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Childhood trauma and the role of self-blame on psychological well-being after deployment in male veterans
decreased psychosocial functioning. Coping strategies play an important role in the adjust-
ment to traumatic events.
Objective: The present study examined childhood trauma and the mediating role of coping
strategies in adult psychological symptoms in a non-clinical military population after
deployment to Afghanistan. Additionally, the moderating role of coping strategies in
vulnerability to combat events was explored.
Method: Participants (N = 932) were drawn from a prospective study assessing psychologi-
cal complaints (SCL-90), early trauma (ETISR-SF), combat-related events and coping strate-
gies (Brief COPE). Mediation analyses via joint significance testing and moderation analyses
were performed.
Results: Childhood trauma is related to adult symptoms of general anxiety, depression and
problems concerning interpersonal sensitivity through the mediation of self...Show moreBackground: Childhood trauma and combat-related trauma are both associated with
decreased psychosocial functioning. Coping strategies play an important role in the adjust-
ment to traumatic events.
Objective: The present study examined childhood trauma and the mediating role of coping
strategies in adult psychological symptoms in a non-clinical military population after
deployment to Afghanistan. Additionally, the moderating role of coping strategies in
vulnerability to combat events was explored.
Method: Participants (N = 932) were drawn from a prospective study assessing psychologi-
cal complaints (SCL-90), early trauma (ETISR-SF), combat-related events and coping strate-
gies (Brief COPE). Mediation analyses via joint significance testing and moderation analyses
were performed.
Results: Childhood trauma is related to adult symptoms of general anxiety, depression and
problems concerning interpersonal sensitivity through the mediation of self-blame as
a coping strategy. Some evidence was found that self-blame moderated vulnerability to
combat-related events resulting in psychological complaints, specifically symptoms of anxi-
ety and depression.
Conclusions: Military personnel should be made aware of self-criticizing maladaptive belief
systems when dealing with aversive events. Negative beliefs about oneself and distorted
trauma-related cognitions may have a basis in childhood events. Self-blame cognitions may
be a potential mechanism of change in empirically supported trauma interventions such as
cognitive processing therapy.
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- All authors
- Dorresteijn, S.; Gladwin, T.E.; Eekhout, I.; Vermetten, E.; Geuze, E.
- Date
- 2019-01-01
- Volume
- 10
- Issue
- 1