Military service members experience higher levels of cumulative trauma than the general population, increasing their risk of mental health problems. This scoping review synthesizes evidence on protective factors that contribute to posttraumatic wellbeing among military service members and veterans. PubMed and PsycINFO databases were searched using keywords for military/veterans, traumatic event exposure, posttraumatic stress, and wellbeing outcomes (e.g., quality of life [QoL]). Article abstracts and full texts were screened by two reviewers, with a third reviewer resolving conflicts. Inclusion criteria consisted of the following: (a) empirical study, (b) military/veteran sample, (c) exposed to posttraumatic stress disorder (PTSD) criterion A event, (d) ≥1 protective factor examined, (e) ≥1 wellbeing outcome examined. After data extraction, Bibliometric Network Analysis was used to visualize the topics covered. Literature searches yielded 1,341 articles. Of these, 104 articles were retained after screening. Of the wellbeing outcomes studied, QoL, functioning, and posttraumatic growth were well-researched. Across intervention types (CBT-based, third wave, and complementary), some interventions were efficacious for wellbeing outcomes (mainly QoL), but many had negligible or nonsignificant effects. Other than social support, external resources, and systemic supports were understudied. Intensive interventions and those involving daily practice most effectively promoted wellbeing. Protective factors such as social support, executive functioning, optimism, and system-level resources should be better incorporated into PTSD care for service members/veterans.
*✢AcostaM. C.PossematoK.MaistoS. A.MarschL. A.BarrieK.LantingaL.FongC.XieH.GrabinskiM.RosenblumA. (2017). Web-delivered CBT reduces heavy drinking in OEF-OIF veterans in primary care with symptomatic substance use and PTSD. Behavior Therapy, 48(2), 262–276. https://doi.org/10.1016/j.beth.2016.09.001
2.
*AflakseirA.ColemanP. (2009). The influence of religious coping on the mental health of disabled Iranian war veterans. Mental Health, Religion & Culture, 12(2), 175–190. https://doi.org/10.1080/13674670802428563
3.
*ArensonM. B.McCaslinS.CohenB. (2019). Predictors of multiple domains of functioning in veterans with posttraumatic stress disorder: Results from the Mind Your Heart Study. Depression and Anxiety, 36(11), 1026–1035. https://doi.org/10.1002/da.22945
4.
*Azad MarzabadiE.Hashemi ZadehS. (2014). The effectiveness of mindfulness training in improving the quality of life of the war victims with posttraumatic stress disorder (PTSD). Iran Journal of Psychiatry, 9(4), 228–236.
5.
*Barczak-ScarboroN. E.ColeW.DeFreeseJ.FredricksonB.KieferA.Bailar-HeathM.BurkeR.DeLellisS.KaneS.LynchJ.MeansG.DepenbrockP.MihalikJ. (2022). Active warfighter mental health lower in mid-career. Journal of Special Operations Medicine, 22(3), 129–135. https://doi.org/10.55460/i6m8-ezpl
6.
BeldingJ. N.CastañedaS. F.JacobsonI. G.LeardMannC. A.PorterB.PowellT. M.KolajaC. A.SeeligA. D.MatsunoR. K.CareyF. R.RiveraA. C.TroneD. W.SheppardB. D.WalstromJ. L.BoykoE. J.RullR. P. (2022). The Millennium Cohort Study: The first 20 years of research dedicated to understanding the long-term health of US service members and veterans. Annals of Epidemiology, 67, 61–72.
7.
*BellM. E.StreetA.StaffordJ. (2014). Victims’ psychosocial well-being after reporting sexual harassment in the military. Journal of Trauma & Dissociation, 15(2), 133–152. https://doi.org/10.1080/15299732.2014.867563
8.
*BenetatoB. B. (2011). Posttraumatic growth among operation enduring freedom and operation Iraqi freedom amputees. Journal of Nursing Scholarship, 43(4), 412–420. https://doi.org/10.1111/j.1547-5069.2011.01421.x
9.
*BernsteinJ. P. K.FondaJ.CurraoA.KimS.MilbergW. P.McGlincheyR. E.FortierC. B. (2022). Post-traumatic stress disorder and depression are uniquely associated with disability and life dissatisfaction in post-9/11 veterans. Psychiatry Research, 313, Article e114589. https://doi.org/10.1016/j.psychres.2022.114589
10.
*✢BiggsQ. M.FullertonC.McCarrollJ.LiuX.WangL.DacuyanN.ZatzickD.UrsanoR. (2016). Early intervention for post-traumatic stress disorder, depression, and quality of life in mortuary affairs soldiers postdeployment. Military Medicine, 181(11), e1553–e1560. https://doi.org/10.7205/MILMED-D-15-00579
11.
