Evidence map›Paper›PMID 28471014›Full record

ArticleJournal of traumatic stress2017

Reckless Self-Destructive Behavior and PTSD in Veterans: The Mediating Role of New Adverse Events.

Joanna D Lusk, Naomi Sadeh, Erika J Wolf, Mark W Miller

Abstract read
In one paragraph

Article in Journal of traumatic stress, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
7.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

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  18. Gambling and its clinical correlates in university students.International journal of psychiatry in clinical practice · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Joanna D LuskNational Center for PTSD at VA Boston Healthcare System, Boston, Massachusetts, USA.
Naomi SadehNational Center for PTSD at VA Boston Healthcare System, Boston, Massachusetts, USA.
Erika J WolfNational Center for PTSD at VA Boston Healthcare System, Boston, Massachusetts, USA.
Mark W MillerNational Center for PTSD at VA Boston Healthcare System, Boston, Massachusetts, USA.
VA Boston Healthcare System · USBoston University · US

Funding

The Structure of PTSD ComorbidityI01CX000431 · VA · VA BOSTON HEALTH CARE SYSTEM · PI MILLER, MARK W · 2011 to 2014
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CSRD VA I01 CX000431
6 · The paper itself

Abstract

The addition of self-destructive and reckless behavior as a symptom of posttraumatic stress disorder (PTSD) in DSM-5 has stimulated renewed interest in understanding relationships between these behaviors and trauma-related psychopathology. This study examined the relationship between reckless and self-destructive behaviors (RSDB), intervening exposure to new adverse events, and later PTSD severity in a sample of trauma-exposed veterans. At baseline, participants were assessed for RSDB (past 5 years) and current PTSD severity (N = 222). PTSD severity was then reassessed approximately 4 years later (N = 148). Overall, RSDB were reported by 74.4% of the sample, with 61.3% engaging in multiple forms of RSDB. The most commonly endorsed behaviors included alcohol/drug abuse (42.8%), driving while intoxicated (29.4%), gambling (24.7%), and aggression (23.1%). There was a positive correlation between RSDB and PTSD severity at both the baseline (r = .16, p = .031) and follow-up assessment (r = .24, p = .005). Path models indicated that exposure to new adverse events fully mediated the effect of Time 1 RSDB on PTSD symptoms at Time 2 (indirect association: β = .05, p = .046). Results suggest that RSDB are common among trauma-exposed veterans and may perpetuate PTSD symptoms by increasing exposure to new adverse events.

Indexed as

Life Change EventsAdultAggressionDriving Under the InfluenceFemaleGamblingHumansLongitudinal StudiesMaleMiddle AgedSelf-Injurious BehaviorSeverity of Illness IndexStress Disorders, Post-TraumaticSubstance-Related DisordersVeteransYoung Adult

Identifiers

PMID28471014
PMCPMC5482753
OpenAlexW2610788872

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.