The DOI matches its Crossref record; 14 of the 14 references it cites were found in a registry or an index.
The impact of reported direct and indirect killing on mental health symptoms in Iraq war veterans
Abstract
This study examined the mental health impact of reported direct and indirect killing among 2,797 U.S. soldiers returning from Operation Iraqi Freedom. Data were collected as part of a postdeployment screening program at a large Army medical facility. Overall, 40% of soldiers reported killing or being responsible for killing during their deployment. Even after controlling for combat exposure, killing was a significant predictor of posttraumatic disorder (PTSD) symptoms, alcohol abuse, anger, and relationship problems. Military personnel returning from modern deployments are at risk of adverse mental health conditions and related psychosocial functioning related to killing in war. Mental health assessment and treatment should address reactions to killing to optimize readjustment following deployment.
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Cites
The PHQ-9: Validity of a brief depression severity measure
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2001.016009606.x · Cited by 44,910
SAUNDERS, J. B., AASLAND, O. G., BABOR, T. F., DE LA FUENTE, J. R., & GRANT, M. (1993) · Addiction · doi:10.1111/j.1360-0443.1993.tb02093.x · Cited by 13,597
The PHQ-9: A New Depression Diagnostic and Severity Measure
Kroenke, K., & Spitzer, R. L. (2002) · Psychiatric Annals · doi:10.3928/0048-5713-20020901-06 · Cited by 5,898 · cited 2×
“The PHQ-9 has two scoring methods, one for diagnostic purposes and one for measuring severity, with a cutoff score of 5 suggested for mild depression (Kroenke & Spitzer, 2002; Kroenke, Spitzer, & Williams, 2001).”
MethodThe development of a Clinician-Administered PTSD Scale
Blake, D. D., Weathers, F. W., Nagy, L. M., Kaloupek, D. G., Gusman, F. D., Charney, D. S., & Keane, T. M. (1995) · Journal of Traumatic Stress · doi:10.1002/jts.2490080106 · Cited by 5,024
Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care
Hoge, C. W., Castro, C. A., Messer, S. C., McGurk, D., Cotting, D. I., & Koffman, R. L. (2004) · New England Journal of Medicine · doi:10.1056/nejmoa040603 · Cited by 4,778
Diagnostic and Statistical Manual of Mental Disorders
Raber, G., & Spokas, M. (2025) · The Sage Encyclopedia of Mood and Anxiety Disorders · doi:10.4135/9781071886229.n145 · Cited by 2,764
The Primary Care PTSD screen (PC-PTSD): development and operating characteristics
Prins, A., Ouimette, P., Kimerling, R., Camerond, R. P., Hugelshofer, D. S., Shaw-Hegwer, J., Thrailkill, A., Gusman, F. D., & Sheikh, J. I. (2004) · Primary Care Psychiatry · doi:10.1185/135525703125002360 · Cited by 1,390
Anger control: The development and evaluation of an experimental treatment.
Novaco, R. W. (1975) · Cited by 795
Bliese, P. D., Wright, K. M., Adler, A. B., Cabrera, O., Castro, C. A., & Hoge, C. W. (2008) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.76.2.272 · Cited by 733
Fontana, A., & Rosenheck, R. (2004) · Journal of Nervous & Mental Disease · doi:10.1097/01.nmd.0000138224.17375.55 · Cited by 307
Cited by
Moral injury and moral repair in war veterans: A preliminary model and intervention strategy
Litz, B. T., Stein, N., Delaney, E., Lebowitz, L., Nash, W. P., Silva, C., & Maguen, S. (2009) · Clinical Psychology Review · doi:10.1016/j.cpr.2009.07.003 · Cited by 2,738
Self-citationMoral Injury: An Integrative Review
Griffin, B. J., Purcell, N., Burkman, K., Litz, B. T., Bryan, C. J., Schmitz, M., Villierme, C., Walsh, J., & Maguen, S. (2019) · Journal of Traumatic Stress · doi:10.1002/jts.22362 · Cited by 752
Self-citationPsychometric Evaluation of the Moral Injury Events Scale
Nash, W. P., Marino Carper, T. L., Mills, M. A., Au, T., Goldsmith, A., & Litz, B. T. (2013) · Military Medicine · doi:10.7205/milmed-d-13-00017 · Cited by 606
Self-citationAn exploration of the viability and usefulness of the construct of moral injury in war veterans.
Drescher, K. D., Foy, D. W., Kelly, C., Leshner, A., Schutz, K., & Litz, B. (2011) · Traumatology · doi:10.1177/1534765610395615 · Cited by 488
Self-citationDefining and assessing moral injury: A syndrome perspective
Jinkerson, J. D. (2016) · Traumatology · doi:10.1037/trm0000069 · Cited by 381
Metadata
- Authors
- Maguen, S., Lucenko, B. A., Reger, M. A., Gahm, G. A., Litz, B. T., Seal, K. H., Knight, S. J., & Marmar, C. R.
- Venue
- Journal of Traumatic Stress
- Publisher
- Wiley
- Published
- 2010-01-26
- Volume
- 23
- Issue
- 1
- Pages
- 86-90
- ISSN
- 0894-9867 (ISSN-L)
- 1573-6598
- OpenAlex
- W2161373612
- Cited by
- 310
- References
- 14
- FWCI
- 24.06
- Type
- journal article
- Language
- en
- Open access
- closed
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- Maguen, S., Lucenko, B. A., Reger, M. A., Gahm, G. A., Litz, B. T., Seal, K. H., Knight, S. J., & Marmar, C. R. (2010). The impact of reported direct and indirect killing on mental health symptoms in Iraq war veterans. Journal of Traumatic Stress. https://doi.org/10.1002/jts.20434
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