Depression - A mental state of depressed mood characterized by feelings of sadness, despair and discouragement. Depression ranges from normal feelings of the blues through dysthymia to major depression.
Depression may play a bigger role in readjustment than previously thought in troubled vets
Depression :: Depression may play a bigger role in readjustment than previously thought in troubled vets
Depression may be an unrecognized readjustment problem for recently returning veterans of the conflicts in Iraq and Afghanistan, according to a study released today at the American Psychological Association 115th Annual Convention. Researchers working with veterans referred for psychiatric evaluation from a primary care service found that major or minor depression was associated with domestic abuse and other family problems.Two-thirds of the married/cohabiting veterans reported some type of family readjustment problem or conflict occurring several times a week: 42 percent felt like a guest in their household, 21.8 percent reported their children were not acting warmly or were afraid of them, and 35.7 percent were unsure about their role in regular household responsibilities. Veterans with depression or PTSD were more likely to experience these readjustment problems. The presence of family problems may limit the effectiveness of treatments for depression or PTSD because of the importance of positive family relationships to veterans? recovery. According to the researchers, the results suggest an opportunity to improve treatment for returning veterans by involving family in the veteran's recovery.
In addition, about 56 percent of the patients with current or recently separated partners reported severe conflicts involving ?shouting, pushing or shoving,? and 35 percent reported that this partner was afraid of them.
The researchers, led by Steven L. Sayers, PhD, of the Philadelphia VA Medical Center, noted that while there has been very little empirical research focused on the family problems of veterans in the first year or two following their return from a major military conflict, family problems among those with partners are common. The rates of problems found in this study were similar to those in longer-term studies of Vietnam veterans diagnosed with PTSD.
?In the current study, however, we did not find that PTSD was associated with overall rates of family problems,? the researchers wrote. ?In contrast, depression was most consistently related to the presence of both readjustment and domestic abuse problems.? Many of the veterans at the Medical Center with PTSD were already in treatment in the Behavioral Health Service and so were not part of this primary care sample referred for evaluation.
The researchers found that specific role-related readjustment problems were related both to depression and PTSD. For example, whereas about 20 percent of the veterans reported that their children were afraid of them or did not act warmly, those with PTSD were at greater risk of this experience (36 percent).
(Depression :: Depression may play a bigger role in readjustment than previously thought in troubled vets published at SpiritIndia on Friday, August 17, 2007)
Depression
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