Post-combat adaptation: improving social support and reaching constructive growth

• Published in: Anxiety, stress, and coping Vol. 31; no. 4; pp. 418 - 430
• Main Authors: Saltzman, L Y, Pat-Horenczyk, R, Lombe, M, Weltman, A, Ziv, Y, McNamara, T, Takeuchi, D, Brom, D
• Format: Journal Article
• Language: English
• Published: England Taylor & Francis Ltd 01.07.2018
• Subjects: Armed forces; Mental health; Post traumatic stress disorder; Regression analysis; Social support; Trauma; Israel; social support; posttraumatic growth; latent profile analysis; Combat
• ISSN: 1061-5806; 1477-2205
• DOI: 10.1080/10615806.2018.1454740

Posttraumatic stress disorder, a commonly researched mental health outcome associated with trauma, does not develop in the majority of survivors. More common trajectories of adaptation include resilience, and posttraumatic growth (PTG). The objectives of the current study were to: (1) describe posttrauma adaptation profiles in a sample of Israeli male military veterans (N = 448); and (2) to explore the protective factors that promote constructive PTG within two profiles of posttrauma adaptation. The study used secondary data to estimate latent profile mixture models and a series of logistic regression analyses. Demographic controls, combat related variables, endorsement of coping strategies, and reports of improvement in social support were not significant predictors of constructive growth in the resilient class. However, those in the struggling growth subset of the sample who reported improvement in perceived social support increased the odds of reaching constructive growth. These findings highlight the importance of tailored clinical interventions that account for more complex profiles of posttrauma adaptation; and further, provide evidence that adaptation takes place over time. Finally, these findings call for future research to continue to explore the quality of PTG and the contexts in which protective factors promote positive adaptation.