BACKGROUND: This study examined the degree to which combat-related guilt mediated the relations between exposure to combat-related abusive violence and both Posttraumatic Stress Disorder (PTSD) and Major Depressive Disorder (MDD) in Vietnam Veterans. METHODS: Secondary analyses were conducted on data collected from 1,323 male Vietnam Veterans as part of a larger, multisite study. RESULTS: Results revealed that combat-related guilt partially mediated the association between exposure to combat-related abusive violence and PTSD, but completely mediated the association with MDD, with overall combat exposure held constant in the model. Follow-up analyses showed that, when comparing those participants who actually participated in combat-related abusive violence with those who only observed it, combat-related guilt completely mediated the association between participation in abusive violence and both PTSD and MDD. Moreover, when comparing those participants who observed combat-related abusive violence with those who had no exposure at all to it, combat-related guilt completely mediated the association between observation of combat-related abusive violence and MDD, but only partially mediated the association with PTSD. CONCLUSIONS: These findings suggest that guilt may be a mechanism through which abusive violence is related to PTSD and MDD among combat-deployed Veterans. These findings also suggest the importance of assessing abusive-violence related guilt among combat-deployed Veterans and implementing relevant interventions for such guilt whenever indicated. (c) 2010 Wiley-Liss, Inc.
BACKGROUND: This study examined the degree to which combat-related guilt mediated the relations between exposure to combat-related abusive violence and both Posttraumatic Stress Disorder (PTSD) and Major Depressive Disorder (MDD) in Vietnam Veterans. METHODS: Secondary analyses were conducted on data collected from 1,323 male Vietnam Veterans as part of a larger, multisite study. RESULTS: Results revealed that combat-related guilt partially mediated the association between exposure to combat-related abusive violence and PTSD, but completely mediated the association with MDD, with overall combat exposure held constant in the model. Follow-up analyses showed that, when comparing those participants who actually participated in combat-related abusive violence with those who only observed it, combat-related guilt completely mediated the association between participation in abusive violence and both PTSD and MDD. Moreover, when comparing those participants who observed combat-related abusive violence with those who had no exposure at all to it, combat-related guilt completely mediated the association between observation of combat-related abusive violence and MDD, but only partially mediated the association with PTSD. CONCLUSIONS: These findings suggest that guilt may be a mechanism through which abusive violence is related to PTSD and MDD among combat-deployed Veterans. These findings also suggest the importance of assessing abusive-violence related guilt among combat-deployed Veterans and implementing relevant interventions for such guilt whenever indicated. (c) 2010 Wiley-Liss, Inc.
Authors: Paul A Dennis; Nora M Dennis; Elizabeth E Van Voorhees; Patrick S Calhoun; Michelle F Dennis; Jean C Beckham Journal: Anxiety Stress Coping Date: 2016-09-19
Authors: Anthony M Battaglia; Alina Protopopescu; Jenna E Boyd; Chantelle Lloyd; Rakesh Jetly; Charlene O'Connor; Heather K Hood; Anthony Nazarov; Shawn G Rhind; Ruth A Lanius; Margaret C McKinnon Journal: Eur J Psychotraumatol Date: 2019-01-17
Authors: Sheila B Frankfurt; Bryann B DeBeer; Sandra B Morissette; Nathan A Kimbrel; Heidi La Bash; Eric C Meyer Journal: Front Psychiatry Date: 2018-11-02 Impact factor: 4.157