical symptoms may be mutually maintaining even when there is not a severe traumatic physical injury. HIGHLIGHTS: We followed soldiers from before to after combat and found a high comorbidity of PTSD and physical symptoms. PTSD and physical symptoms were mutually maintaining among soldiers who did not experience a traumatic injury resulting in hospitalization.