BokhourB. G.HaunJ. N.HydeJ.CharnsM.KliglerB. (2020). Transforming the Veterans Affairs to a Whole Health System of Care: Time for action and research. Medical Care, 58(4), 295–300. https://doi.org/10.1097/MLR.0000000000001316
12.
*✢BormannJ. E.ThorpS. R.WetherellJ. L.GolshanS.LangA. J. (2013). Meditation-based Mantram intervention for veterans with posttraumatic stress disorder: A randomized trial. Psychological Trauma, 5(3), 259–267. https://doi.org/10.1037/a0027522
13.
*✢BormannJ. E.ThorpS.WetherellJ. L.GolshanS. (2008). A spiritually based group intervention for combat veterans with posttraumatic stress disorder: Feasibility study. Journal of Holistic Nursing, 26(2), 109–116. https://doi.org/10.1177/0898010107311276
14.
*BrittT. W.AdlerA. B.FynesJ. (2021). Perceived resilience and social connection as predictors of adjustment following occupational adversity. Journal of Occupational Health Psychology, 26(4), 339–349. https://doi.org/10.1037/ocp0000286
15.
*✢BritvićD.GlučinaD.AntičevičV.KekezV.LapendaB.DogašV.DodigG.UrlićI.MoroI.FrančiškovićT. (2012). Long-term improvement in coping skills following multimodal treatment in war veterans with chronic PTSD. International Journal of Group Psychotherapy, 62(3), 419–435. https://doi.org/10.1521/ijgp.2012.62.3.418
16.
⁑CaddickN.PhoenixC.SmithB. (2015). Collective stories and well-being: Using a dialogical narrative approach to understand peer relationships among combat veterans experiencing post-traumatic stress disorder. Journal of Health Psychology, 20(3), 286–299. https://doi.org/10.1177/1359105314566612
17.
*✢CaponeC.CameronA. (2020). An examination of hope, symptom severity, and functioning among combat veterans after participation in an intensive outpatient program for PTSD. Journal of Contemporary Psychotherapy, 50(2), 143–150. https://doi.org/10.1007/s10879-019-09440-9
*✢CastroC. A.AdlerA. B.McGurkD.BlieseP. D. (2012). Mental health training with soldiers four months after returning from Iraq: Randomization by platoon. Journal of Traumatic Stress, 25(4), 376–383. https://doi.org/10.1002/jts.21721
20.
*✢CreamerM.ElliottP.ForbesD.BiddleD.HawthorneG. (2006). Treatment for combat-related posttraumatic stress disorder: Two-year follow-up. Journal of Traumatic Stress, 19(5), 675–685. https://doi.org/10.1002/jts.20155
21.
*✢CurrierJ. M.DrescherK. D.HollandJ. M.LismanR.FoyD. W. (2016). Spirituality, forgiveness, and quality of life: Testing a mediational model with military veterans with PTSD. International Journal for the Psychology of Religion, 26(2), 167–179. https://doi.org/10.1080/10508619.2015.1019793
22.
DekelS.MamonD.SolomonZ.LanmanO.DishyG. (2016). Can guilt lead to psychological growth following trauma exposure?Psychiatry Research, 236, 196–198. https://doi.org/10.1016/j.psychres.2016.01.011
23.
*de KruijffL. G. M.SchröderC. D.PlatM. C. J.van DongenT. T. C. F.HoencampR.van der WurffP. (2019). Long-term participation of Dutch service members with combat-related injury. Occupational Medicine, 69(8–9), 566–569. https://doi.org/10.1093/occmed/kqz157
24.
*✢DeGrabaT. J.WilliamsK.KoffmanR.BellJ.PettitW.KellyJ.DittmerT.NussbaumG.GrammerG.BleibergJ.FrenchL.PickettT. (2020). Efficacy of an interdisciplinary intensive outpatient program in treating combat-related traumatic brain injury and psychological health conditions. Frontiers in Neurology, 11, Article e580182. https://doi.org/10.3389/fneur.2020.580182
25.
⁂DohrenwendB. P.NeriaY.TurnerJ. B.TurseN.MarshallR.Lewis-FernandezR.KoenenK. C. (2004). Positive tertiary appraisals and posttraumatic stress disorder in U.S. male veterans of the war in Vietnam: The roles of positive affirmation, positive reformulation, and defensive denial. Journal of Consulting & Clinical Psychology, 72(3), 417–433. https://doi.org/10.1037/0022-006x.72.3.417
26.
*DonnellyK.DonnellyJ. P. (2021). Path analysis of the mediating roles of personality, distress, and cognitive flexibility in the subjective well-being of combat veterans with traumatic brain injury. Journal of Head Trauma Rehabilitation, 36(6), e381–e390. https://doi.org/10.1097/htr.0000000000000688
27.
