Multiple Deployments and Combat Trauma: Do Homefront Stressors Increase the Risk for Posttraumatic Stress Symptoms?
Version of Record online: 24 JAN 2014
Published 2014. This article is a US Government work and is in the public domain in the USA
Journal of Traumatic Stress
Volume 27, Issue 1, pages 90–97, February 2014
How to Cite
Interian, A., Kline, A., Janal, M., Glynn, S. and Losonczy, M. (2014), Multiple Deployments and Combat Trauma: Do Homefront Stressors Increase the Risk for Posttraumatic Stress Symptoms?. J. Traum. Stress, 27: 90–97. doi: 10.1002/jts.21885
- Issue online: 10 FEB 2014
- Version of Record online: 24 JAN 2014
Multiple deployments are common among military personnel who served in Operation Enduring Freedom and Operation Iraqi Freedom and are associated with greater posttraumatic stress symptoms (PTSS). Homefront stressors (i.e., family, occupational problems) resulting from deployments may increase the risk of PTSS. Moreover, with multiple deployments, a new deployment may occur while still experiencing homefront stressors from previous tours. This prospective study assessed whether homefront stressors from a previous tour increased the risk of PTSS after a new deployment. It also examined the effects of homefront stressors at postdeployment. Survey data were obtained from U.S. National Guard soldiers with previous deployments prior to (Wave 1) and after (Wave 2) a new deployment to Iraq (N = 196). Homefront stressors reported at Wave 1 (β = .154, p = .015) and Wave 2 (β = .214, p = .002) were both significantly predictive of PTSS at postdeployment, even after adjusting for warzone stressors, predeployment PTSS, and other variables. A pattern of chronic homefront stressors (i.e., homefront stressors at pre- and postdeployment) was associated with higher levels of PTSS at postdeployment (β = .220, p = .002). Service members with multiple deployments are at greater risk for PTSS if deployed with homefront stressors from previous tours and/or face these stressors at postdeployment.
Traditional and Simplified Chinese Abstracts by AsianSTSS
撮要：重覆派駐任務在參與「持續自由行動」和「伊拉克自由行動」的軍事人員中常見，亦與更嚴重創傷後壓力症狀(PTSS)相關。派駐引至的後方壓力(即家庭和職業問題)可能加添PTSS的風險。再者，新派駐任務可能出現而以前任務的後方壓力還在持續發生。本前瞻性研究評估前次任務的後方壓力有否增加新派駐任務的PTSS風險，亦評估派駐後后方的影響。數據是在國民警衛軍中抽取，包括有前次派駐，新派駐伊拉克 (N=196) 之前 (浪1) 及後 (浪2)。在浪1 (β= .154, p< .05) 及浪2 (β= .214, p< .01) 的後方壓力在調整戰區壓力、派駐前PTSS及其他變量後，都與派駐後PTSS有顯著的預測作用。長期後方壓力模式 (即派駐前後的後方壓力) 和派駐後PTSS高水平有相連(β= .22, p= < .01)。重覆派駐軍人如果在以前任務持續有著後方壓力及/或派駐後面對這些壓力，都有PTSS的較高風險。
撮要：重复派驻任务在参与「持续自由行动」和「伊拉克自由行动」的军事人员中常见，亦与更严重创伤后压力症状(PTSS)相关。派驻引至的后方压力(即家庭和职业问题)可能加添PTSS的风险。再者，新派驻任务可能出现而以前任务的后方压力还在持续发生。本前瞻性研究评估前次任务的后方压力有否增加新派驻任务的PTSS风险，亦评估派驻后后方的影响。数据是在国民警卫军中抽取，包括有前次派驻，新派驻伊拉克 (N=196) 之前 (浪1) 及后 (浪2)。在浪1 (β= .154, p< .05) 及浪2 (β= .214, p< .01) 的后方压力在调整战区压力、派驻前PTSS及其他变量后，都与派驻后PTSS有显著的预测作用。长期后方压力模式 (即派驻前后的后方压力) 和派驻后PTSS高水平有相连(β= .22, p= < .01)。重复派驻军人如果在以前任务持续有着后方压力及/或派驻后面对这些压力，都有PTSS的较高风险。