PTSD Subclusters and Functional Impairment in Kosovo Peacekeepers

Maguen, Shira; Stalnaker, Mark; McCaslin, Shannon; Litz, Brett T.

doi:10.7205/milmed-d-03-2808

Cited by 64Posttraumatic Stress Disorder ResearchMigration, Health and TraumaTraumatic Brain Injury Research

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PTSD Subclusters and Functional Impairment in Kosovo Peacekeepers

Maguen, Shira, Stalnaker, Mark, McCaslin, Shannon, Litz, Brett T.·2009·Military Medicine

DOI 10.7205/milmed-d-03-2808

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Abstract

Peacekeepers deployed to Kosovo (N = 203) were evaluated prospectively, before the mission (August 2000) and at postdeployment, on a number of mental health and functional impairment variables. We examined the association between PTSD symptom subclusters and three indicators of functional impairment using hierarchical regression analyses, controlling for PTSD symptoms before the mission, and history of prior trauma. In the first model, avoidance and hyperarousal symptoms uniquely predicted a conglomerate of functional impact outcomes (e.g., employment, family relationships, social functioning). In the second model, emotional numbing was the only significant predictor of violent behaviors. In the third model, re-experiencing symptoms were the only significant predictor of alcohol abuse problems. Overall, the four PTSD subclusters are differentially associated with varying functional impairment outcomes, which is important to note for evaluation and treatment purposes for veterans returning from overseas deployments.

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Avoidance is considered to be a core maintaining and exacerbating factor in PTSD, and has demonstrated stronger associations with functional impairment than reexperiencing or numbing have.
“This may be especially detrimental given that avoidance is considered to be a core maintaining and exacerbating factor in PTSD, and has demonstrated stronger associations with functional impairment than reexperiencing or numbing have (Maguen et al., 2009).”
From Childhood Physical Abuse and Antisocial Traits: Mediating Role of Posttraumatic Stress Symptom Clusters (2022) · cites this paper as Maguen et al., 2009

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Authors: Maguen, S., Stalnaker, M., McCaslin, S., & Litz, B. T.
Affiliations: San Francisco VA Medical Center (US)
Boston University (US)
ORCID: Maguen, Shira
McCaslin, Shannon
Litz, Brett T.
Venue: Military Medicine
Publisher: Oxford University Press (OUP)
Published: 2009-08
Volume: 174
Issue: 8
Pages: 779-785
ISSN: 0026-4075 (ISSN-L)
1930-613X
DOI: 10.7205/milmed-d-03-2808
OpenAlex: W2328580212
Cited by: 64
References: 0
Citations by year: 2025: 1 · 2024: 8 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 5 · 2019: 7 · 2018: 7 · 2017: 4 · 2016: 6 · 2015: 4 · 2014: 1 · 2013: 4 · 2012: 5
FWCI: 3.90
Type: journal article
Language: en
Open access: closed
Locations: Military Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
Health Sciences › Medicine › Clinical Neurology › Traumatic Brain Injury Research
Keywords: post-traumatic stress disorder, functional disability, peacekeepers, avoidance symptoms, hyperarousal symptoms, emotional numbing, re-experiencing symptoms, alcohol abuse, violent behavior, employment, family relationships, social functioning, military mental health
MeSH terms: Adaptation, Psychological, Adult, Alcoholism, Female, Humans, Male, Mental Health, Military Personnel, Military Psychiatry, Prospective Studies, Regression Analysis, Statistics as Topic, Stress Disorders, Post-Traumatic, Stress, Psychological, Time Factors, United States, Warfare, Wounds and Injuries, Yugoslavia, Cluster Analysis

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PTSD Subclusters and Functional Impairment in Kosovo Peacekeepers

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