Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - Family functioning predicts outcomes for veterans in treatment for chronic posttraumatic stress disorder
AU - Evans, Lynette
AU - Cowlishaw, Sean
AU - Hopwood, Malcolm
PY - 2009/8
Y1 - 2009/8
N2 - A longitudinal framework was used to examine the competing hypotheses of (a) whether family functioning predicts changes in posttraumatic stress disorder (PTSD) symptoms or (b) whether PTSD symptoms predict changes in family functioning. Veterans (N = 311) admitted to a treatment program completed a series of questionnaires at 3 time points: at intake, from intake to completion of a treatment program, and at the 6-month follow-up. Alcohol use and general mental health symptoms were also measured at intake. A cross-lagged panel model using structural equation modeling analyses indicated that family functioning was a moderate predictor of PTSD symptoms at posttreatment and at the 6-month follow-up. PTSD was not a significant predictor of family functioning across time and alcohol use, and general mental health symptoms did not affect the overall findings. Further analyses of PTSD symptom clusters indicated that the avoidance symptom cluster was most strongly related to family functioning. Targeting family relationships for treatment may be important in the future for veterans with PTSD.
AB - A longitudinal framework was used to examine the competing hypotheses of (a) whether family functioning predicts changes in posttraumatic stress disorder (PTSD) symptoms or (b) whether PTSD symptoms predict changes in family functioning. Veterans (N = 311) admitted to a treatment program completed a series of questionnaires at 3 time points: at intake, from intake to completion of a treatment program, and at the 6-month follow-up. Alcohol use and general mental health symptoms were also measured at intake. A cross-lagged panel model using structural equation modeling analyses indicated that family functioning was a moderate predictor of PTSD symptoms at posttreatment and at the 6-month follow-up. PTSD was not a significant predictor of family functioning across time and alcohol use, and general mental health symptoms did not affect the overall findings. Further analyses of PTSD symptom clusters indicated that the avoidance symptom cluster was most strongly related to family functioning. Targeting family relationships for treatment may be important in the future for veterans with PTSD.
KW - Victoria
KW - Questionnaires
KW - Family Conflict
KW - Humans
KW - Aged
KW - Personality Inventory
KW - Alcohol Drinking
KW - Longitudinal Studies
KW - Psychometrics
KW - Veterans
KW - Combat Disorders
KW - Adaptation, Psychological
KW - Adult
KW - Treatment Outcome
KW - Chronic Disease
KW - Follow-Up Studies
KW - Middle Aged
KW - Male
U2 - 10.1037/a0015877
DO - 10.1037/a0015877
M3 - Journal article
C2 - 19685988
VL - 23
SP - 531
EP - 539
JO - Journal of Family Psychology
JF - Journal of Family Psychology
SN - 0893-3200
IS - 4
ER -