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The purpose of this study was to examine the role of attachment processes and coping strategies in the development of psychiatric symptoms among military veterans and active duty personnel. Data were obtained from 268 male and female military veterans and active duty personnel. A path analysis was conducted to estimate the relationships between attachment processes, coping strategies, and psychiatric symptoms. Findings demonstrated that greater levels of attachment anxiety were related to increased levels of avoidant coping and psychiatric symptoms, while higher levels of attachment avoidance were related to avoidant coping and PTSD symptoms, as well as decreased levels of problem-focused coping. Alcohol use was associated with psychiatric symptoms. Avoidant coping, but not problem-focused coping, was associated with psychiatric symptoms and partially mediated the relationship between anxious attachment and psychiatric symptoms. Avoidant coping also fully or partially mediated the relationships of avoidant attachment to depression and PTSD symptoms. The findings of this study increase our knowledge of mechanisms that contribute to psychiatric symptoms among military populations, which in turn can guide treatment planning and interventions.

This quasi-experimental study investigates neuropsychological functioning differences between 63 active duty soldiers who were placed into three groups (MTBI, PTSD, control) to provide better information for differentiating PTSD and MTBI. The ANAM and MicroCog were utilized to measure psychomotor speed, memory, and attention. Participants with PTSD performed worse on most measures of psychomotor speed and attention, and endorsed more symptoms of depression and anxiety when compared to MTBI and control participants. Further, attention appears to be the best cognitive domain for differentiating PTSD from MTBI, whereas memory variables did not differentiate these groups. Clinical and research implications of these findings are discussed.