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• W2945043311 abstract "Background: The mutual maintenance model proposes that post-traumatic stress disorder (PTSD) symptoms and chronic physical symptoms have a bi-directional temporal relationship. Despite widespread support for this model, there are relatively few empirical tests of the model and these have primarily examined patients with a traumatic physical injury. Objective: To extend the assessment of this model, we examined the temporal relationship between PTSD and physical symptoms for military personnel deployed to combat (i.e., facing the risk of death) who were not evacuated for traumatic injury. Methods: The current study used a prospective, longitudinal design to understand the cross-lagged relationships between PTSD and physical symptoms before, immediately after, 3 months after, and 1 year after combat deployment. Results: The cross-lagged results showed physical symptoms at every time point were consistently related to greater PTSD symptoms at the subsequent time point. PTSD symptoms were related to subsequent physical symptoms, but only at one time-point with immediate post-deployment PTSD symptoms related to physical symptoms at three months after deployment. Conclusion: The findings extend prior work by providing evidence that PTSD and physical symptoms may be mutually maintaining even when there is not a severe traumatic physical injury.Antecedentes: El modelo de mantención mutua propone que los síntomas de TEPT y los síntomas físicos crónicos tienen una relación temporal bidireccional. A pesar del apoyo ampliamente difundido para este modelo, existen relativamente pocas pruebas empíricas del modelo y éstas sólo estudian a pacientes hospitalizados por una lesión traumática.Objetivo: Para extender el estudio de este modelo, estudiamos la relación temporal entre síntomas de TEPT y síntomas físicos en personal militar desplegado en combate (por ej., enfrentando riesgo de muerte), quienes no fueron evacuados por lesión traumática.Métodos: El presente estudio utilizó un diseño prospectivo de correlaciones cruzadas para comprender las relaciones entre síntomas de TEPT y síntomas físicos antes, inmediatamente después, 3 meses después, y 1 año después tras el despliegue de combate.Resultados: Los resultados de correlación cruzada mostraron que los síntomas físicos en cada punto temporal estuvieron consistentemente relacionados con mayores síntomas de TEPT al siguiente punto temporal (λ1=.15, λ2=.16 and λ3 =.27). Los síntomas de TEPT se relacionaron con síntomas físicos posteriores, pero sólo en un punto temporal; los síntomas de TEPT inmediatamente tras despliegue se relacionaron con síntomas físicos a los 3 meses tras despliegue (=.28).Conclusión: Los resultados extienden los trabajos previos al proveer evidencia de que síntomas de TEPT y síntomas físicos se mantienen mutuamente incluso cuando no existe una lesión física traumática severa.背景：相互维持模型提出创伤后应激障碍（PTSD）症状和慢性身体症状具有双向时间关系。尽管对该模型得到广泛支持，但该模型的实证研究相对较少，并且仅考察了受伤住院的患者。目的：为了扩展对该模型的研究，我们检查了参战军人（面临死亡风险）的PTSD与身体症状之间的时间关系，被试人员没有因受伤撤离。方法：本研究使用前瞻性设计来了解战争服役之前、之后、之后3个月和之后1年的PTSD与身体症状之间的交叉滞后关系。结果：交叉滞后结果显示，每个时间点的身体症状始终与随后的时间点的更多的PTSD症状相关（1 = .15, 2 = .16和3 = .27）。创伤后应激障碍的症状与随后的身体症状有关，但仅在一个时间点；刚开始服役后PTSD症状与服役后3个月的身体症状有关（= .28）。结论：该研究结果扩展了以前的工作，提供了在没有严重的创伤性身体伤害的情况下，PTSD和身体症状相互维持的证据。." @default.
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• W2945043311 date "2019-05-21" @default.
• W2945043311 modified "2023-10-12" @default.
• W2945043311 title "Mutual maintenance of PTSD and physical symptoms for Veterans returning from deployment" @default.
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• W2945043311 doi "https://doi.org/10.1080/20008198.2019.1608717" @default.
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