Evaluating PTSD prevalence and resilience factors in a predominantly Asian American and Pacific Islander sample of Iraq and Afghanistan Veterans

Whealin, Julia M.; Stotzer, Rebecca L.; Nelson, Dawna; Li, Fenfang; Liu-Tom, Hsin-Tine T.; Pietrzak, Robert H.

doi:10.1016/j.jad.2013.05.044

Cited by 31 publications

(22 citation statements)

References 24 publications

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“…Whealin and colleagues report significant findings at the early stage of the development of this variable. They found that stronger FNAD were associated with more PTSD symptoms reported (Whealin et al, 2013(Whealin et al, , 2015. However, their study findings were somewhat different from findings in the literature about the lower prevalence of reported mental health problems related to family norms among Asian Americans (Abe- Kim et al, 2007;Guo et al, 2015).…”

Section: Relationship Of Family Norms With Resilience and Acculturaticontrasting

confidence: 72%

“…Some studies have shown no significant relation between the two variables (Bang, 1998;Greenidge, 2007;Mo et al, 2006), while other studies involving Asian immigrants have shown that higher levels of acculturation are related to greater willingness to disclose trauma and mental health concerns (Fung and Wong, 2007;Thikeo et al, 2015). Whealin et al (2013Whealin et al ( , 2015 found that stronger FNAD among Asian Americans were correlated with more reported posttraumatic stress disorder (PTSD) symptoms. On the other hand, other studies (Abe- Kim et al, 2007;Abdullah and Brown, 2011;Guo et al, 2015) have demonstrated that stronger family norms against disclosing mental problems are correlated with lower psychological distress and mental health problems among Asian Americans.…”

Section: Acculturative Stress and Family Norms Against Disclosure Of mentioning

confidence: 99%

“…The variable of family norms against disclosure (FNAD) of mental health problems was developed as a result of an extensive literature review and focus groups of ethnoracially diverse military veterans in Hawaii exploring their cultural beliefs about mental health and barriers to care (Whealin et al, 2008). This measure is comprised of a single-item question: "People in my family do not talk about mental health problems with people outside of my family'' (Whealin et al, 2013(Whealin et al, , 2015. Respondents rate their agreement on a 5-point scale ranging from 1 (strongly disagree) to 5 (strongly agree).…”

Section: Family Norms Against Disclosure Of Mental Health Problemsmentioning

confidence: 99%

“…The variable of FNAD needs to be further explored and tested in order to fully identify its critical elements. This variable was recently tested by Whealin et al (2013Whealin et al ( , 2015. Whealin and colleagues report significant findings at the early stage of the development of this variable.…”

Section: Relationship Of Family Norms With Resilience and Acculturatimentioning

confidence: 99%

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2018

Asian Pac Isl Nurs J

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Section: Relationship Of Family Norms With Resilience and Acculturaticontrasting

confidence: 72%

Section: Acculturative Stress and Family Norms Against Disclosure Of mentioning

confidence: 99%

Section: Family Norms Against Disclosure Of Mental Health Problemsmentioning

confidence: 99%

Section: Relationship Of Family Norms With Resilience and Acculturatimentioning

confidence: 99%

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2018

Asian Pac Isl Nurs J

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“…Similarly, Hourani et al () found social support was a statistically significant protective factor associated with lower PTSD symptoms among U.S. Marine Corps members who experienced deployment‐related stress. Other researchers have similarly found that social support from friends, colleagues, and neighbors predicts lower levels of PTSD symptoms (Iversen et al, ; Whealin et al, ).…”

Section: Applying An Ecological Resilience Model To Understanding Prementioning

confidence: 90%

Individual, Family, and Community Predictors of PTSD Symptoms Following Military Deployment

et al. 2018

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Objective Using an ecological resilience model, we sought to identify protective factors that buffer against the effects of stressful deployment‐related experiences on symptoms of posttraumatic stress disorder (PTSD) among active duty U.S. Air Force personnel who were married or in a committed relationship. Background Stressful deployment experiences are associated with PTSD symptoms among active duty military personnel. However, certain protective factors may buffer against negative effects of such experiences. Method Analyses for the present study were active duty military personnel who completed the 2011 Air Force Community Assessment Survey, were married or in a committed relationship, and had completed at least one deployment at the time of the survey (N = 12,166). Results Regression analyses indicated that stressful deployment experiences were statistically related to elevated PTSD symptoms but also that both personal and contextual factors moderated those symptoms. Furthermore, self‐efficacy, family coping, spouse/partner support, financial resources, and religious participation moderated the relation between stressful deployment experiences and PTSD symptoms. Conclusion PTSD symptoms were positively associated with stressful deployment experiences, and symptoms were less likely to occur when service members experienced support from individual, family, and community sources. Implications Interventions that promote self‐efficacy and social support from multiple ecological contexts may help reduce PTSD symptoms among combat‐exposed Air Force personnel.

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Posttraumatic stress disorder in the short and medium term following the World Trade Center attack among Asian Americans

Kung

Liu

Goldmann

et al. 2018

Journal Community Psychology

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This study investigated patterns of probable posttraumatic stress disorder (PTSD) and their predictors among 2,431 Asian American and 31,455 non-Hispanic White World Trade Center (WTC) Registry participants 2–3 years and 5–6 years after the WTC attack. Participants were divided into four PTSD pattern groups: resilient, remitted, delayed onset, and chronic. Asians had a lower proportion in the resilient group (76.5% vs. 79.8%), a higher proportion in the chronic (8.6% vs. 7.4%) and remitted (5.9% vs. 3.4%) groups, and a similar proportion in the delayed onset group (about 9%) compared to Whites. In multinomial logistic regression analyses, disaster exposure, immigrant status, lower income, pre-attack depression/anxiety, and lower respiratory symptoms were associated with increased odds of chronic and delayed onset PTSD (vs. resilience) among both races. Education and employment were protective against chronic and delayed onset PTSD among Whites only. These results can inform targeted outreach efforts to enhance prevention and treatment for Asians affected by future events.

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Evaluating PTSD prevalence and resilience factors in a predominantly Asian American and Pacific Islander sample of Iraq and Afghanistan Veterans

Cited by 31 publications

References 24 publications

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Untitled

Individual, Family, and Community Predictors of PTSD Symptoms Following Military Deployment

Posttraumatic stress disorder in the short and medium term following the World Trade Center attack among Asian Americans

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