*ElliottT. R.HsiaoY.-Y.KimbrelN. A.DeBeerB. B.GulliverS. B.KwokO.-M.MorissetteS. B.MeyerE. C. (2019). Resilience facilitates adjustment through greater psychological flexibility among Iraq/Afghanistan war veterans with and without mild traumatic brain injury. Rehabilitation Psychology, 64(4), 383–397. https://doi.org/10.1037/rep0000282
28.
*FederA.SouthwickS. M.GoetzR. R.WangY.AlonsoA.SmithB. W.BuchholzK. R.WaldeckT.AmeliR.MooreJ.HainR.CharneyD. S.VythilingamM. (2008). Posttraumatic growth in former Vietnam prisoners of war. Psychiatry: Interpersonal and Biological Processes, 71(4), 359–370. https://doi.org/10.1521/psyc.2008.71.4.359
29.
⁑FerrajãoP. C. (2017). Pathways between combat stress and physical health among Portuguese war veterans. Qualitative Health Research, 27(11), 1640–1651. https://doi.org/10.1177/1049732317701404
30.
⁑FerrajãoP. C.Aragão OliveiraR. (2016). Portuguese war veterans: Moral injury and factors related to recovery from PTSD. Qualitative Health Research, 26(2), 204–214. https://doi.org/10.1177/1049732315573012
31.
*✢FolkeS.RoitmannN.PoulsenS.AndersenS. B. (2023). Feasibility of virtual reality exposure therapy in the treatment of Danish veterans with post-traumatic stress disorder: A mixed method pilot study. Cyberpsychology, Behavior, & Social Networking, 26(6), 425–431. https://doi.org/10.1089/cyber.2022.0236
32.
*FontanaA.RosenheckR. (2006). Treatment of female veterans with posttraumatic stress disorder: The role of comfort in a predominantly male environment. Psychiatric Quarterly, 77(1), 55–67. https://doi.org/10.1007/s11126-006-7961-y
33.
*✢FredmanS.MacdonaldA.MonsonC.DondanvilleK.BlountT.Hall-ClarkB.FinaB.MintzJ.LitzB.Young-McCaughanS.HancockA.RhoadesG.YarvisJ.ResickP.RoacheJ.LeY.WachenJ.NilesB.McGearyC.. . . PetersonA. (2020). Intensive, multi-couple group therapy for PTSD: A nonrandomized pilot study with military and veteran dyads. Behavior Therapy, 51(5), 700–714. https://doi.org/10.1016/j.beth.2019.10.003
34.
⁑FreytesI.LeLaurinJ.ZickmundS.ResendeR.UpholdC. (2017). Exploring the post-deployment reintegration experiences of veterans with PTSD and their significant others. American Journal of Orthopsychiatry, 87(2), 149–156. https://doi.org/10.1037/ort0000211
35.
Galatzer-LevyI. R.HuangS. H.BonannoG. A. (2018). Trajectories of resilience and dysfunction following potential trauma: A review and statistical evaluation. Clinical Psychology Review, 63, 41–55. https://doi.org/10.1016/j.cpr.2018.05.008
36.
*✢GelkopfM.Hasson-OhayonI.BikmanM.KravetzS. (2013). Nature adventure rehabilitation for combat-related posttraumatic chronic stress disorder: A randomized control trial. Psychiatry Research, 209(3), 485–493. https://doi.org/10.1016/j.psychres.2013.01.026
37.
*GewirtzA. H.PolusnyM. A.DeGarmoD. S.KhaylisA.ErbesC. R. (2010). Posttraumatic stress symptoms among National Guard soldiers deployed to Iraq: Associations with parenting behaviors and couple adjustment. Journal of Consulting & Clinical Psychology, 78(5), 599–610. https://doi.org/10.1037/a0020571
38.
⁑GibbonsS. W.ShaferM.AramandaL.HicklingE. J.BenedekD. M. (2014). Combat health care providers and resiliency: Adaptive coping mechanisms during and after deployment. Psychological Services, 11(2), 192–199. https://doi.org/10.1037/a0033165
39.
Gonzalez-MendezR.Ramírez-SantanaG.HambyS. (2021). Analyzing Spanish adolescents through the lens of the Resilience Portfolio Model. Journal of Interpersonal Violence, 36(9–10), 4472–4489.
40.
*✢GoodsonJ. T.HelstromA. W.MarinoE. J.SmithR. V. (2017). The impact of service-connected disability and therapist experience on outcomes from prolonged exposure therapy with veterans. Psychological Trauma, 9(6), 647–654. https://doi.org/10.1037/tra0000260
41.
