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Identity
An International Journal of Theory and Research
Volume 23, 2023 - Issue 2
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Research Article

Posttraumatic Stress Disorder, Personal Identity, and Meaning in Life in U.S. Veterans

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References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596
  • Battista, J., & Almond, R. (1973). The development of meaning in life. Psychiatry, 36(4), 409–427. https://doi.org/10.1080/00332747.1973.11023774
  • Berman, S. L. (2016). Identity and trauma. Journal of Traumatic Stress Disorders & Treatment, 5(2), 1–3. http://doi.org/10.4172/2324-8947.1000e108
  • Berman, S. L., Montgomery, M. J., & Ratner, K. R. (2020). Trauma and identity: A reciprocal relationship? Journal of Adolescence, 79(1), 275–278. https://doi.org/10.1016/j.adolescence.2020.01.018
  • Berntsen, D., & Rubin, D. C. (2006). The centrality of event scale: A measure of integrating a trauma into ones identity and its relation to post-traumatic stress disorder symptoms. Behaviour Research and Therapy, 44(2), 219–231. https://doi.org/10.1016/j.brat.2005.01.009
  • Berzonsky, M. D. (2003). Identity style and well-being: Does commitment matter? Identity, 3(2), 131–142. https://doi.org/10.1207/S1532706XID030203
  • Blevins, C. A., Weathers, F. W., Davis, M. T., Witte, T. K., & Domino, J. L. (2015). The posttraumatic stress disorder checklist for DSM-5 (PCL-5): Development and initial psychometric evaluation. Journal of Traumatic Stress, 28(6), 489–498. https://doi.org/10.1002/jts.22059
  • Bovin, M. J., Marx, B. P., Weathers, F. W., Gallagher, M. W., Rodriguez, P., Schnurr, P. P., & Keane, T. M. (2016). Psychometric properties of the PTSD checklist for diagnostic and statistical manual of mental disorders–fifth edition (PCL-5) in veterans. Psychological Assessment, 28(11), 1379–1391. https://doi.org/10.1037/pas0000254
  • Brewin, C. R., Garnett, R., & Andrews, B. (2011). Trauma, identity and mental health in UK military veterans. Psychological Medicine, 41(8), 1733–1740. https://doi.org/10.1017/S003329171000231X
  • Brickman, P. (1987). Commitment. In C. B. Wortman & R. Sorrentino (Eds.), Commitment, conflict, and caring (pp. 1–18). Prentice Hall.
  • Burrow, A. L., O’dell, A. C., & Hill, P. L. (2010). Profiles of a developmental asset: Youth purpose as a context for hope and well-being. Journal of Youth and Adolescence, 39(11), 1265–1273. https://doi.org/10.1007/s10964-009-9481-1
  • Button, C. J., Jinkerson, J., & Bryan, C. J. (2017). Making meaning after combat trauma and moral injury. In E. Altmaier (Ed.), Reconstructing meaning after trauma (pp. 167–184). Academic Press. https://doi.org/10.1016/B978-0-12-803015-8.00011-5
  • Crocetti, E. (2017). Identity formation in adolescence: The dynamic of forming and consolidating identity commitments. Child Development Perspectives, 11(2), 145–150. https://doi.org/10.1111/cdep.12226
  • Crocetti, E., Rubini, M., & Meeus, W. (2008). Capturing the dynamics of identity formation in various ethnic groups: Development and validation of a three-dimensional model. Journal of Adolescence, 31(2), 207–222. https://doi.org/10.1016/j.adolescence.2007.09.002
  • Crocetti, E., Schwartz, S. J., Fermani, A., & Meeus, W. (2010). The Utrecht-Management of Identity Commitments Scale (U-MICS): Italian validation and cross-national comparisons. European Journal of Psychological Assessment, 26(3), 172–186. https://doi.org/10.1027/1015-5759/a000024
  • Dezutter, J., Waterman, A. S., Schwartz, S. J., Luyckx, K., Beyers, W., Meca, A., Kim, S., Krauss Whitbourne, S., Zamboanga, B. L., Lee, R. M., Hardy, S. A., Forthun, L. F., Ritchie, R. A., Weisskirch, R. S., Brown, E. J., & Caraway, S. J. (2014). Meaning in life in emerging adulthood: A person‐oriented approach. Journal of Personality, 82(1), 57–68. https://doi.org/10.1111/jopy.12033
  • Dimitrova, R., Crocetti, E., Buzea, C., Jordanov, V., Kosic, M., Tair, E., Taušová, J., van Cittert, N., & Uka, F. (2016). The Utrecht-Management Of Identity Commitments Scale (U-MICS): Measurement invariance and cross-national comparisons of youth from seven European countries. European Journal of Psychological Assessment, 32(2), 119–127. https://doi.org/10.1027/1015-5759/a000241
  • Durbin, C. E., & Hicks, B. M. (2014). Personality and psychopathology: A stagnant field in need of development. European Journal of Personality, 28(4), 362–386. https://doi.org/10.1002/per.1962
  • Erikson, E. H. (1968). Identity: Youth, and crisis (1st ed.). W.W. Norton & Co.
