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A Prospective Investigation of Changes in Avoidant and Active Coping and Posttraumatic Stress Disorder Symptoms among Military Veteran |
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| Authors: | Matthew Tyler Boden Marcel O. Bonn-Miller Anka A. Vujanovic Kent D. Drescher |
| Affiliation: | 1. Center for Health Care Evaluation, Veterans Affairs Palo Alto Health Care System, Menlo Park Division (152), 795 Willow Road, Menlo Park, CA, 94025, USA 2. National Center for PTSD and Center for Health Care Evaluation, Veterans Affairs Palo Alto, Health Care System, Menlo Park, CA, USA 5. Center for Excellence in Substance Abuse Treatment and Education, Philadelphia Veterans Affair Medical Center, Philadelphia, PA, USA 3. National Center for PTSD—Behavioral Science Division, Veterans Affairs Boston Healthcare System & Boston University School of Medicine, Boston, MA, USA 6. University of Texas Health Science Center, Houston, TX, USA 4. National Center for PTSD, Veterans Affairs Palo Alto Health Care System, Menlo Park, CA, USA |
| Abstract: | The present investigation utilized a prospective design to investigate associations between changes in self-reported avoidant and active coping occurring during residential treatment for posttraumatic stress disorder (PTSD) and PTSD symptom severity at treatment discharge. Participants were 636 military Veteran patients (91.4?% male; M age?=?51.7?years) admitted to a Veterans Affairs (VA) residential rehabilitation program for PTSD, between 2000 and 2008. Results indicated that increases in avoidant coping and decreases in active coping from treatment intake to discharge were simultaneously and incrementally predictive of total PTSD symptom severity at treatment discharge, after accounting for PTSD symptom severity at treatment intake. These findings hold particular relevance for treatment-seeking populations with severe PTSD and researchers and clinicians attempting to understand and treat these populations. |
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