*✢GrayM. J.SchorrY.NashW.LebowitzL.AmidonA.LansingA.MaglioneM.LangA. J.LitzB. T. (2012). Adaptive disclosure: An open trial of a novel exposure-based intervention for service members with combat-related psychological stress injuries. Behavior Therapy, 43(2), 407–415. https://doi.org/10.1016/j.beth.2011.09.001
42.
GrychJ.HambyS.BanyardV. (2015). The resilience portfolio model: Understanding healthy adaptation in victims of violence. Psychology of Violence, 5(4), 343.
43.
HambyS.GrychJ.BanyardV. (2018). Resilience portfolios and poly-strengths: Identifying protective factors associated with thriving after adversity. Psychology of Violence, 8(2), 172–183. https://doi.org/10.1037/vio0000135
44.
HambyS.TaylorE.MitchellK.JonesL.NewlinC. (2020). Poly-victimization, trauma, and resilience: Exploring strengths that promote thriving after adversity. Journal of Trauma & Dissociation, 21(3), 376–395.
45.
⁑✢HamiltonT.BurbackL.Smith-MacDonaldL.JonesC.BrownM.MikolasC.TangE.O’TooleK.VergisP.MerinoA.WeimanK.VermettenE.Brémault-PhillipsS. (2021). Moving toward and through trauma: Participant experiences of multi-modal motion-assisted memory desensitization and reconsolidation (3MDR). Frontiers in Psychiatry, 12, Article e779829. https://doi.org/10.3389/fpsyt.2021.779829
46.
HamitiE.KelmendiK.RetkoceriS.HambyS. (2024). Resilience in the Kosovo context: A qualitative study of young adults. Emerging Adulthood, 12, 21676968241261086. https://doi.org/10.1177/21676968241261086
47.
*HawariR. J.McCabeC. T.DoughertyA. L.EskridgeS. L.WatrousJ. R.SazonJ.GalarneauM. R. (2023). Transport time after combat-related injury and patient-reported outcomes among US service members. BMJ Military Health, 169(e1), e34–e38. https://doi.org/10.1136/bmjmilitary-2020-001542
48.
*✢HollidayR.WilliamsR.BirdJ.MullenK.SurísA. (2015). The role of cognitive processing therapy in improving psychosocial functioning, health, and quality of life in veterans with military sexual trauma-related posttraumatic stress disorder. Psychological Services, 12(4), 428–434. https://doi.org/10.1037/ser0000058
49.
*✢HoytT.BarryD.KwonS. H.CapronC.De GuzmanN.GilliganJ.Edwards-StewartA. (2018). Preliminary evaluation of treatment outcomes at a military intensive outpatient program. Psychological Services, 15(4), 510–519. https://doi.org/10.1037/ser0000190
50.
*✢JainS.McMahonG. F.HasenP.KozubM. P.PorterV.KingR.GuarneriE. M. (2012). Healing touch with guided imagery for PTSD in returning active duty military: A randomized controlled trial. Military Medicine, 177(9), 1015–1021. https://doi.org/10.7205/MILMED-D-11-00290
51.
*JakšićN.Aukst MargetićB.Šimunović FilipčićI.ŠagudM.JakovljevićM. (2020). Temperament, character, and subjective well-being in Croatian war veterans suffering from posttraumatic stress disorder. Journal of Nervous & Mental Disease, 208(4), 340–343. https://doi.org/10.1097/nmd.0000000000001127
52.
⁑JensenP. R.SimpsonD. (2014). A qualitative analysis of the experience and impact of killing in hand-to-hand combat. Journal of Traumatic Stress, 27(4), 468–473. https://doi.org/10.1002/jts.21938
53.
*JohnsenB. H.EidJ.LabergJ. C.ThayerJ. F. (2002). The effect of sensitization and coping style on post-traumatic stress symptoms and quality of life: Two longitudinal studies. Scandinavian Journal of Psychology, 43(2), 181–188. https://doi.org/10.1111/1467-9450.00285
54.
*✢JohnsonR. A.AlbrightD.MarzolfJ.BibboJ.YaglomH.CrowderS.CarlisleG.WillardA.RussellC.GrindlerK.OsterlindS.WassmanM.HarmsN. (2018). Effects of therapeutic horseback riding on post-traumatic stress disorder in military veterans. Military Medicine Research, 5(1), 3. https://doi.org/10.1186/s40779-018-0149-6
55.
*✢JohnstonJ. M.MinamiT.GreenwaldD.LiC.ReinhardtK.KhalsaS. B. S. (2015). Yoga for military service personnel with PTSD: A single arm study. Psychological Trauma, 7(6), 555–562. https://doi.org/10.1037/tra0000051
56.
