Objective predictors of delayed-onset post-traumatic stress disorder occurring after military discharge
- 21 February 2012
- journal article
- research article
- Published by Cambridge University Press (CUP) in Psychological Medicine
- Vol. 42 (10), 2119-2126
- https://doi.org/10.1017/s0033291712000189
Abstract
Background Post-traumatic stress disorder (PTSD) that develops after military personnel have been discharged may lead to severe impairment. We investigated whether personnel who develop PTSD after discharge can be identified by independent evidence of internalizing signs such as depression or of externalizing signs such as disciplinary offences while still serving. Method Veterans in receipt of a war pension who only developed PTSD post-discharge were compared with matched veterans who developed PTSD in service or never suffered from PTSD. Contemporaneous medical and personnel records were searched for objective evidence of internalizing and externalizing disorder. Results Service personnel who developed PTSD post-discharge were indistinguishable from controls with no PTSD on their psychiatric presentation in service. Those with post-discharge PTSD had significantly more disciplinary offences, specifically absence without leave, disobedience, and dishonesty, than the no-PTSD group, and this excess of offences was present before any exposure to trauma. Conclusions This is the first study to find objective evidence independent of self-report for the claimed link between externalizing disorder and vulnerability to PTSD. Early signs of externalizing disorders may play an important role in helping to identify service personnel at risk of PTSD after military discharge.This publication has 25 references indexed in Scilit:
- Internalizing and externalizing classes in posttraumatic stress disorder: A latent class analysisJournal of Traumatic Stress, 2010
- Posttraumatic stress disorder and the genetic structure of comorbidity.Journal of Abnormal Psychology, 2010
- Emotion and autobiographical memoryPhysics of Life Reviews, 2010
- Posttraumatic stress disorder: Anxiety or traumatic stress disorder?Journal of Traumatic Stress, 2009
- Psychological resilience and dysfunction among hospitalized survivors of the SARS epidemic in Hong Kong: A latent class approach.Health Psychology, 2008
- The internalizing and externalizing structure of psychiatric comorbidity in combat veteransJournal of Traumatic Stress, 2008
- Common genetic liability to major depression and posttraumatic stress disorder in menJournal of Affective Disorders, 2008
- Differential Etiology of Posttraumatic Stress Disorder with Conduct Disorder and Major Depression in Male VeteransBiological Psychiatry, 2007
- Internalizing and Externalizing Subtypes in Female Sexual Assault Survivors: Implications for the Understanding of Complex PTSDBehavior Therapy, 2007
- Self-Enhancement Among High-Exposure Survivors of the September 11th Terrorist Attack: Resilience or Social Maladjustment?Journal of Personality and Social Psychology, 2005