Predicting Severity of PTSD Symptoms in OEF/OIF Veterans through
Assessment of Deployment and Post-Deployment Preparedness
Limitations
Although a large volume of data can easily and quickly
be procured through partnership with the Veteran
Health Administration, this only gives us part of the
picture. Many veterans haven't and may never seek or
receive needed help for PTSD.
The use of only cross-sectional data limits this study as
well. Because individuals will be asked to remember
and record their perceptions about previous
experiences, a recall bias may have a negative impact
on the quality of information received.
Implications
Social Work
If the current study shows that high levels of
preparedness can reliably predict lower severity of
PTSD symptoms, interventions could be designed to
aid in pre and post-deployment preparation. Social
workers could assume responsibility for a proposed
intervention design and could play an active role in
administering intervention to military members and
training other professionals to do the same.
Research
If the hypothesis of this study is not disproven, an
experimental study to develop and gauge the
effectiveness of a comprehensive, consistent and
mandated pre and post-deployment intervention
program would be pertinent.
Policy
If such research shows a mandated, consistent
program to be effective in PTSD prevention and/or
reduction in PTSD severity, implications for the
national budget, should such an intervention be
adopted, could be astounding. The cost of preparation
for those involved in combat is potentially much lower
than a lifetime of care and compensation for combat
related mental and emotional injuries.
Methods
Hypothesis
H1: Combat veterans who felt thoroughly prepared for deployment were
less likely to experience severe symptoms of post-traumatic stress
H2: Veterans who felt prepared to return from combat and reenter their
families and non-combat jobs, were less like to experience severe
symptoms of post-traumatic stress
Independent Variables
Comprehensive pre-combat preparatory training;
Comprehensive post-combat debriefing
Dependent Variable
Severe and debilitating Post-Traumatic Stress Disorder
Study Population
Recent combat (since 9/11/01) veterans who are current VA patients
Research Design
This study will have a cross-sectional, self-report survey design
Study Sample
Sample size of 3000 recent combat veterans who are patients at 15
different VA health centers. 1500 participants with current diagnoses of
PTSD will be found in mental health clinics. An additional 1500
participants will be found in primary care clinics (PTSD status
unknown). Every unique patient who meets the criteria, without
exception, will be asked to participate until full sample is obtained.
Procedures for Data Collection
Approval from IRB
Obtain consent from each participant
Measures self-administered by patients, in waiting room, while waiting
for their appointments
Measurement of Variables
Existing measures, created by the VA National Center for PTSD, to be
used: Screen for Posttraumatic Stress Symptoms; Sense of Preparedness
Scale; Combat Experiences Scale; Deployment Social Support Scale;
Post-deployment Social Support Scale
Control Variables
Control variables to be assessed include: gender; age; total number and
length of deployments; place(s) of deployment; marital status; race
Data Analysis
SSPS; quantitative design; assess correlation between sense of
preparedness and severity of PTSD symptoms; assess correlation
between post-deployment readiness and severity of PTSD symptoms
Introduction
• 2,333,972 American military personnel were
deployed to combat zones from 2001-2011¹
• One in four recent combat veterans treated by the
VA from 2004-2009, had a diagnoses of PTSD ²
• PTSD is exceptionally destructive to the lives of
combat soldiers and veterans, increasing rates of
joblessness, homelessness, divorce, relationship
aggression, child custody loss and suicide ³
• Costs of lifetime VA compensation and treatment for
each PTSD diagnosed veteran are staggering and
weigh heavily on society as a whole
• Previous studies show positive correlation between
comprehensive physical, ethical/moral and mental
preparatory training and PTSD protection in police
officers
• The current study aims to explore two separate
points of intervention that may offer PTSD
protection: pre-deployment preparation and post-
deployment debriefing and to examine the
integrated effects of these interventions on the
severity of PTSD symptoms in combat veterans
¹Data from the Defense Manpower Data Center, ²Data from the Congressional Budget Office, ³Data from the National Center
for PTSD
Average costs of care for all Veteran Health Administration (VHA) health care provided to overseas contingency operations (OCO, aka “combat”)
patients. Congressional Budget Office, 2010. www.cbo.gov/publication/42969
Johanna England

Poster revised

  • 1.
