Childhood trauma differentially impacts depression and stress associations with reintegration challenges among post-9/11 U.S. veterans

Etchin, A., Fonda, J., Howard, E. P., Fortier, C., Milberg, W., Pounds, K., & McGlinchey, R. (2022). Childhood trauma differentially impacts depression and stress associations with reintegration challenges among post-9/11 U.S. veterans. Nurs Outlook, 70, 323-336.

NOTES

1528-3968Etchin, Anna GFonda, Jennifer RHoward, Elizabeth PFortier, Catherine BMilberg, William PPounds, KarenMcGlinchey, Regina EI01 RX002907/RX/RRD VA/United StatesI50 RX003001/RX/RRD VA/United StatesJournal ArticleResearch Support, Non-U.S. Gov'tResearch Support, U.S. Gov't, Non-P.H.S.United StatesNurs Outlook. 2022 Mar-Apr;70(2):323-336. doi: 10.1016/j.outlook.2021.10.008. Epub 2021 Dec 9.

Abstract

BACKGROUND: Post-9/11 veterans exhibit high prevalence of deployment stress, psychological conditions, and traumatic brain injury (TBI) which impact reintegration, especially among those with a history of interpersonal early life trauma (I-ELT). The relative importance of each risk factor is unclear. PURPOSE: We examined major deployment and clinical exposures of reintegration challenges among veterans with and without I-ELT. METHOD: We analyzed cross-sectional data of 155 post-9/11 veterans from the Translational Research Center for TBI and Stress Disorders study. FINDINGS: Depression severity had the strongest association with reintegration challenges, followed by posttraumatic stress disorder (PTSD) severity, post-deployment stress, and deployment safety concerns. Deployment safety concerns had a stronger, significant association among veterans with I-ELT. In nearly every model, PTSD and depression severities were weaker for veterans with I-ELT, compared to those without. DISCUSSION: Clinicians should consider the relative risk of concurrent clinical conditions and trauma histories when considering veterans' reintegration needs.
Last updated on 03/06/2023