Functional Outcomes in OEF/OIF Veterans with PTSD and Alcohol Misuse

患有 PTSD 和酒精滥用的 OEF/OIF 退伍军人的功能结果

• 批准号: 8915659
• 负责人: Sandra B. Morissette
• 金额: --
• 依托单位: OLIN TEAGUE VETERANS CENTER
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-06-01 至 2013-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8915659
• 关键词: Aging; Alcohols; Clinical Trials; Data; Development; Dose; Early Intervention; Early treatment; Economics; Environment; Evaluation; Exposure to; Family; Framingham Heart Study; Freedom; Future; Goals; Intervention; Investigation; Life; Longitudinal Studies; Mails; Mediating; Mental Depression; Mental Health; Mental Health Services; Mental disorders; Military Personnel; Nature; Neurocognition; Occupational; Patient Self-Report; Persons; Physical Function; Post-Traumatic Stress Disorders; Prevention program; Process; Psychopathology; Questionnaires; Recovery; Recovery of Function; Registries; Rehabilitation therapy; Reporting; Research; Services; Social support; Soldier; Stress; Testing; Theoretical model; Time; Twin Multiple Birth; Veterans; Vietnam; War; alcohol misuse; base; coping; design; drinking; evidence base; follow-up; functional disability; functional outcomes; functional status; intervention program; malleable risk; operation; programs; resilience; response; social; social stigma; stressor; treatment planning; treatment program

DESCRIPTION (provided by applicant): The proposed longitudinal study aims to better understand the functioning of returning Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) OEF/OIF veterans over time and to identify potentially malleable resilience factors associated with higher levels of functioning. A total of 300 returning OEF/OIF veterans will be followed for a one-year period. Veterans will complete a baseline assessment, followed by three follow-up assessments (two self-report assessments mailed at 4- and 8-months post-baseline and a one-year in-person follow-up assessment that repeats many of the baseline clinician-administered assessments). Multiple functional outcomes will be evaluated, including occupational, family, social, and physical functioning. The specific aims include: 1) identifying whether a "dose-response" relationship exists between level of exposure to stressors (pre-deployment, deployment-related, and post-deployment) and functioning over time; 2) examining whether potentially malleable resilience factors predict higher levels of functioning in returning veterans over time; 3) examining whether psychopathology predicts lower levels of functioning in returning veterans over time; 4) testing the theoretical model that psychopathology partially mediates the effects of stress, social support, coping, and neurocognition on functioning over time; 5) examining whether changes in the use of healthy coping strategies, social support, post-deployment stress, and psychopathology predict changes in functioning over time; and 6) exploring whether stress, social support, coping, neurocognition, and psychopathology have differential effects on specific aspects of functioning (e.g., occupational, family, social, and physical functioning) over time. The long-term aim of this research is to develop evidence-based prevention and treatment programs designed to assist returning OEF/OIF veterans with achieving optimal functioning when reintegrating into civilian life. In keeping with the VHA's goal of operationalizing principles of recovery and rehabilitation in treatment planning, this research should provide a platform of empirical data to assist with the further development of meaningful treatment intervention and prevention programs to assist OEF/OIF veterans with the post-war readjustment process over time.

DESCRIPTION (provided by applicant): The proposed longitudinal study aims to better understand the functioning of returning Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) OEF/OIF veterans over time and to identify potentially malleable resilience factors associated with higher levels of functioning. A total of 300 returning OEF/OIF veterans will be followed for a one-year period. Veterans will complete a baseline assessment, followed by three follow-up assessments (two self-report assessments mailed at 4- and 8-months post-baseline and a one-year in-person follow-up assessment that repeats many of the baseline clinician-administered assessments). Multiple functional outcomes will be evaluated, including occupational, family, social, and physical functioning. The specific aims include: 1) identifying whether a "dose-response" relationship exists between level of exposure to stressors (pre-deployment, deployment-related, and post-deployment) and functioning over time; 2) examining whether potentially malleable resilience factors predict higher levels of functioning in returning veterans over time; 3) examining whether psychopathology predicts lower levels of functioning in returning veterans over time; 4) testing the theoretical model that psychopathology partially mediates the effects of stress, social support, coping, and neurocognition on functioning over time; 5) examining whether changes in the use of healthy coping strategies, social support, post-deployment stress, and psychopathology predict changes in functioning over time; and 6) exploring whether stress, social support, coping, neurocognition, and psychopathology have differential effects on specific aspects of functioning (e.g., occupational, family, social, and physical functioning) over time. The long-term aim of this research is to develop evidence-based prevention and treatment programs designed to assist returning OEF/OIF veterans with achieving optimal functioning when reintegrating into civilian life. In keeping with the VHA's goal of operationalizing principles of recovery and rehabilitation in treatment planning, this research should provide a platform of empirical data to assist with the further development of meaningful treatment intervention and prevention programs to assist OEF/OIF veterans with the post-war readjustment process over time.