⁂✢JonesC.Smith-MacDonaldL.BrownM. R. G.PikeA.VermettenE.Brémault-PhillipsS. (2022). Quantitative changes in mental health measures with 3MDR treatment for Canadian military members and veterans. Brain & Behavior, 12(8), e2694. https://doi.org/10.1002/brb3.2694
57.
*JukićM.LukinacA. M.PožgainI.TalapkoJ.JukićM.FilakovićP. (2020). The role of perceived social support in assessing PTSD and mental health-related quality of life in veterans. Healthcare, 8(4), 396. https://doi.org/10.3390/healthcare8040396
58.
*KachadourianL. K.Harpaz-RotemI.TsaiJ.SouthwickS.PietrzakR. H. (2021). Mindfulness as a mediator between trauma exposure and mental health outcomes: Results from the National Health and Resilience in Veterans Study. Psychological Trauma, 13(2), 223–230. https://doi.org/10.1037/tra0000995
59.
*KalvesmakiA. F.TrevinoA. Y.CharronE.Kroll-DesrosiersA.PetersonK.PughM. J. (2023). The impact of resilience on employment among post-9/11 veterans with and without military sexual trauma exposure. Military Medicine. Advance Online Publication. https://doi.org/10.1093/milmed/usad267
60.
*✢KangS. S.ErbesC. R.LambertyG. J.ThurasP.SponheimS. R.PolusnyM. A.MoranA. C.Van VoorhisA. C.LimK. O. (2018). Transcendental meditation for veterans with post-traumatic stress disorder. Psychological Trauma, 10(6), 675–680. https://doi.org/10.1037/tra0000346
61.
⁂KashdanT. B.BreenW. E.JulianT. (2010). Everyday strivings in war veterans with posttraumatic stress disorder: Suffering from a hyper-focus on avoidance and emotion regulation. Behavior Therapy, 41(3), 350–363. https://doi.org/10.1016/j.beth.2009.09.003
62.
*KashdanT. B.UswatteG.JulianT. (2006). Gratitude and hedonic and eudaimonic well-being in Vietnam war veterans. Behavior Research & Therapy, 44(2), 177–199. https://doi.org/10.1016/j.brat.2005.01.005
63.
*✢KearneyD. J.McDermottK.MalteC.MartinezM.SimpsonT. L. (2013). Effects of participation in a mindfulness program for veterans with posttraumatic stress disorder: A randomized controlled pilot study. Journal of Clinical Psychology, 69(1), 14–27. https://doi.org/10.1002/jclp.21911
64.
*KeithJ.VelezmoroR.O’BrienC. (2015). Correlates of cognitive flexibility in veterans seeking treatment for posttraumatic stress disorder. Journal of Nervous and Mental Disease, 203(4), 287–293. https://doi.org/10.1097/nmd.0000000000000280
65.
KelmendiK.HambyS. (2023). Resilience after trauma in Kosovo and southeastern Europe: a scoping review. Trauma, Violence, & Abuse, 24(4), 2333–2345. https://doi.org/10.1177/15248380221093693
66.
*✢KhooA.DentM. T.OeiT. P. (2011). Group cognitive behaviour therapy for military service-related post-traumatic stress disorder: Effectiveness, sustainability and repeatability. Australian & New Zealand Journal of Psychiatry, 45(8), 663–672. https://doi.org/10.3109/00048674.2011.590464
67.
*KinneyA. R.SchmidA. A.HenryK. L.CoatsworthJ. D.EakmanA. M. (2020). Protective and health-related factors contributing to resilience among student veterans: A classification approach. American Journal of Occupational Therapy, 74(4), Article e205040. https://doi.org/10.5014/ajot.2020.038331
68.
*KinneyA. R.SchmidA. A.HenryK. L.CoatsworthJ. D.EakmanA. M. (2022). Protective factors that mitigate the indirect risk of combat exposure upon meaning in life: A longitudinal study of student veterans. Psychological Trauma, 14(5), 795–804. https://doi.org/10.1037/tra0000512
69.
*KinneyA. R.SchmidA. A.HenryK. L.Douglas CoatsworthJ.EakmanA. M. (2021). Combat exposure undermines student veterans’ achievement of a meaningful life through its association with health-related symptoms: A longitudinal study. Journal of American College Health, 69(2), 142–150. https://doi.org/10.1080/07448481.2019.1656637
70.
*✢KipK. E.D’AoustR. F.HernandezD. F.GirlingS. A.CuttinoB.LongM. K.RojasP.WittenbergT.AbhayakumarA.RosenzweigL. (2016). Evaluation of brief treatment of symptoms of psychological trauma among veterans residing in a homeless shelter by use of Accelerated Resolution Therapy. Nursing Outlook, 64(5), 411–423. https://doi.org/10.1016/j.outlook.2016.04.006
71.