  • Fulton, J. J., Calhoun, P. S., Wagner, H. R., Schry, A. R., Hair, L. P., Feeling, N., Elbogen, E., & Beckham, J. C. (2015). The prevalence of posttraumatic stress disorder in Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) Veterans: A meta-analysis. Journal of Anxiety Disorders, 31, 98–107. https://doi.org/10.1016/j.janxdis.2015.02.003
  • Habib, A., Stevelink, S. A. M., Greenberg, N., & Williamson, V. (2018). Post-traumatic growth in (ex-) military personnel: Review and qualitative synthesis. Occupational Medicine, 68(9), 617–625. https://doi.org/10.1093/occmed/kqy140
  • Hayes, S. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy, 35(4), 639–665. https://doi.org/10.1016/S0005-7894(04)80013-3
  • Hitlin, S. (2003). Values as the core of personal identity: Drawing links between two theories of self. Social Psychology Quarterly, 66(2), 118–137. https://doi.org/10.2307/1519843
  • Irish, L., Fischer, B., Fallon, W., Spoonster, E., Sledjeski, E., & Delahanty, D. (2011). Gender differences in PTSD symptoms: An exploration of peritraumatic mechanisms. Journal of Anxiety Disorders, 25(2), 209–216. https://doi.org/10.1016/j.janxdis.2010.09.004
  • Janoff-Bulman, R. (1989). Assumptive worlds and the stress of traumatic events: Applications of the schema construct. Social Cognition, 7(2), 113–136. https://doi.org/10.1521/soco.1989.7.2.113
  • Janoff-Bulman, R. (1992). Shattered assumptions: Towards a new psychology of trauma. Free Press.
  • Janoff-Bulman, R., & Morgan, H. J. (1994). Victims’ Responses to traumatic life events: An unjust world or an uncaring world? Social Justice Research, 7(1), 47–68. https://doi.org/10.1007/BF02333822
  • Kaplan, M. S., Huguet, N., McFarland, B. H., & Newsom, J. T. (2007). Suicide among male veterans: A prospective population-based study. Journal of Epidemiology and Community Health, 61(7), 619–624. https://doi.org/10.1136/jech.2006.054346
  • Karaś, D., & Cieciuch, J. (2015). A domain-focused approach to identity formation. Verification of the three-dimensional model in various life domains in emerging adults. Studia Psychologiczne, 53(3), 61–73. https://doi.org/10.2478/V1067-010-0125-9
  • King, L. A., Hicks, J. A., Krull, J. L., & Del Gaiso, A. K. (2006). Positive affect and the experience of meaning in life. Journal of Personality and Social Psychology, 90(1), 179–196. https://doi.org/10.1037/0022-3514.90.1.179
  • Kira, I. (2019). Toward an integrative theory of self-identity and identity stressors and traumas and their mental health dynamics. Psychology, 10(4), 385–410. https://doi.org/10.4236/psych.2019.104027
  • Lin, L., Liu, T., Zheng, Y., Wu, Y., Liang, D., Wu, M., Li, J., Mo, X., Lin, J., & Jiang, X. (2022). Review of clinical features and treatment of post-traumatic stress disorder in children. Journal of Behavioral and Brain Science, 12(1), 1–9. https://doi.org/10.4236/jbbs.2022.121001
  • Luyckx, K., Schwartz, S. J., Berzonsky, M. D., Soenens, B., Vansteenkiste, M., Smits, I., & Goossens, L. (2008). Capturing ruminative exploration: Extending the four-dimensional model of identity formation in late adolescence. Journal of Research in Personality, 42(1), 58–82. https://doi.org/10.1016/j.jrp.2007.04.004
  • Marcia, J. E. (1966). Development and validation of ego-identity status. Journal of Personality and Social Psychology, 3(5), 551–558. https://doi.org/10.1037/h0023281
  • Marcia, J. E. (2002). Identity and psychosocial development in adulthood. Identity, 2(1), 7–28. https://doi.org/10.1207/S1532706XID0201_02
  • Marmar, C. R., Schlenger, W., Henn-Haase, C., Qiam, M., Purchia, E., Li, M., Corry, N., Williams, C. S., Ho, C.-L., Horesh, D., Kartoft, K.-I., Shalev, A., & Kulka, R. A. (2015). Course of posttraumatic stress disorder 40 years after the Vietnam War: Findings from the National Vietnam Veterans Longitudinal Study. JAMA Psychiatry, 72(9), 875–881. https://doi.org/10.1001/jamapsychiatry.2015.0803
  • Martela, F., & Steger, M. F. (2016). The three meanings of meaning in life: Distinguishing coherence, purpose, and significance. The Journal of Positive Psychology, 11(5), 531–545. https://doi.org/10.1080/17439760.2015.1137623
