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Relationship of War-Zone Coping Strategies to Long-Term General Life Adjustment Among Vietnam Veterans: Combat Exposure as a Moderator VariableVA Boston Healthcare System
VA Boston Healthcare System and Boston University School of Medicine
Thomas Jefferson University
Thomas Jefferson University
VA Boston Healthcare System and Boston University School of Medicine In this study, we examined long-term general life adjustmentamong members of one trauma-exposed population, Vietnamveterans, using data from a nationally representative sample.Our particular concern was the relationship between copingstrategies used in the war zone and the outcomes of achievement,life satisfaction, and lifetime adaptation (the latter defined interms of the absence of psychosocial problems in core lifedomains) as a function of level of combat exposure. Hierarchicalmultiple regression analyses supported a hypothesized quadraticinteraction between problem-focused coping and the outcomes ofachievement and lifetime adaptation, with this form of copingmost strongly related to adjustment (positively) at moderate levelsof combat exposure. One aspect of emotion-focused coping, theuse of wishful thinking, likewise interacted in a quadratic mannerfor the dependent variable of achievement, exhibiting itsstrongest association with adjustment (negatively) at moderatelevels of combat exposure. The importance of interactionsbetween coping and stressors, especially quadratic interactions,is emphasized.
Key Words: coping traumatic stress trauma quadratic interaction veterans adjustment
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