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Original Articles

Test of a Structural Equation Model of Comorbidity Among Homeless and Domiciled Military Veterans

, PhD
Pages 1-35 | Received 01 Feb 2001, Accepted 01 Mar 2002, Published online: 22 Sep 2008
 

ABSTRACT

This exploratory study of 600 Vietnam era military veterans was designed to test a hypothesized theoretical model of comorbidity (substance abuse and depression) among domiciled and homeless persons. The model tested represented an integration of stress process and social support models found in the literatures on substance abuse and on depression. Caregiver attachment and early abuse also were used to elaborate on the integrated stress-social support theoretical model. Using structural equation modeling, all relationships in the hypothesized model were supported by data from domiciled veterans, except attachments to caregivers were not related to peer associations with substance users, and these associations were not related to depression. In contrast, all 24 relationships hypothesized in the model tested were supported among homeless veterans. Conceptual and practice implications of the findings were discussed.

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