Deployment characteristics and long-term PTSD symptoms

J Clin Psychol. 2018 Apr;74(4):637-648. doi: 10.1002/jclp.22535. Epub 2017 Sep 22.

Abstract

Objective: The impact of number, length, and time between (i.e., "dwell time") deployments on long-term Diagnostic and Statistical Manual of Mental Disorders Fourth Edition posttraumatic stress disorder (PTSD) symptoms was examined in post-9/11 U.S. veterans.

Method: This cross-sectional design includes data from 278 veterans participating in a larger longitudinal research program of postdeployment recovery. Measures included self-report questionnaires and the Clinician Administered PTSD Scale.

Results: Hierarchical regression was used to evaluate the independent contributions of deployment characteristics on long-term PTSD symptoms after controlling for demographics and combat exposure. As expected, dwell time was a significant predictor of long-term PTSD symptoms (β = - 0.17, p = .042; F5,108 = 8.21, ∆R2 = 0.03, p < .001). Follow-up analyses indicated that dwell time of less than 12 months was associated with significantly greater long-term PTSD symptoms than those deployed once or with dwell time greater than 12 months.

Conclusion: In addition to combat exposure, time between deployments warrants clinical attention as an important deployment characteristic for predicting long-term PTSD symptoms.

Keywords: combat exposure; deployment; dwell time PTSD; veteran.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Combat Disorders / diagnosis*
  • Combat Disorders / physiopathology
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Stress Disorders, Post-Traumatic / diagnosis*
  • Stress Disorders, Post-Traumatic / physiopathology
  • Time Factors
  • Veterans / statistics & numerical data