Reckless Self-destructive Behavior and PTSD in Veterans: The Mediating Role of New Adverse Events
| Author(s) | Lusk, Joanna D. | |
| Author(s) | Sadeh, Naomi | |
| Author(s) | Wolf, Erika J. | |
| Author(s) | Miller, Mark W. | |
| Ordered Author | Joanna D. Lusk, B.A., Naomi Sadeh, Ph.D., Erika J. Wolf, Ph.D., & Mark W. Miller, Ph.D. | |
| UD Author | Sadeh, Naomi | en_US |
| Date Accessioned | 2017-09-12T17:35:45Z | |
| Date Available | 2017-09-12T17:35:45Z | |
| Copyright Date | Copyright © 2017 International Society for Traumatic Stress Studies | en_US |
| Publication Date | 2017-06-23 | |
| Description | Author's final draft after peer review | en_US |
| Abstract | The addition of self-destructive and reckless behavior as a symptom of posttraumatic stress disorder (PTSD) in DSM-5 has stimulated renewed interest in understanding relationships between these behaviors and trauma-related psychopathology. This study examined the relationship between reckless and self-destructive behaviors (RSDB), intervening exposure to new adverse events, and later PTSD severity in a sample of traumaexposed veterans. At baseline, participants were assessed for RSDB (past 5 years) and current PTSD severity (N = 222). PTSD severity was then reassessed approximately 4 years later (N = 148). Overall, RSDB were reported by 74.4% of the sample, with 61.3% engaging in multiple forms of RSDB. The most commonly endorsed behaviors included alcohol/drug abuse (42.8%), driving while intoxicated (29.4%), gambling (24.7%), and aggression (23.1%). There was a positive correlation between RSDB and PTSD severity at both the baseline (r = .16, p = .031) and follow-up assessment (r = .24, p = .005). Path models indicated that exposure to new adverse events fully mediated the effect of Time 1 RSDB on PTSD symptoms at Time 2 (indirect association: β = .05, p =.046). Results suggest that RSDB are common among trauma-exposed veterans and may perpetuate PTSD symptoms by increasing exposure to new adverse events. | en_US |
| Department | University of Delaware. Department of Psychological & Brain Sciences. | en_US |
| Citation | Lusk, J. D., Sadeh, N., Wolf, E. J. and Miller, M. W. (2017), Reckless Self-Destructive Behavior and PTSD in Veterans: The Mediating Role of New Adverse Events. JOURNAL OF TRAUMATIC STRESS, 30: 270–278. doi:10.1002/jts.22182 | en_US |
| DOI | 10.1002/jts.22182 | en_US |
| ISSN | 0894-9867 ; e- 1573-6598 | en_US |
| URL | http://udspace.udel.edu/handle/19716/21643 | |
| Language | en_US | en_US |
| Publisher | Wiley-Blackwell | en_US |
| dc.rights | This is the peer reviewed version of the following article: Lusk, J., Sadeh, N., Wolf, E., & Miller, M. (2017). Reckless Self-Destructive Behavior and PTSD in Veterans: The Mediating Role of New Adverse Events. Journal Of Traumatic Stress. http://dx.doi.org/10.1002/jts.22182 which has been published in final form at [http://dx.doi.org/10.1002/jts.22182]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. | en_US |
| dc.rights | This article is made available in accordance with the University of Delaware Faculty Policy on Open Access (4.2.15) and the publisher's policy. | en_US |
| dc.source | Journal of Traumatic Stress | en_US |
| dc.source.uri | http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1573-6598 | en_US |
| Title | Reckless Self-destructive Behavior and PTSD in Veterans: The Mediating Role of New Adverse Events | en_US |
| Type | Article | en_US |