  • Meca, A., Allison, K. K., Ayers, K. L., Cox, S., Bravo, A. J., Davies, R. L., & Kelley, M. L. (2021). Understanding the unique effects of identity in adjustment among veterans. Military Behavioral Health, 9(4), 416–424. https://doi.org/10.1080/21635781.2021.1927918
  • Meeus, W. (1996). Studies on identity development in adolescence: An overview of research and some new data. Journal of Youth and Adolescence, 25(5), 569–598. https://doi.org/10.1007/BF01537355
  • Morris, B. A., Campbell, M., Dwyer, M., Dunn, J., & Chambers, S. K. (2011). Survivor identity and post‐traumatic growth after participating in challenge‐based peer‐support programmes. British Journal of Health Psychology, 16(3), 660–674. https://doi.org/10.1348/2044-8287.002004
  • Mulick, P. S., Landes, S. J., & Kanter, J. W. (2011). Contextual behavior therapies in the treatment of PTSD: A review. International Journal of Behavioral Consultation and Therapy, 7(1), 23–31. https://doi.org/10.1037/h0100923
  • Muthén, L. K., & Muthén, B. O. (1998–2019). Mplus user’s guide (8th ed.).
  • Nichter, B., Norman, S., Haller, M., & Pietrzak, R. H. (2019). Psychological burden of PTSD, depression and their comorbidity in the U.S. veteran population: Suicidality, functioning, and service utilization. Journal of Affective Disorders, 256(1), 633–640. https://doi.org/10.1016/j.jad.2019.06.072
  • Northcut, T. B., & Kienow, A. (2014). The trauma trifecta of military sexual trauma: A case study illustrating the integration of mind and body in clinical work with survivors of MST. Clinical Social Work Journal, 42(3), 247–259. https://doi.org/10.1007/s10615-014-0479-0
  • O’Connor, M. F. (2003). Making meaning of life events: Theory, evidence, and research directions for an alternative model. OMEGA-Journal of Death and Dying, 46(1), 51–75. https://doi.org/10.2190/0CKD-PVQ0-T260-NTXU
  • Owens, G. P., Steger, M. F., Whitesell, A. A., & Herrera, C. J. (2009). Posttraumatic stress disorder, guilt, depression, and meaning in life among military veterans. Journal of Traumatic Stress, 22(6), 654–657. https://doi.org/10.1002/jts.20460
  • Pietrzak, R. H., Goldstein, M. B., Malley, J. C., Rivers, A. J., Johnson, D. C., Morgan, C. A., III, & Southwick, S. M. (2010). Posttraumatic growth in veterans of operations enduring freedom and Iraqi freedom. Journal of Affective Disorders, 126(1–2), 230–235. https://doi.org/10.1016/j.jad.2010.03.021
  • Price, J. L., MacDonald, H. Z., Adair, K. C., Koerner, N., & Monson, C. M. (2016). Changing beliefs about trauma: A qualitative study of cognitive processing therapy. Behavioural and Cognitive Psychotherapy, 44(2), 156–167. https://doi.org/10.1017/S1352465814000526
  • Resick, P. A., Wachen, J. S., Dondanville, K. A., Pruiksma, K. E., Yarvis, J. S., Peterson, A. L., Mintz, J., Borah, E. V., Brundige, A., Hembree, E. A., Litz, B. T., Roache, J. D., Young-McCaughan, S., & the Strong Star Consortium. (2017). Effect of group vs individual cognitive processing therapy in active-duty military seeking treatment for posttraumatic stress disorder: A randomized clinical trial. JAMA Psychiatry, 74(1), 28–36. https://doi.org/10.1001/jamapsychiatry.2016.2729
  • Riecher-Rössler, A. (2017). Sex and gender differences in mental disorders. The Lancet, 4(1), 8–9. https://doi.org/10.1016/S2215-0366(16)30348-0
  • Ritchie, R. A., Meca, A., Madrazo, V. L., Schwartz, S. J., Hardy, S. A., Zamboanga, B. L., Weisskirch, R. S., Kim, S. Y., Whitbourne, S. K., Ham, L. S., & Lee, R. M. (2013). Identity dimensions and related processes in emerging adulthood: Helpful or harmful? Journal of Clinical Psychology, 69(4), 415–432. https://doi.org/10.1002/jclp.21960
  • Schwartz, S. J., Klimstra, T. A., Luyckx, K., Hale, W. W., III, Frijns, T., Oosterwegel, A., Van Lier, P., Koot, H. M., & Meeus, W. H. (2011). Daily dynamics of personal identity and self–concept clarity. European Journal of Personality, 25(5), 373–385. https://doi.org/10.1002/per.798
  • Sisk, R. (2019, March 25). “Post-9/11 Vets have far higher disability ratings than prior generations: Report”. Military. https://www.military.com/daily-news/2019/03/25/post-9-11-vets-have-far-higher-disability-ratings-prior-generations-report.html#:~:text=Post%2D9%2F11%20active%2D,the%20terror%20attacks%20of%20Sept.