KalmbachK. C.BasingerE. D.BaylesB.SchmittR.NunezV.MooreB. A.TedeschiR. G. (2023). Moral injury in post-9/11 combat-experienced military veterans: A qualitative thematic analysis. Psychological Services, 21(2), 264–275. https://doi.org/10.1037/ser0000792
72.
*✢KloepM. L.HunterR. H.KertzS. J. (2017). Examining the effects of a novel training program and use of psychiatric service dogs for military-related PTSD and associated symptoms. American Journal of Orthopsychiatry, 87(4), 425–433. https://doi.org/10.1037/ort0000254
73.
*✢KnudsenK. J.WingenfeldS. (2016). A specialized treatment court for veterans with trauma exposure: Implications for the field. Community Mental Health Journal, 52(2), 127–135. https://doi.org/10.1007/s10597-015-9845-9
74.
*✢LaffeyM. E.BjorckJ. P.CurrierJ. M. (2020). Coping and quality of life in veterans with chronic posttraumatic stress disorder. Traumatology, 26(2), 215–226. https://doi.org/10.1037/trm0000222
75.
*LeeJ. E. C.SudomK. A.ZamorskiM. A. (2013). Longitudinal analysis of psychological resilience and mental health in Canadian military personnel returning from overseas deployment. Journal of Occupational Health Psychology, 18(3), 327–337. https://doi.org/10.1037/a0033059
76.
*✢MaguenS.BurkmanK.MaddenE.DinhJ.BoschJ.KeyserJ.SchmitzM.NeylanT. C. (2017). Impact of killing in war: A randomized, controlled pilot trial. Journal of Clinical Psychology, 73(9), 997–1012. https://doi.org/10.1002/jclp.22471
77.
*MartindaleS. L.VujanovicA. A.OrdA. S.CaryA.RowlandJ. A. (2023). Distress tolerance mitigates effects of posttraumatic stress, traumatic brain injury, and blast exposure on psychiatric and health outcomes. Rehabilitation Psychology, 68(4), 385–395. https://doi.org/10.1037/rep0000502
78.
MastenA. S. (2015). Ordinary magic: Resilience in development. Guilford Publications.
79.
⁑MattocksK. M.HaskellS.KrebsE.JusticeA.YanoE.BrandtC. (2012). Women at war: Understanding how women veterans cope with combat and military sexual trauma. Social Science & Medicine, 74(4), 537–545. https://doi.org/10.1016/j.socscimed.2011.10.039
80.
*McCabeC. T.WatrousJ. R.GalarneauM. R. (2020). Trauma exposure, mental health, and quality of life among injured service members: Moderating effects of perceived support from friends and family. Military Psychology, 32(2), 164–175. https://doi.org/10.1080/08995605.2019.1691406
81.
*McCaslinS. E.CloitreM.NeylanT. C.GarvertD. W.HerbstE.MarmarC. (2019). Factors associated with high functioning despite distress in post-9/11 veterans. Rehabilitation Psychology, 64(3), 377–382. https://doi.org/10.1037/rep0000271
82.
McGhieS. F.BelletB. W.MellenE. J.McNallyR. J. (2023). Self-triggering: Does function determine pathogenesis?Psychological Trauma, 15(6), 951–960. https://doi.org/10.1037/tra0001195
83.
*MeyerE. C.FrankfurtS. B.KimbrelN. A.DeBeerB. B.GulliverS. B.MorrisetteS. B. (2018a). The influence of mindfulness, self-compassion, psychological flexibility, and posttraumatic stress disorder on disability and quality of life over time in war veterans. Journal of Clinical Psychology, 74(7), 1272–1280. https://doi.org/10.1002/jclp.22596
84.
*✢MeyerE. C.WalserR.HermannB.BashH.DeBeerB. B.MorissetteS. B.KimbrelN. A.KwokO.BattenS. V.SchnurrP. P. (2018b). Acceptance and commitment therapy for co-occurring posttraumatic stress disorder and alcohol use disorders in veterans: Pilot treatment outcomes. Journal of Traumatic Stress, 31(5), 781–789. https://doi.org/10.1002/jts.22322
85.
*MitchellM. M.GallawayM. S.MillikanA. M.BellM. R. (2013). Combat exposure, unit cohesion, and demographic characteristics of soldiers reporting posttraumatic growth. Journal of Loss & Trauma, 18(5), 383–395. https://doi.org/10.1080/15325024.2013.768847
86.
*✢MonkJ. K.OselandL. M.Nelson GoffB. S.OgolskyB. G.SummersK. (2017). Integrative intensive retreats for veteran couples and families: A pilot study assessing change in relationship adjustment, posttraumatic growth, and trauma symptoms. Journal of Marital & Family Therapy, 43(3), 448–462. https://doi.org/10.1111/jmft.12230
87.
