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Journal Article

Citation

Adams RE, Urosevich TG, Hoffman SN, Kirchner HL, Figley CR, Withey CA, Boscarino JJ, Dugan RJ, Boscarino JA. Mil. Behav. Health 2019; 7(3): 304-314.

Affiliation

Department of Epidemiology & Health Services Research, Geisinger Clinic, Danville, Pennsylvania.

Copyright

(Copyright © 2019, Informa - Taylor and Francis Group)

DOI

10.1080/21635781.2019.1580642

PMID

31363423

PMCID

PMC6666406

Abstract

Social psychological theory hypothesizes that one's identity, self-definitions, and meanings used for a particular social role fosters individual purpose in life and affects behavior in specific social situations. As such, it can be protective against the onset of psychological disorders. We examined this hypothesis with data collected from 1,730 military veterans recruited to study the health effects of warzone deployments. The sample was primarily male, older, and White. Our key independent variable was a Likert scale rating the prominence of a respondent's veteran identity: how important it is to the person. Outcome variables included posttraumatic stress disorder (PTSD), suicide ideation, depression, alcohol misuse, and use of VA services. Bivariate analysis suggested that veterans with a prominent veteran identity are older, noncollege graduates, have less income, and had their first deployment to Vietnam. In multivariate analyses, study participants with a prominent veteran identity were less likely to exhibit suicide ideation, but more likely to misuse alcohol and use VA services. We found no differences for PTSD, self-rated health, or depression by veteran identity. Veterans who scored higher on the veteran identity scale appeared to be protected from suicidal thoughts, although they had an elevated risk for alcohol misuse.


Language: en

Keywords

VA medical care; Veteran identity; alcohol misuse; depression; non-VA medical care; posttraumatic stress disorder; self-rated health; stressful life events; suicide ideation; war zone deployment

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