Eric C Meyer1,2,3, Sheila B Frankfurt1,2, Nathan A Kimbrel4,5,6, Bryann B DeBeer1,2, Suzy B Gulliver2,3, Sandra B Morrisette7. 1. Department of Veterans Affairs VISN 17 Center of Excellence for Research on Returning War Veterans at Central Texas Veterans Health Care System. 2. Texas A&M University Health Science Center, College of Medicine. 3. Warriors Research Institute at Baylor Scott & White Health. 4. Durham VA Medical Center. 5. VA Mid-Atlantic Mental Illness Research Education and Clinical Center. 6. Duke University Medical Center. 7. The University of Texas at San Antonio.
Abstract
OBJECTIVES: Posttraumatic stress disorder (PTSD) strongly predicts greater disability and lower quality of life (QOL). Mindfulness-based and other third-wave behavior therapy interventions improve well-being by enhancing mindfulness, self-compassion, and psychological flexibility. We hypothesized that these mechanisms of therapeutic change would comprise a single latent factor that would predict disability and QOL after accounting for PTSD symptom severity. METHOD: Iraq and Afghanistan war veterans (N = 117) completed a study of predictors of successful reintegration. Principal axis factor analysis tested whether mindfulness, self-compassion, and psychological flexibility comprised a single latent factor. Hierarchical regression tested whether this factor predicted disability and QOL 1 year later. RESULTS: Mindfulness, self-compassion, and psychological flexibility comprised a single factor that predicted disability and QOL after accounting for PTSD symptom severity. PTSD symptoms remained a significant predictor of disability but not QOL. CONCLUSIONS: Targeting these mechanisms may help veterans achieve functional recovery, even in the presence of PTSD symptoms.
OBJECTIVES:Posttraumatic stress disorder (PTSD) strongly predicts greater disability and lower quality of life (QOL). Mindfulness-based and other third-wave behavior therapy interventions improve well-being by enhancing mindfulness, self-compassion, and psychological flexibility. We hypothesized that these mechanisms of therapeutic change would comprise a single latent factor that would predict disability and QOL after accounting for PTSD symptom severity. METHOD: Iraq and Afghanistan war veterans (N = 117) completed a study of predictors of successful reintegration. Principal axis factor analysis tested whether mindfulness, self-compassion, and psychological flexibility comprised a single latent factor. Hierarchical regression tested whether this factor predicted disability and QOL 1 year later. RESULTS: Mindfulness, self-compassion, and psychological flexibility comprised a single factor that predicted disability and QOL after accounting for PTSD symptom severity. PTSD symptoms remained a significant predictor of disability but not QOL. CONCLUSIONS: Targeting these mechanisms may help veterans achieve functional recovery, even in the presence of PTSD symptoms.
Authors: B Blair Braden; Broc A Pagni; Leanna Monahan; Melissa J M Walsh; Maria V Dixon; Shanna Delaney; Lisa Ballard; John E Ware Journal: Qual Life Res Date: 2021-10-16 Impact factor: 3.440
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Authors: Shannon M Blakey; Tate F Halverson; Mariah K Evans; Tapan A Patel; Lauren P Hair; Eric C Meyer; Bryann B DeBeer; Jean C Beckham; Mary J Pugh; Patrick S Calhoun; Nathan A Kimbrel Journal: J Psychiatr Res Date: 2021-07-22 Impact factor: 5.250
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