  • Skopp, N., Reger, M., Reger, G., Mishkind, M., Raskin, M., & Gahm, G. (2011). The role of intimate relationships, appraisals of military service, and gender on the development of posttraumatic stress symptoms following Iraq deployment. Journal of Traumatic Stress, 24(3), 277–286. https://doi.org/10.1002/jts.20632
  • Smith-MacDonald, L., Raffin-Bouchal, S., Reay, G., Ewashen, C., Konnert, C., & Sinclair, S. (2020). Transitioning fractured identities: A grounded theory of veterans’ experiences of operational stress injuries. Traumatology, 26(2), 235–245. https://doi.org/10.1037/trm0000232
  • Smith, T., Ryan, M., Wingard, D., Slymen, D., Sallis, J., & Kritz-Silverstein, D. (2008). New onset and persistent symptoms of post-traumatic stress disorder self reported after deployment and combat exposures: Prospective population based U.S. military cohort study. British Medical Journal, 336(7640), 366–371. https://doi.org/10.1136/bmj.39430.638241.AE
  • Sneed, J. R., Whitbourne, S. K., Schwartz, S. J., & Huang, S. (2012). The relationship between identity, intimacy, and midlife well-being: Findings from the Rochester Adult Longitudinal Study. Psychology and Aging, 27(2), 318–323. https://doi.org/10.1037/a0026378
  • Steger, M. F., Frazier, P., Oishi, S., & Kaler, M. (2006). The Meaning in Life Questionnaire: Assessing the presence of and search for meaning in life. Journal of Counseling Psychology, 53(1), 80–93. https://doi.org/10.1037/0022-0167.53.1.80
  • Tedeschi, R. G., & Calhoun, L. G. (2004). A clinical approach to posttraumatic growth. In P. A. Linley & S. Joseph (Eds.), Positive Psychology in Practice (pp. 405–419). Wiley & Sons. https://doi.org/10.1002/9780470939338.ch25
  • Tolin, D., & Foa, E. (2006). Sex differences in trauma and posttraumatic stress disorder: A quantitative review of 25 years of research. Psychological Bulletin, 132(6), 959–992. https://doi.org/10.1037/0033-2909.132.6.959
  • Vignoles, V. L., Schwartz, S. J., & Luyckx, K. (2011). Introduction: Toward an integrative view of identity. In S. J. Schwartz, K. Luyckx, & V. L. Vignoles (Eds.), Handbook of identity theory and research (pp. 1–27). Springer Science + Business Media. https://doi.org/10.1007/978-1-4419-7988-9_1
  • Vogt, D. (2011). Mental health-related beliefs as a barrier to service use for military personnel and veterans: A review. Psychiatric Services, 62(2), 135–142. https://doi.org/10.1176/ps.62.2.pss6202_0135
  • Waterman, A. S. (2020). “Now what do I do?“: Toward a conceptual understanding of the effects of traumatic events on identity functioning. Journal of Adolescence, 79(1), 59–69. https://doi.org/10.1016/j.adolescence.2019.11.005
  • Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr, P. P. (2013). The PTSD Checklist for DSM5 ( PCL–5). https://www.ptsd.va.gov/professional/assessment/adult-sr/ptsd-checklist.asp
  • Webermann, A., Maldonado, A., Singh, R., & Murphy, C. M. (2020). Centrality of traumatic events and men’s intimate partner violence perpetration. Psychological Trauma: Theory, Research, Practice, and Policy, 12(2), 200–206. https://doi.org/10.1037/tra0000497

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