Perceived Support from Multiple Sources: Associations with PTSD Symptoms

Authors
DiMauro, J. Renshaw, K. D. Smith, B. N. Vogt, D.
Publication year
2016
Citation Title
Perceived support from multiple sources: Associations with PTSD symptoms.
Journal Name
Journal of Traumatic Stress
Journal Volume
29
Issue Number
4
Page Numbers
332-339
DOI
10.1002/jts.22114
Summary
There is evidence that perceived level of social support is negatively associated with posttraumatic stress disorder (PTSD). An examination of the relationships between PTSD and perceived support from different sources were conducted in the study using two distinct samples of Service members. Results revealed high levels of support from multiple sources for Service members but modest association between PTSD and perceived social support.
Key Findings
Participants perceived high support from both the broader public and close others (family and friends).
Perception of support from the broader public was modestly related to the PTSD symptoms of Service members in both samples, whereas the association between supports from family and friends and PTSD symptoms was modest in one sample but zero in another.
Marital status had no effect on Service members’ perceived support level, but women reported slightly higher support from family and friends than men.
Implications for Program Leaders
Offer support groups for Service members who were exposed to traumatic war experiences
Design workshops for Service members regarding how to seek supports not only from family and friends but also from the broader public
Educate Service members’ families and friends in workshops on how to support loved ones with PTSD
Implications for Policy Makers
Continue to support programs that aim to reduce PTSD symptoms in Service members after deployment
Raise awareness of the importance of broader public support on Service members’ well-being
Recommend training for professionals working with Service members regarding what PTSD symptoms to look for after Service members return from deployments and what support they could provide
Methods
Participants in sample one were recruited through marriage workshops, whereas participants in sample two were selected from a Defense Manpower Data Center database.
Each participant completed self-report questionnaires regarding PTSD symptoms, perceived social support from the broader public and from family and friends, and exposure to traumatic war experiences.
Data were analyzed to examine the associations between perceived social support and PTSD symptoms.
Participants
Sample one included 207 National Guard and Reserve Service members and sample two consisted of 465 Active Duty, National Guard, and Reserve members; all of the participants had been deployed during OEF/OIF.
The average ages of sample one and sample two were 35.09 years (SD = 8.37, 99% male) and 35.27 years (SD = 10.81, 41% male), respectively.
The race/ethnicity breakdowns of samples one and two were: White (91% vs. 73%), Black (1% vs. 16%), Asian American (3% vs. 3%), Native American (3% vs. 4%), and other (2% vs. 4%).
The military branches that participants of sample one and sample two served in were: Army (76% vs. 67%), Air Force (24% vs. 14%), Navy (0% vs. 12%), and Marine Corps (0% vs. 7%).
Limitations
The definition of the broader public support was not clear, which makes it hard to replicate the study.
Only self-report measures were used, therefore the result might be subject to self-report bias.
Sample one was recruited from marriage workshops, and people who attend those workshops might be different from people who do not, so the results may have been different if the people who do not attend the workshops were also included in the study.
Avenues for Future Research
Clearly define what broader public support means and examine what specific type of public support is most helpful for Service members
Explore the causal relationships between perceived support and PTSD symptoms
Examine the potential effects of social support on other domains of Service members’ and Veterans’ mental health (e.g., depression and anxiety)
Design Rating
2 Stars - There are some flaws in the study design or research sample, but those flaws do not significantly threaten the ability to make conclusions based on the data.
Methods Rating
2 Stars - There are no significant biases or deficits in the way the variables in the study are defined or measures and conclusions are appropriately drawn from the analyses performed.
Limitations Rating
1 Star - There are several factors that limit the ability to extend the results to a population and therefore the results can only be extended to a very specific subset of the population.
Focus
Multiple Branches
Target Population
Population Focus
Military Branch
Military Component
Abstract
Perceived social support is negatively associated with severity of posttraumatic stress disorder (PTSD), but the literature lacks data about specific sources of support. Using 2 service member (SM) samples (n = 207 and 465), this study examined perceived support from family/friends and the broader public. SMs perceived high support from both sources. In multivariate regressions, perceived support from the broader public was not significantly associated with severity of PTSD symptoms, but it demonstrated a nearly identical effect size ( = -.21) as support from family/friends ( = -.23) in a sample of active duty and National Guard/Reserve SMs. We found that, SMs perceived high levels of support from the broader public, with modest evidence that such perceptions may relate to severity of PTSD.
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