Distinguishing late-onset stress symptomatology from posttraumatic stress disorder in older combat veterans

Potter, Carrie M.; Kaiser, Anica Pless; King, Lynda A.; King, Daniel W.; Davison, Eve H.; Seligowski, Antonia V.; Brady, Christopher B.; Spiro, Avron

doi:10.1080/13607863.2012.717259

Cited by 19 publications

(16 citation statements)

References 19 publications

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“…Previous studies link mastery to reduced PTSD onset in up‐rooted Israelis (Ben‐Zur ), attenuated PTSD symptoms in veterans (Potter et al. ), and mitigated depression in women with intimate partner violence exposure (Rodriguez et al ). Higher mastery is also related to greater quality of life, as well as reduced diabetes‐related distress (Yi et al.…”

Section: Discussionmentioning

confidence: 99%

“…By contrast, optimism is the expectation of favorable outcomes that are not directly attributable to personal factors (Marshall and Lang 1990). Previous studies link mastery to reduced PTSD onset in up-rooted Israelis (Ben-Zur 2008), attenuated PTSD symptoms in veterans (Potter et al 2013), and mitigated depression in women with intimate partner violence exposure (Rodriguez et al 2008). Higher mastery is also related to greater quality of life, as well as reduced diabetes-related distress (Yi et al 2008) and cardiovascular disease mortality (Surtees et al 2010).…”

Section: Discussionmentioning

confidence: 99%

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Determinants of psychological resistance and recovery among women exposed to assaultive trauma

et al. 2015

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IntroductionWomen exposed to potentially traumatic events (PTEs) are at high risk for developing psychiatric disorders, including posttraumatic stress disorder (PTSD), general anxiety disorder (GAD), major depressive disorder (MDD), and substance-related disorders. However, this risk is not universal. Most women are resistant (i.e., remain asymptomatic), or recover following a brief symptomatic period. This study examined the psychological factors associated with resistant and recovered outcomes in a sample of high-risk women exposed to assault-related PTEs.MethodOne hundred and fifty-nine women completed the Life Events Checklist and were administered the Structured Clinical Interview for DSM-IV Axis I Disorders. This resulted in three groups: (1) no diagnosis (no past or current psychiatric disorder diagnosis; n = 56), (2) past diagnosis (a past psychiatric disorder diagnosis, but none currently; n = 31), and (3) current diagnosis (a current diagnosis of one or more psychiatric disorders; n = 72). Groups were compared on sociodemographics, PTE exposure, psychopathology, health-related quality of life (HRQOL), and psychological resilience-related factors.ResultsThe majority of respondents (79%) did not develop chronic PTSD following assault exposure, and the most common psychiatric outcome was MDD (30%). High endorsement of mastery and social support were associated with the no diagnosis group; and greater reports of mastery and posttraumatic growth were associated with recovery from a past psychiatric disorder. Furthermore, both resilient groups (i.e., no diagnosis and past diagnosis) scored higher on HRQOL measures compared with the current diagnosis group (P < 0.001).ConclusionPsychological resilience has ramifications to health and well-being, and identifying these factors has potential to inform preventive strategies and treatment interventions for assault exposed women.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Determinants of psychological resistance and recovery among women exposed to assaultive trauma

et al. 2015

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“…Median splits were used to divide positive‐to‐negative ratios on both the SPAFF and OHI measures. Discriminant function analysis (Friedly, Harris, & Reiter‐Palmon, ; Potter et al, ) was then used to determine the best cutoff scores for each scale, the goal being the accurate prediction of the lower half of the SPAFF and OHI positive‐to‐negative ratios. This analysis produced empirically‐validated cutoff scores for the reduced 5‐item scales.…”

Section: Literature Reviewmentioning

confidence: 99%

Gay, Lesbian, and Heterosexual Couples About to Begin Couples Therapy: An Online Relationship Assessment of 40,681 Couples

Gottman¹,

Gottman²,

Cole³

et al. 2019

J Marital Family Therapy

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We currently have little idea of precisely who goes for couples therapy. This is a report of the results of a validated online assessment of relationship and individual functioning based on 39,251 heterosexual, 1,022 lesbian, and 438 gay couples about to begin couples therapy. Using validated and reliable questionnaires of relationship and individual functioning, this report presents and compares, for each sexual-orientation, the percentage of couples, pretherapy, who are coping with a variety of relationship problems. To test for the replicability of results, the sample was divided randomly into two subsamples and statistical tests were performed on each sample. Couples initiating therapy suffer from greater distress and many more co-morbidities than has been presumed in previous literature, and same-sex couples present a particular set of both strengths and challenges compared to heterosexual couples. Gay-male and lesbian couples were very different on trust and monogamy, as were heterosexual and lesbian couples. Based on this epidemiologically sized sample, the challenge to our field may be to create interventions with much larger effect sizes than we currently have.

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“…It is considered to be part of the spectrum of the normal ageing process. However, if not resolved, LOSS may progress to sub threshold or full blown PTSD with more severe clinical symptoms and life disruption [7,15,16]. Davison et al [7] characterized the LOSS phenomenon in ageing combat veterans who were: a) exposed to highly stressful combat events in their early adulthood; b) asymptomatic for years after trauma exposure; c) functionally successful over the course of their lives; and d) begin to register increased combat related thoughts, feelings and reminiscences as they encounter the changes and challenges of ageing.…”

mentioning

confidence: 99%

“…LOSS symptoms may be precipitated by significant life stressors, and/or emerging cognitive deficits [8]. Rather than having the core symptoms of PTSD such as flashbacks, avoidance and negative emotions, LOSS symptoms comprise repeated thoughts about combat related trauma, irritability and/or nightmares that do not impair daily functioning [15,16].…”

mentioning

confidence: 99%

The Case for Early Psychotherapy in Aging Combat Veterans Experiencing Late Onset Stress Symptomatology

BD¹

2015

J Psychol Psychother

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Distinguishing late-onset stress symptomatology from posttraumatic stress disorder in older combat veterans

Cited by 19 publications

References 19 publications

Determinants of psychological resistance and recovery among women exposed to assaultive trauma

Determinants of psychological resistance and recovery among women exposed to assaultive trauma

Gay, Lesbian, and Heterosexual Couples About to Begin Couples Therapy: An Online Relationship Assessment of 40,681 Couples

The Case for Early Psychotherapy in Aging Combat Veterans Experiencing Late Onset Stress Symptomatology

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