“The Vicious Dragon, Rearing Its Ugly Head”: The Language of PTSD in the Canadian Military Community

References

• Ahmadi, K., Azampoor Afshar, S., Karami, G., & Mokhtari, A. (2011). PTSD research: The association of veterans' PTSD with secondary trauma stress among veterans' spouses. Journal of Aggression, Maltreatment and Trauma, 20(6), 636. doi:10.1080/10926771.2011.595761
   Google Scholar
• American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5 (5th ed.). Arlington, VA: American Psychiatric Association.
   Google Scholar
• Babson, K. A., Ramo, D. E., Baldini, L., Vandrey, R., & Bonn-Miller, M. O. (2015). Mobile app-delivered cognitive behavioral therapy for insomnia: feasibility and initial efficacy among veterans with cannabis use disorders. JMIR Research Protocols, 4(3), e87. doi:10.2196/resprot.3852
   PubMed Web of Science ®Google Scholar
• Barrera, T. L., Mott, J. M., Hundt, N. E., Mignogna, J., Yu, H. J., Stanley, M. A., & Cully, J. A. (2014). Diagnostic specificity and mental health service utilization among veterans with newly diagnosed anxiety disorders. General Hospital Psychiatry, 36(2), 192–198. doi:10.1016/j.genhosppsych.2013.10.013
   PubMed Web of Science ®Google Scholar
• Becker, S. J., Swenson, R., Esposito-Smythers, C., Cataldo, A., & Spirito, A. (2014). Barriers to seeking mental health services among adolescents in military families. Professional Psychology: Research and Practice, 45(6), 504–513. doi:10.1037/a0036120
   PubMed Web of Science ®Google Scholar
• Bjornestad, A. G., Schweinle, A., & Elhai, J. D. (2014). Measuring secondary traumatic stress symptoms in military spouses with the posttraumatic stress disorder checklist military version. The Journal of Nervous and Mental Disease, 202(12), 864–869. doi:10.1097/NMD.0000000000000213
   PubMed Web of Science ®Google Scholar
• Canadian Association of Occupational Therapists. (2017). Working for the Canadian Armed Forces and Veterans Affairs Canada: A guidance document. Retrieved from Ottawa, ON. https://www.caot.ca/document/5862/CAF_Veterans_GuidanceDocforOTs.pdf
   Google Scholar
• Coll, J. E., Weiss, E. L., & Yarvis, J. S. (2011). No one leaves unchanged: Insights for civilian mental health care professionals into the military experience and culture. Social Work in Health Care, 50(7), 487–500. doi:10.1080/00981389.2010.528727
   PubMed Web of Science ®Google Scholar
• College of Family Physicians of Canada. (2017). Best Advice Guide- Caring for military families in the patient's medical home. Retrieved from http://www.cfpc.ca/uploadedFiles/CPD/BAG_Military_Families_EN_FINAL.pdf
   Google Scholar
• College of Family Physicians of Canada, & Canadian Military and Veteran Families Leadership Circle (2016). Family physicians working with military families. Retrieved from Toronto, ON: http://www.cfpc.ca/uploadedFiles/MilitaryFamilyPhysicianGuide_E.pdf
   Google Scholar
• Corrigan, P. W., Druss, B. G., & Perlick, D. A. (2014). The impact of mental illness stigma on seeking and participating in mental health care. Psychological Science in the Public Interest, 15(2), 37–70. doi:10.1177/1529100614531398
   PubMed Web of Science ®Google Scholar
• Cozza, S. J., Holmes, A. K., & Van Ost, S. L. (2013). Family-centered care for military and veteran families affected by combat injury. Clinical Child and Family Psychology Review, 16(3), 311–321. doi:10.1007/s10567-013-0141-3
   PubMed Web of Science ®Google Scholar
• Cramm, H., Mahar, A. L., Tam-Seto, L., & Rowan-Legg, A. (2018). Providing care to children and youth from miltiary families. Retrieved from Ottawa, ON.
   Google Scholar
• Cramm, H., Norris, D., Schwartz, K. D., Tam-Seto, L., Williams, A., & Mahar, A. L. (2019). Impact of Canadian Armed Forces Veterans' Mental Health problems on the family during the military to civilian transition. Military Behavioral Health. doi:10.1080/21635781.2019.1644260
   Google Scholar
• Cutilli, C. C. (2006). Do your patients understand? Providing culturally congruent patient education. Orthopaedic Nursing, 25(1), 248–226. doi:10.1097/00006416-200605000-00013
   Google Scholar
• Dondanville, K. A., Borah, E., Bottera, A. R., & Molino, A. T. (2018). Reducing stigma in PTSD treatment seeking among serice members: Pilot intervention for military leaders. Best Practices in Mental Health, Suppl. Special Issue, 14(1), 15–26.
   Google Scholar
• English, A. D. (2004). Understanding military culture: A Canadian perspective. Montreal, Canada: McGill-Queen's University Press.
