No description available.

Thesis advisor: Margaret Lombe / Over the past several decades trauma research has expanded to recognize the heterogeneity in post-exposure reactions. Posttraumatic stress disorder, the most commonly researched mental health outcome associated with trauma, does not develop in all trauma survivors. Rather, more common trajectories of adaptation following a trauma include normative health adaptation, resilience, and posttraumatic growth. The aims of the current study were to: (1) describe and characterize post-combat adaptation profiles in a sample of Israeli male military veterans (N = 448) based on the combination of posttraumatic distress symptoms, types of coping strategies, and level of posttraumatic growth; (2) test the utility of latent class membership on predicting the quality of posttraumatic growth (i.e. constructive growth); and (3) explore the protective factors (i.e. social support and adaptive coping) that promote constructive posttraumatic growth for each profile of post-combat adaptation. The current study used latent profile mixture modeling to identify profiles of post-combat adaptation, Heckman-probit regression models, and logistic regression analysis. Demographic controls, combat related variables, type of coping strategies utilized, and baseline reports of social support were not significant predictors of constructive growth in either the resilient or struggling latent classes. However, for those in the struggling subset of the sample, reported improvement in perceived social support during the intervention increased the odds of reaching constructive growth. This relationship did not hold for the resilient subset of the sample. The study extends existing literature and theory by proposing a more complex and nuanced examination of posttrauma adaption, and specifies conditions under which protective factors may influence positive adaptation outcomes such as constructive growth. These findings highlight the importance of tailored clinical interventions that account for more complex profiles of post-combat adaptation and provide additional support for the unique effects of group intervention modalities. Further, these findings provide evidence that adaptation takes place over time and as such services should continue to be available for veterans long after combat exposure. Finally, these findings call for future research to build on existing longitudinal investigation by examining the complex temporal components of adaptation in trauma survivors. / Thesis (PhD) — Boston College, 2016. / Submitted to: Boston College. Graduate School of Social Work. / Discipline: Social Work.

No description available.

This is not your great-grandfather's, or even your grandfather's, military. Our research should be full explorations of the changing landscape.

Diabetes is a highly prevalent chronic disease among US adults, and its prevalence among US veterans is even higher. This study aimed to examine the prevalence of and trends in diabetes in US veterans by using data from the US National Health and Nutrition Examination Survey from 2005 through 2014. The overall prevalence of diabetes and undiagnosed diabetes was 20.5% and 3.4%, respectively, and increased from 15.5% in 2005–2006 to 20.5% in 2013–2014 (P = .04). Effective prevention and intervention approaches are needed to lower diabetes prevalence among US veterans and ultimately improve their health status.

No description available.

No description available.

No description available.

This study was a qualitative assessment of the effectiveness of therapeutic interventions used in the treatment of co-occurring disorders, Posttraumatic Stress Disorder (PTSD) and substance abuse. The qualitative assessment was an interview with a number of open ended questions and scales for the respondents to report preference. Interviews were conducted through the Wounded Warriors Project. Participants were males between the ages of 18 and 40, and were of multiple ethnicities. The interview questions primarily addressed whether or not the respondents received services and which services they felt were most beneficial. The interviews were anonymous and confidential, in the interest of preserving the privacy of the respondents. The results yielded by the data revealed that a small minority received services through the Veterans’ Association (VA), and were happy with the services they received. The majority of participants did not receive services through the VA for a variety of reasons which included long wait times, complicated administrative procedures, lack of transportation and lack of knowledge about which services were available. Veterans who did not receive services through the VA, received services through other venues, such as the Wounded Warrior Project (WWP). These services included medication, individual therapy, peer support groups and twelve step meetings. Data collected revealed that a combination of these services, used simultaneously, was more effective than one service or no services at all.

The unprecedented size and scope of the American Civil War fundamentally redefined the relationship between state and citizen. Through its conscription laws, the Union government empowered itself to standardize and evaluate the bodies of its citizens; the concurrent General Law pension system extended this standardization into the realm of disability. The government served as both national physician and national accountant, distributing millions of dollars a year to men it deemed unable to earn up to their potential due to wounds and diseases contracted in the Union's defense. Moreover, since so many disabilities were the result of disease - and therefore invisible to the naked eye - the state also asserted its power to certify to the taxpayers that these veterans were indeed among the "deserving poor," not idlers or parasites. This became especially important as pension-related expenses ballooned to the second-largest line item on the budget, and the "veteran vote" became the most important single-issue bloc in American politics. Veterans were themselves voters, however, and could negotiate at least some of the terms of their disability through the political process. This established that disability is discursively constructed - it is a social position, not a permanent physical impairment. Veterans' organizations might sweep socially problematic old soldiers up into Homes, but veterans always retained their influence at the ballot box. Thus, the same political process which enabled the state to seize unprecedented powers of surveillance also kept these new powers at least somewhat in check.