The Utility of the Personality Assessment Inventory in the Assessment of Posttraumatic Stress Disorder in OEF/OIF/OND Veterans

Bellet, Benjamin W.; McDevitt-Murphy, Meghan E.; Thomas, Danielle H; Luciano, Matthew T.

doi:10.1177/1073191116681627

Cited by 13 publications

(5 citation statements)

References 35 publications

(75 reference statements)

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“…A third possible reason to explain why Hypothesis 1 was not supported is that previous researchers found little elevation in ALC and DRG scales on the PAI in PTSD populations (Bellet et al, 2018). This may be due to the fact the DRG and ALC scales on the PAI were designed to detect severe dependence rather than the hazardous use associated with PTSD (Bellet et al, 2018). Fourth, results in this study noting that alcohol and drug problems were not negatively correlated with self-compassion was also found in previous studies (Brooks et al, 2012).…”

Section: Discussionmentioning

confidence: 93%

“…The current study is among the first (Bellet et al, 2018) to examine addictive personality traits and self-compassion in PTSD treatment. In addition, this study addressed several gaps in the literature by examining continuous variables of alcohol and drug severity, as well as the addiction-related personality traits associated with treatment outcomes.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The relationships between addiction-related personality traits, self-compassion, and PTSD treatment target variables in a clinical sample.

Warner¹,

McDonald²,

Grau³

et al. 2022

Traumatology

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Researchers (Van Minnen et al., 2015) have examined the relationship between posttraumatic stress disorder (PTSD) and substance use. Yet, this scholarship is often focused on explicit use and does not account for underlying personality variables that might impact the bidirectional relationship between PTSD and substance use (McCauley et al., 2012). In addition, self-compassion has shown relationships to both disorders, but has not been investigated with both as constructs of interest. Therefore, the purpose of this study was to examine the relationships between personality traits, self-compassion, PTSD symptom severity, and substance use in a PTSD Partial Hospitalization Program (PHP) sample (n = 200). To investigate the hypothesized relationships between variables, we ran descriptive analyses, bivariate correlations, and a series of regression models. Results showed that alcohol and drug problem scales on the Personality Assessment Inventory were not positively correlated with PTSD symptoms nor posttraumatic cognitions, while self-reported alcohol abuse did show a significant negative correlation with self-compassion. However, an Addiction-Related Personality Trait Index derived from the Personality Assessment Inventory, as well as reported alcohol abuse, showed positive correlations on PTSD symptom severity and posttraumatic cognitions, and negative correlations on self-compassion. Overall, personality factors and reported rates of alcohol use explain a significant amount of the variance in PTSD severity and other relevant treatment target variables. Based on these findings, it may be helpful to adapt treatment to include an assessment of, and focus on, the personality traits contributing to and maintaining both substance abuse and PTSD.

show abstract

Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

The relationships between addiction-related personality traits, self-compassion, and PTSD treatment target variables in a clinical sample.

Warner¹,

McDonald²,

Grau³

et al. 2022

Traumatology

View full text Add to dashboard Cite

show abstract

“…Bumper stickers, descriptive apparel, self-affirming statements (e.g., "I am a Vietnam Vet"), and other expressive methods are often used to express the time and deployment locations occurring within their service record. Moreover, research frequently examines differences between service eras (e.g., Mclaughlin, Nielsen, & Waller, 2008;Teigen, 2006;Wilmoth, London, & Parker, 2010) or provides information on service era as a critical sample descriptive characteristic (e.g., Bellet, McDevitt-Murphy, Thomas, & Luciano, 2018;Ingram, Tarescavage, Ben-Porath, & Oehlert, 2019a, b;Mozley, Willer, Weathers, Beckham, & Feldman, 2005).…”

mentioning

confidence: 99%

Comparing MMPI-2-Restructured Form Scores by Service Era for Veterans Assessed Within the Veteran Affairs Healthcare System

Ingram

Tarescavage

Ben‐Porath

et al. 2019

J Clin Psychol Med Settings

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This study compares profiles of Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) scale scores from 1492 VA test-takers who served during the Vietnam or Gulf War service eras. The sample includes all such cases collected at any VA posttraumatic stress disorder Clinical Teams across the United States between January 1, 2008 and May 31, 2015 using the MMPI-2 or MMPI-2-RF (via the VA Mental Health Assistant suite). Associations between gender and score differences were also examined. In contrast to past research using the MMPI-2, results of this study suggest that veterans are generally homogeneous in their MMPI-2-RF profiles across different periods of service. Specifically, the magnitudes of mean differences are small and not clinically significant. Thus, responses on the MMPI-2-RF do not appear influenced by service era. Implications for the clinical use of, and research with, the MMPI-2-RF are discussed within the VA healthcare system.

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“…However, veteran samples often exhibit higher mean scores on measures of personality problems and symptomatology. Researchers should seek to accurately characterize veteran personality rather than extrapolate from nonveteran profiles (Bellet, McDevitt‐Murphy, Thomas & Luciano, ). Identifying veteran personality presentations generally associated with PTSD may improve approaches to treatment engagement by providing a context for the typical veterans who present for treatment.…”

mentioning

confidence: 99%

Patterns of Treatment Disengagement and Personality Traits Associated With Posttraumatic Stress Disorder in Recent‐Era U.S. Veterans Receiving Cognitive Processing Therapy

Lamkin

Hundt

Ahearn

et al. 2019

Journal of Traumatic Stress

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Low treatment engagement is a barrier to implementation of empirically supported treatments for posttraumatic stress disorder (PTSD) among veterans. Understanding personality traits that predict dropout may help focus attempts to improve engagement. The current study included 90 veterans who served in recent conflicts in Iraq and/or Afghanistan and participated in a trial of cognitive processing therapy for PTSD. Goals were to characterize (a) personality correlates of PTSD, (b) patterns of engagement (i.e., attendance and homework completion), and (c) personality correlates of reduced engagement. Higher levels of PTSD symptoms were associated with a range of characteristics, including affective lability, r = .44 p < .001; anxiety, r = .38, p < .001; identity problems, r = .57, p < .001; intimacy problems, r = .34, p = .001; low affiliation, r = .33, p = .002; oppositionality, r = .36, p = .001; restricted expression, r = .35, p = .001; and suspiciousness, r = .50, p < .001. Notably, veterans with worse PTSD symptoms endorsed more cognitive dysregulation, r = .40, p < .001; and less insecure attachment, r = .14, p = .190, than expected. Only 52.2% of veterans completed the 12‐session course of treatment and 31.0% of participants completed fewer than six sessions. Personality traits did not predict attendance or homework completion. Disengagement continues to be a significant issue in trauma‐focused treatment for veterans with PTSD. Understanding veteran‐level factors, such as personality traits, may be useful considerations for future research seeking to understand and improve engagement.

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The Utility of the Personality Assessment Inventory in the Assessment of Posttraumatic Stress Disorder in OEF/OIF/OND Veterans

Cited by 13 publications

References 35 publications

The relationships between addiction-related personality traits, self-compassion, and PTSD treatment target variables in a clinical sample.

The relationships between addiction-related personality traits, self-compassion, and PTSD treatment target variables in a clinical sample.

Comparing MMPI-2-Restructured Form Scores by Service Era for Veterans Assessed Within the Veteran Affairs Healthcare System

Patterns of Treatment Disengagement and Personality Traits Associated With Posttraumatic Stress Disorder in Recent‐Era U.S. Veterans Receiving Cognitive Processing Therapy

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