⁂✢MorganA.SinclairH.TanA.ThomasE.CastleR. (2019). Can scuba diving offer therapeutic benefit to military veterans experiencing physical and psychological injuries as a result of combat? A service evaluation of Deptherapy UK. Disability & Rehabilitation, 41(23), 2832–2840. https://doi.org/10.1080/09638288.2018.1480667
88.
*✢MurphyD.PalmerE.LockR.BusuttilW. (2017). Post-traumatic growth among the UK veterans following treatment for post-traumatic stress disorder. Journal of the Royal Army Medical Corps, 163(2), 140–145. https://doi.org/10.1136/jramc-2016-000638
89.
NelsonS. D. (2011). The posttraumatic growth path: An emerging model for prevention and treatment of trauma-related behavioral health conditions. Journal of Psychotherapy Integration, 21(1), 1–42. https://doi.org/10.1037/a0022908
90.
⁑✢NieforthL. O.CraigE. A.BehmerV. A.WadsworthS. M.O’HaireM. E. (2023). PTSD service dogs foster resilience among veterans and military families. Current Psychology, 42(16), 13207–13219. https://doi.org/10.1007/s12144-021-01990-3
O’NeilM. E.HarikJ.McDonaghM.CheneyT.HsuF.CameronD.CarlsonK.NormanS.HamblenJ. (2020). Development of the PTSD-repository: A publicly available repository of randomized controlled trials for posttraumatic stress disorder. Journal of Traumatic Stress, 33(4), 410–419. https://doi.org/10.1002/jts.22520
95.
ParkC. L. (2010). Making sense of the meaning literature: An integrative review of meaning making and its effects on adjustment to stressful life events. Psychological Bulletin, 136(2), 257–301. https://doi.org/10.1037/a0018301
96.
*ParkC. L.SmithP. H.LeeS. Y.MazureC. M.McKeeS. A.HoffR. (2017). Positive and negative religious/spiritual coping and combat exposure as predictors of posttraumatic stress and perceived growth in Iraq and Afghanistan veterans. Psychology of Religion & Spirituality, 9(1), 13–20. https://doi.org/10.1037/rel0000086
97.
*ParkC. L.WachenJ. S.KaiserA. P.Mager StellmanJ. (2015). Cumulative trauma and midlife well-being in American women who served in Vietnam: Effects of combat exposure and postdeployment social support. Anxiety, Stress & Coping, 28(2), 144–161. https://doi.org/10.1080/10615806.2014.944905
98.
*✢PezzinL. E.LarsonE. R.LorberW.McGinleyE. L.DillinghamT. R. (2018). Music-instruction intervention for treatment of post-traumatic stress disorder: A randomized pilot study. BMC Psychology, 6, e60. https://doi.org/10.1186/s40359-018-0274-8
99.
*PolusnyM. A.ErbesC. R.ThurasP.MoranA.LambertyG. J.CollinsR. C.RodmanJ. L.LimK. O. (2015). Mindfulness-based stress reduction for posttraumatic stress disorder among veterans: A randomized clinical trial. JAMA, 314(5), 456–465. https://doi.org/10.1001/jama.2015.8361
100.
*PortnoyG. A.RelyeaM. R.DeckerS.Shamaskin-GarrowayA.DriscollM.BrandtC. A.HaskellS. G. (2018). Understanding gender differences in resilience among veterans: Trauma history and social ecology. Journal of Traumatic Stress, 31(6), 845–855. https://doi.org/10.1002/jts.22341
101.
⁂✢PossematoK.JohnsonE. M.EmeryJ. B.WadeM.AcostaM. C.MarschL. A.RosenblumA.MaistoS. A. (2019). A pilot study comparing peer supported web-based CBT to self-managed web CBT for primary care veterans with PTSD and hazardous alcohol use. Psychiatric Rehabilitation Journal, 42(3), 305–313. https://doi.org/10.1037/prj0000334
102.
RamchandR.RudavskyR.GrantS.TanielianT.JaycoxL. (2015). Prevalence of, risk factors for, and consequences of posttraumatic stress disorder and other mental health problems in military populations deployed to Iraq and Afghanistan. Current Psychiatry Reports, 17, 1–11. https://doi.org/10.1007/s11920-015-0575-z
103.
*SaltzmanL. Y.Pat-HorenczykR.LombeM.WeltmanA.ZivY.McNamaraT.TakeuchiD.BromD. (2018). Post-combat adaptation: Improving social support and reaching constructive growth. Anxiety Stress, & Coping, 31(4), 418–430. https://doi.org/10.1080/10615806.2018.1454740
104.
