Psychosocial well-being among veterans with posttraumatic stress disorder and substance use disorder.

SM Blakey, KH Dillon, HR Wagner… - … , practice, and policy, 2022 - psycnet.apa.org
Psychological trauma: theory, research, practice, and policy, 2022psycnet.apa.org
Objective: Concurrent posttraumatic stress disorder and substance use disorder
(PTSD/SUD) in US military veterans represents an urgent public health issue associated
with significant clinical challenges. Although previous research has shown that veterans with
PTSD/SUD endorse more psychosocial risk factors and fewer protective factors than
veterans with neither or only one of these disorders, no study has applied a comprehensive
framework to characterize the vocational, financial, and social well-being of veterans with …
Objective
Concurrent posttraumatic stress disorder and substance use disorder (PTSD/SUD) in US military veterans represents an urgent public health issue associated with significant clinical challenges. Although previous research has shown that veterans with PTSD/SUD endorse more psychosocial risk factors and fewer protective factors than veterans with neither or only one of these disorders, no study has applied a comprehensive framework to characterize the vocational, financial, and social well-being of veterans with PTSD/SUD. Furthermore, it is not fully known how well-being among veterans with PTSD/SUD compares to that of veterans with posttraumatic stress disorder (PTSD) only, substance use disorder (SUD) only, or neither disorder.
Method
This cross-sectional observational study analyzed data from the National Post-Deployment Adjustment Survey, which recruited a random national sample of US veterans who served on/after September 11, 2001. Participants (weighted N= 1,102) self-reported sociodemographic, clinical, and military background information in addition to aspects of their vocational, financial, and social well-being.
Results
Veterans with PTSD/SUD were particularly likely to report lifetime experiences of homelessness, violent behavior, suicidal ideation, and suicide attempts. Veterans with PTSD/SUD reported worse social well-being than the PTSD-only, SUD-only, and neither-disorder groups. They also reported worse vocational and financial well-being than veterans with SUD only or with neither disorder but did not significantly differ from the PTSD-only group on vocational or financial well-being.
Conclusions
The findings underscore the importance of assessing multiple aspects of well-being in veterans with PTSD and/or SUD. The findings also point to promising treatment targets to improve psychosocial functioning and overall quality of life among veterans with PTSD and/or SUD.(PsycInfo Database Record (c) 2022 APA, all rights reserved)
American Psychological Association
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