   Google Scholar
• Frank, C., Zamorski, M. A., & Colman, I. (2018). Stigma doesn't discriminate: Physical and mental health and stigma in Canadian military personnel and Canadian civilians. BMC Psychology, 6(1), 61. doi:10.1186/s40359-018-0273-9
   PubMedGoogle Scholar
• Giacomini, M. (2013). Theory matters in qualitative health research. In I. Bourgeault, R. Dingwall, & R. de Vries (Eds.), The SAGE handbook of qualitative methods in health research (pp. 125–156). Thousand Oaks, CA: SAGE Publication.
   Google Scholar
• Gould, M., Greenberg, N., & Hetherton, J. (2007). Stigma and the military: Evaluation of a PTSD psychoeducational program. Journal of Traumatic Stress, 20(4), 505–515. doi:10.1002/jts.20233
   PubMed Web of Science ®Google Scholar
• Greden, J. F., Valenstein, M., Spinner, J., Blow, A., Gorman, L. A., Dalack, G. W., … Kees, M. (2010). Buddy-to-Buddy, a citizen soldier peer support program to counteract stigma, PTSD, depression, and suicide. Annals of the New York Academy of Sciences, 1208(1), 90–97. doi:10.1111/j.1749-6632.2010.05719.x
   PubMed Web of Science ®Google Scholar
• Harik, J. M., Matteo, R. A., Hermann, B. A., & Hamblen, J. L. (2017). What people with PTSD symptoms do (and do not) know about PTSD: A national survey. Depression and Anxiety, 34(4), 374–382. doi:10.1002/da.22558
   PubMed Web of Science ®Google Scholar
• Haynes, S. N., Richard, D. C. S., & Kubany, E. S. (1995). Content validity in psychological assessment: A functional approach to concepts and methods. Psychological Assessment, 7(3), 238–247. doi:10.1037//1040-3590.7.3.238
   Web of Science ®Google Scholar
• Hsieh, H.-F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15(9), 1277–1288. doi:10.1177/1049732305276687
   PubMed Web of Science ®Google Scholar
• Kvale, S., & Brinkmann, S. (2009). Interviews: Learning the craft of qualitative research interviewing (2nd ed.). Los Angeles, CA: Sage Publications.
   Google Scholar
• Lester, P., & Flake, E. (2013). How wartime military service affects children and families. The Future of Children, 23(2), 121–141. doi:10.1353/foc.2013.0015
   PubMed Web of Science ®Google Scholar
• Lester, P., Peterson, K., Reeves, J., Knauss, L., Glover, D., Mogil, C., … Beadsless, W. (2010). The long war and parental combat deployment: Effects on military children and at-home spouses. Journal of the American Academy of Child & Adolescent Psychiatry, 49(2), 310–320. doi:10.1097/00004583-201004000-00006
   PubMedGoogle Scholar
• Levin, Y., Bachem, R., & Solomon, Z. (2016). Traumatization, marital adjustment, and parenting among veterans and their spouses: A longitudinal study of reciprocal relations. Family Process, 56(4), 926–942. doi:10.1111/famp.12257
   PubMed Web of Science ®Google Scholar
• Mansfield, A. J., Kaufman, J. S., Engel, C. C., & Gaynes, B. N. (2011). Deployment and mental health diagnoses among children of US Army personnel. Archives of Pediatrics & Adolescent Medicine, 165(11), 999–1005. doi:10.1001/archpediatrics.2011.123
   PubMed Web of Science ®Google Scholar
• Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook (2nd ed.). Newbury Park, CA: Sage.
   Google Scholar
• Montgomery, A. (2017). The invisible injured: Psychological trauma in the Canadian military from the First World War to Afghanistan. Montreal & Kingston: McGill-Queen's University Press
   Google Scholar
• Muramatsu, R. S. (2013). Letters to the Editor: A mounting need for military cultural competency in civilian behavioral health providers. Military Medicine, 178(2), 121.
   Google Scholar
• National Defence and the Canadian Armed Forces Ombudsman. (2015). On the homefront: Assessing the well-being of Canada's Military families in the new millennium. Retrieved from http://www.ombudsman.forces.gc.ca/en/ombudsman-reports-stats-investigations-military-families/military-families.page
   Google Scholar
• Norris, D., Cramm, H., Schwartz, K., Tam-Seto, L., Mahar, A., Eichler, M., … Blackburn, D. (2018). Qualitative study on the health and well-being of families of Canadian Armed Forces Veterans with mental health problems. Retrieved from doi:10.1080/21635781.2019.1644260
   Google Scholar
• O'Donnell, L., Begg, L., Lipson, L., & Elvander, E. (2011). Trauma spectrum disorders: Emerging perspectives on the impact on military and veteran families. Journal of Loss and Trauma, 16(3), 284–290. doi:10.1080/15325024.2010.519269
   Web of Science ®Google Scholar
• Pare, J. R. (2011). Post-traumatic stress disorder and the mental health of military personnel and veterans. Retrieved from Ottawa, Canada.