    Predicting Severity ofPTSD Symptoms in OEF/OIF Veterans through Assessment of Deployment and Post-Deployment Preparedness Limitations Although a large volume of data can easily and quickly be procured through partnership with the Veteran Health Administration, this only gives us part of the picture. Many veterans haven't and may never seek or receive needed help for PTSD. The use of only cross-sectional data limits this study as well. Because individuals will be asked to remember and record their perceptions about previous experiences, a recall bias may have a negative impact on the quality of information received. Implications Social Work If the current study shows that high levels of preparedness can reliably predict lower severity of PTSD symptoms, interventions could be designed to aid in pre and post-deployment preparation. Social workers could assume responsibility for a proposed intervention design and could play an active role in administering intervention to military members and training other professionals to do the same. Research If the hypothesis of this study is not disproven, an experimental study to develop and gauge the effectiveness of a comprehensive, consistent and mandated pre and post-deployment intervention program would be pertinent. Policy If such research shows a mandated, consistent program to be effective in PTSD prevention and/or reduction in PTSD severity, implications for the national budget, should such an intervention be adopted, could be astounding. The cost of preparation for those involved in combat is potentially much lower than a lifetime of care and compensation for combat related mental and emotional injuries. Methods Hypothesis H1: Combat veterans who felt thoroughly prepared for deployment were less likely to experience severe symptoms of post-traumatic stress H2: Veterans who felt prepared to return from combat and reenter their families and non-combat jobs, were less like to experience severe symptoms of post-traumatic stress Independent Variables Comprehensive pre-combat preparatory training; Comprehensive post-combat debriefing Dependent Variable Severe and debilitating Post-Traumatic Stress Disorder Study Population Recent combat (since 9/11/01) veterans who are current VA patients Research Design This study will have a cross-sectional, self-report survey design Study Sample Sample size of 3000 recent combat veterans who are patients at 15 different VA health centers. 1500 participants with current diagnoses of PTSD will be found in mental health clinics. An additional 1500 participants will be found in primary care clinics (PTSD status unknown). Every unique patient who meets the criteria, without exception, will be asked to participate until full sample is obtained. Procedures for Data Collection Approval from IRB Obtain consent from each participant Measures self-administered by patients, in waiting room, while waiting for their appointments Measurement of Variables Existing measures, created by the VA National Center for PTSD, to be used: Screen for Posttraumatic Stress Symptoms; Sense of Preparedness Scale; Combat Experiences Scale; Deployment Social Support Scale; Post-deployment Social Support Scale Control Variables Control variables to be assessed include: gender; age; total number and length of deployments; place(s) of deployment; marital status; race Data Analysis SSPS; quantitative design; assess correlation between sense of preparedness and severity of PTSD symptoms; assess correlation between post-deployment readiness and severity of PTSD symptoms Introduction • 2,333,972 American military personnel were deployed to combat zones from 2001-2011¹ • One in four recent combat veterans treated by the VA from 2004-2009, had a diagnoses of PTSD ² • PTSD is exceptionally destructive to the lives of combat soldiers and veterans, increasing rates of joblessness, homelessness, divorce, relationship aggression, child custody loss and suicide ³ • Costs of lifetime VA compensation and treatment for each PTSD diagnosed veteran are staggering and weigh heavily on society as a whole • Previous studies show positive correlation between comprehensive physical, ethical/moral and mental preparatory training and PTSD protection in police officers • The current study aims to explore two separate points of intervention that may offer PTSD protection: pre-deployment preparation and post- deployment debriefing and to examine the integrated effects of these interventions on the severity of PTSD symptoms in combat veterans ¹Data from the Defense Manpower Data Center, ²Data from the Congressional Budget Office, ³Data from the National Center for PTSD Average costs of care for all Veteran Health Administration (VHA) health care provided to overseas contingency operations (OCO, aka “combat”) patients. Congressional Budget Office, 2010. www.cbo.gov/publication/42969 Johanna England