|Title||Coping with Gulf War combat stress: mediating and moderating effects.|
|Publication Type||Journal Article|
|Year of Publication||2000|
|Authors||Sharkansky, EJ, King, DW, King, LA, Wolfe, J, Erickson, DJ, Stokes, LR|
|Journal||Journal of abnormal psychology|
|Date Published||2000 May|
The authors examined relationships between method of coping with combat-related stress and psychological symptoms among Gulf War Army personnel (N = 1,058). Participants were surveyed on return from the Gulf region (Time 1) with the Coping Responses Inventory (R. Moos, 1990) and a measure of combat exposure. Outcomes were symptom measures of posttraumatic stress disorder (PTSD) and depression. At Time 2 (18-24 months) participants completed the same symptom measures and an index of postwar stress. Higher proportions of approach-based coping in the war zone were related to lower levels of psychological symptoms. Combat exposure moderated the effects of coping on Time 1 PTSD. Coping predicted changes in symptoms of depression but not PTSD. Combat exposure affected changes in depression through postwar stress but had a direct negative effect on PTSD.