   Google Scholar
• Pearson, C., Zamorski, M., & Janz, T. (2014). Mental health of the Canadian Armed Forces. Retrieved from http://www.statcan.gc.ca/pub/82-624-x/2014001/article/14121-eng.htm
   Google Scholar
• Pietrzak, R. H., Johnson, D. C., Goldstein, M. B., Malley, J. C., & Southwick, S. M. (2009). Perceived stigma and barriers to mental health care utilizationamong OEF-OIF veterans. Psychiatric Services, 60(8), 1118–1124. doi:10.1176/appi.ps.60.8.1118
   PubMed Web of Science ®Google Scholar
• Possemato, K., Wray, L. O., Johnson, E., Webster, B., & Beehler, G. P. (2018). Facilitators and barriers to seeking mental health care among primary care veterans with posttraumatic stress disorder. Journal of Traumatic Stress, 31(5), 742–752. doi:10.1002/jts.22327
   PubMed Web of Science ®Google Scholar
• Renshaw, K. D., Allen, E. S., Rhoades, G. K., Blais, R. K., Markman, H. J., & Stanley, S. M. (2011). Distress in spouses of service members with symptoms of combat-related PTSD: Secondary traumatic stress or general psychological distress? Journal of Family Psychology: JFP: Journal of the Division of Family Psychology of the American Psychological Association (Division 43), 25(4), 461doi:10.1037/a0023994
   PubMed Web of Science ®Google Scholar
• Roy, M. J., Costanzo, M. E., Highland, K. B., Olsen, C., Clayborne, D., & Law, W. (2017). An app a day keeps the doctor away: Guided education and training via smartphones in subthreshold post traumatic stress disorder. Cyberpsychology, Behavior, and Social Networking, 20(8), 470–478. doi:10.1089/cyber.2017.0221
   PubMed Web of Science ®Google Scholar
• Schim, S. M., & Doorenbos, A. Z. (2010). A three-dimensional model of cultural congruence: Framework for intervention. Journal of Social Work in End-of-Life & Palliative Care, 6(3–4), 256–270. doi:10.1080/15524256.2010.529023
   PubMedGoogle Scholar
• Schuy, K., Dors, S., Brants, L., Horzetzky, M., Willmund, G., Ströhle, A., … Siegel, S. (2018). Stigma and its impact on the families of former soldiers of the German Armed Forces: An exploratory study. Military Medical Research, 5(1), 40. doi:10.1186/s40779-018-0188-z
   PubMedGoogle Scholar
• Smith, R. C., Chun, R. S., Michael, R. L., & Schneider, B. J. (2013). Operation BRAVE families: A preventive approach to lessening the impact of war on military families through preclinical engagement. Military Medicine, 178(2), 174–179. doi:10.7205/MILMED-D-12-00197
   PubMed Web of Science ®Google Scholar
• Spoont, M. R., Sayer, N., Friedemann-Sanchez, G., Parker, L. E., Murdoch, M., & Chiros, C. (2009). From trauma to PTSD: Beliefs about sensations, symptoms, and mental illness. Qualitative Health Research, 19(10), 1456–1465. doi:10.1177/1049732309348370
   PubMed Web of Science ®Google Scholar
• Sudom, K., Zamorski, M., & Garber, B. (2012). Stigma and barriers to mental health care in deployed canadian forces personnel. Military Psychology, 24(4), 414–431. doi:10.1080/08995605.2012.697368
   Web of Science ®Google Scholar
• Sudom, K. A. (2010). Quality of life among military families: Results from the 2008-2009 Survey of Canadian Forces Spouses. Retrieved from Ottawa, ON.
   Google Scholar
• Tam-Seto, L., Krupa, T., Stuart, H., A, A., Lingley-Pottie, P., & Cramm, H. (2018). Identifying military family cultural competencies: Experiences of military and Veteran families in Canadian health care. Journal of Military, Veteran and Family Health, 4(2), 48. doi:10.3138/jmvfh.2017-0030
   Google Scholar
• Van Ameringen, M., Mancini, C., Patterson, B., & Boyle, M. H. (2008). Post-traumatic stress disorder in Canada. CNS Neuroscience & Therapeutics, 14(3), 171–181. doi:10.1111/j.1755-5949.2008.00049.x
   PubMed Web of Science ®Google Scholar
• VERBI Software Consult Sozialforschung GmbH. (1989-2017). MAXQDA software for qualitative data analysis (Version 12.3.2.). Berlin, Germany.
   Google Scholar
• Veterans Affairs Canada. (2015). Mental health. Retrieved from http://www.veterans.gc.ca/eng/services/health/mental-health
   Google Scholar
• Weeks, M., Zamorski, M. A., Rusu, C., & Colman, I. (2017). Mental illness-related stigma in Canadian military and civilian populations: A comparison using population health survey data. Psychiatric Services, 68(7), 710–716. doi:10.1176/appi.ps.201600398
   PubMed Web of Science ®Google Scholar
• Westphal, R. J., & Convoy, S. (2015). Military culture implications for mental health and nursing care. Online Journal of Issues in Nursing, 20(1), 4. doi:10.3912/OJIN.Vol20No01Man04
   PubMedGoogle Scholar