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Posttraumatic stress disorder–related anhedonia as a predictor of psychosocial functional impairment among United States veterans
Prior research suggests that anhedonia symptoms related to posttraumatic stress disorder (PTSD; i.e., diminished interest, detachment from others, and difficulty experiencing positive emotions) are consistently associated with a higher degree of impairment in psychosocial functioning beyond that ass...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9790620/ https://www.ncbi.nlm.nih.gov/pubmed/35405033 http://dx.doi.org/10.1002/jts.22832 |
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author | May, Casey L. Wisco, Blair E. Fox, Victor A. Marx, Brian P. Keane, Terence M. |
author_facet | May, Casey L. Wisco, Blair E. Fox, Victor A. Marx, Brian P. Keane, Terence M. |
author_sort | May, Casey L. |
collection | PubMed |
description | Prior research suggests that anhedonia symptoms related to posttraumatic stress disorder (PTSD; i.e., diminished interest, detachment from others, and difficulty experiencing positive emotions) are consistently associated with a higher degree of impairment in psychosocial functioning beyond that associated with other PTSD symptoms. Unfortunately, much of this research has used cross‐sectional study designs; relied upon outdated DSM diagnostic criteria; and failed to control for potentially confounding variables, such as the presence of co‐occurring depression. This study used data from Waves 2 and 4 (n = 1,649) of the Veterans’ After‐Discharge Longitudinal Registry (Project VALOR), a longitudinal dataset of U.S. Army and Marine veterans. As measured using the Inventory of Psychosocial Functioning, Wave 4 psychosocial functioning was regressed on seven PTSD symptom factors at Wave 2 (i.e., intrusions, avoidance, negative affect, anhedonia, externalizing behaviors, anxious arousal, and dysphoric arousal) and potential Wave 2 confounds. The Anhedonia factor, β = .123, most strongly predicted later psychosocial functional impairment beyond the impact of other PTSD symptom factors, βs = −.076–.046. Clinical implications of these findings are also discussed. |
format | Online Article Text |
id | pubmed-9790620 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-97906202022-12-28 Posttraumatic stress disorder–related anhedonia as a predictor of psychosocial functional impairment among United States veterans May, Casey L. Wisco, Blair E. Fox, Victor A. Marx, Brian P. Keane, Terence M. J Trauma Stress Research Articles Prior research suggests that anhedonia symptoms related to posttraumatic stress disorder (PTSD; i.e., diminished interest, detachment from others, and difficulty experiencing positive emotions) are consistently associated with a higher degree of impairment in psychosocial functioning beyond that associated with other PTSD symptoms. Unfortunately, much of this research has used cross‐sectional study designs; relied upon outdated DSM diagnostic criteria; and failed to control for potentially confounding variables, such as the presence of co‐occurring depression. This study used data from Waves 2 and 4 (n = 1,649) of the Veterans’ After‐Discharge Longitudinal Registry (Project VALOR), a longitudinal dataset of U.S. Army and Marine veterans. As measured using the Inventory of Psychosocial Functioning, Wave 4 psychosocial functioning was regressed on seven PTSD symptom factors at Wave 2 (i.e., intrusions, avoidance, negative affect, anhedonia, externalizing behaviors, anxious arousal, and dysphoric arousal) and potential Wave 2 confounds. The Anhedonia factor, β = .123, most strongly predicted later psychosocial functional impairment beyond the impact of other PTSD symptom factors, βs = −.076–.046. Clinical implications of these findings are also discussed. John Wiley and Sons Inc. 2022-04-11 2022-10 /pmc/articles/PMC9790620/ /pubmed/35405033 http://dx.doi.org/10.1002/jts.22832 Text en © 2022 The Authors. Journal of Traumatic Stress published by Wiley Periodicals LLC on behalf of International Society for Traumatic Stress Studies. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Articles May, Casey L. Wisco, Blair E. Fox, Victor A. Marx, Brian P. Keane, Terence M. Posttraumatic stress disorder–related anhedonia as a predictor of psychosocial functional impairment among United States veterans |
title | Posttraumatic stress disorder–related anhedonia as a predictor of psychosocial functional impairment among United States veterans |
title_full | Posttraumatic stress disorder–related anhedonia as a predictor of psychosocial functional impairment among United States veterans |
title_fullStr | Posttraumatic stress disorder–related anhedonia as a predictor of psychosocial functional impairment among United States veterans |
title_full_unstemmed | Posttraumatic stress disorder–related anhedonia as a predictor of psychosocial functional impairment among United States veterans |
title_short | Posttraumatic stress disorder–related anhedonia as a predictor of psychosocial functional impairment among United States veterans |
title_sort | posttraumatic stress disorder–related anhedonia as a predictor of psychosocial functional impairment among united states veterans |
topic | Research Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9790620/ https://www.ncbi.nlm.nih.gov/pubmed/35405033 http://dx.doi.org/10.1002/jts.22832 |
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