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Psychiatry Res. 2017 Oct;256:461-468. doi: 10.1016/j.psychres.2017.06.053. Epub 2017 Jun 17.

Paternal history of mental illness associated with posttraumatic stress disorder among veterans.

Author information

1
Health Services Research and Development Service, Durham VA Medical Center, Durham, NC 27701, USA. Electronic address: mes86@duke.edu.
2
Department of Psychology, Old Dominion University, 5115 Hampton Boulevard, Norfolk, VA 23529, USA; Virginia Consortium Program in Clinical Psychology, 555 Park Avenue, Norfolk, VA 23504, USA. Electronic address: mkelley@odu.edu.
3
Health Services Research and Development Center of Innovation for Veteran-Centered and Value Driven Care, VA Puget Sound Health Care System, Seattle, WA 98108, USA; Department of Health Services, School of Public Health, University of Washington School of Public Health, Seattle, WA 98195, USA. Electronic address: Jodie.katon@va.gov.
4
VA Mid-Atlantic Region Mental Illness Research, Education, and Clinical Center (MIRECC), Durham VA Medical Center, Durham, NC 27705, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC 27710, USA. Electronic address: john.curry@va.gov.
5
Health Services Research and Development Service, Durham VA Medical Center, Durham, NC 27701, USA; Department of Medicine, Duke University School of Medicine, Durham, NC 27710, USA. Electronic address: Karen.goldstein@duke.edu.
6
VA Mid-Atlantic Region Mental Illness Research, Education, and Clinical Center (MIRECC), Durham VA Medical Center, Durham, NC 27705, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC 27710, USA. Electronic address: mira.brancu@va.gov.
7
VA Mid-Atlantic Region Mental Illness Research, Education, and Clinical Center (MIRECC), Durham VA Medical Center, Durham, NC 27705, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC 27710, USA. Electronic address: ryan.wagner@duke.edu.
8
Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC 27710, USA; Durham VA Medical Center, Mental Health Service Line, Psychology Services, Durham, NC 27705, USA. Electronic address: Teresa.Fecteau@va.gov.
9
Health Services Research and Development Service, Durham VA Medical Center, Durham, NC 27701, USA; Department of Medicine, Duke University School of Medicine, Durham, NC 27710, USA. Electronic address: Courtney.vanhoutven@duke.edu.

Abstract

This study examined the association between parent and family reported history of non-PTSD mental illness (MI), PTSD specifically, and substance use problems, and participant clinical diagnosis of PTSD. Participants were drawn from the US Department of Veterans Affairs Mid-Atlantic Mental Illness Research, Education and Clinical Center (MIRECC) Post-Deployment Mental Health (PDMH) study (n = 3191), an ongoing multi-site cohort study of US Afghanistan and Iraq conflict era veterans. Participants who recalled a father history of PTSD had a 26-percentage point higher likelihood of meeting criteria for PTSD; while participants reporting any family history of PTSD had a 15-percentage point higher probability of endorsing symptoms consistent with PTSD. Mother history of substance use problems was associated with Veteran current PTSD, but results were sensitive to model specification. Current PTSD was not associated with family/parent history of non-PTSD mental illness, mother history of PTSD, or family/father history of substance use problems. Family history of PTSD may increase PTSD risk among veterans exposed to trauma, particularly when a father history is reported. Knowledge of family history could improve clinical decision-making for trauma-exposed individuals and allow for more effective targeting of programs and clinical services.

KEYWORDS:

Family history of mental illness; Father mental illness; Gender effects; Mother mental illness; Veterans

PMID:
28710975
DOI:
10.1016/j.psychres.2017.06.053
[Indexed for MEDLINE]

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