⁂SayersS. L.BargF. K.MavandadiS.HessT. H.CrauciucA. (2018). Deployment communication: Underlying processes and outcomes. Journal of Family Psychology, 32(1), 3–11. https://doi.org/10.1037/fam0000339
105.
*✢SchnurrP. P.FriedmanM.EngelC.FoaE.SheaM.ChowB.ResickP.ThurstonV.OrsilloS.HaugR.TurnerC.BernardyN. (2007). Cognitive behavioral therapy for posttraumatic stress disorder in women: A randomized controlled trial. JAMA, 297(8), 820–830. https://doi.org/10.1001/jama.297.8.820
106.
SchaferK. M.DuffyM.KennedyG.StentzL.LeonJ.HerreriasG.FulcherS.JoinerT. E. (2022). Suicidal ideation, suicide attempts, and suicide death among Veterans and service members: A comprehensive meta-analysis of risk factors. Military Psychology, 34(2), 129–146. https://doi.org/10.1080/08995605.2021.1976544
107.
*✢SchnurrP. P.FriedmanM. J.FoyD. W.SheaM. T.HsiehF. Y.LavoriP. W.GlynnS. M.WattenbergM.BernardyN. C. (2003). Randomized trial of trauma-focused group therapy for posttraumatic stress disorder: Results from a Department of Veterans Affairs cooperative study. Archives of General Psychiatry, 60(5), 481–489. https://doi.org/10.1001/archpsyc.60.5.481
108.
*SegoviaF.MooreJ. L.LinnvilleS. E.HoytR. E. (2015). Optimism predicts positive health in repatriated prisoners of war. Psychological Trauma, 7(3), 222–228. https://doi.org/10.1037/a0037902
109.
*✢SheaM.StoutR.ReddyM.SevinE.PresseauC.LambertJ.CameronA. (2022). Treatment of anger problems in previously deployed post-911 veterans: A randomized controlled trial. Depression & Anxiety, 39(4), 274–285. https://doi.org/10.1002/da.23230x
110.
⁂SimmonsA. M.RiversF. M.GordonS.YoderL. H. (2018). The role of spirituality among military en route care nurses: Source of strength or moral injury?Critical Care Nursing, 38(2), 61–67. https://doi.org/10.4037/ccn2018674
111.
⁑Sirati NirM.EbadiA.Fallahi KhoshknabM.TavallaeA. (2013). Spiritual experiences of war veterans who suffer from combat-related post-traumatic stress disorder: A qualitative study. Journal of Religion & Health, 52(3), 719–729. https://doi.org/10.1007/s10943-012-9629-2
112.
*✢SolomonZ.ShklarR.MikulincerM. (2005). Frontline treatment of combat stress reaction: A 20-year longitudinal evaluation study. American Journal of Psychiatry, 162(12), 2309–2314. https://doi.org/10.1176/appi.ajp.162.12.2309
113.
*SoltaniM. A.KaraminiaR.HashemianS. A. (2014). Prediction of war veteran’s mental health based on spiritual well-being, social support and self-efficacy variables: The mediating role of life satisfaction. Journal of Education and Health Promotion, 3(57), 35–40. https://doi.org/10.4103/2277-9531.134757
114.
*✢StaplesJ. K.GordonJ. S.HamiltonM.UddoM. (2022). Mind-body skills groups for treatment of war-traumatized veterans: A randomized controlled study. Psychological Trauma, 14(6), 1016–1025. https://doi.org/10.1037/tra0000559
115.
*StaugaardS.JohannessenK.ThomsenY.BertelsenM.BerntsenD. (2015). Centrality of positive and negative deployment memories predicts posttraumatic growth in Danish veterans. Journal of Clinical Psychology, 71(4), 362–377. https://doi.org/10.1002/jclp.22142
116.
SouthwickS. M.BonannoG. A.MastenA. S.Panter-BrickC.YehudaR. (2014). Resilience definitions, theory, and challenges: Interdisciplinary perspectives. European Journal of Psychotraumatology, 5, e25338. https://doi.org/10.3402/ejpt.v5.25338
117.
*Travis SeidlJ. N.PastorekN. J.LillieR.RosenblattA.TroyanskayaM.MillerB. I.RomesserJ.LippaS.SimA. H.LinckJ. (2015). Factors related to satisfaction with life in veterans with mild traumatic brain injury. Rehabilitation Psychology, 60(4), 335–343. https://doi.org/10.1037/rep0000064
118.
*TsaiJ.El-GabalawyR.SledgeW. H.SouthwickS. M.PietrzakR. H. (2015). Post-traumatic growth among veterans in the USA: results from the National Health and Resilience in Veterans Study. Psychological Medicine, 45(1), 165–179. https://doi.org/10.1017/s0033291714001202
119.
VyasK. J.FespermanS.NebekerB.GerardS.BoydN.DelaneyE.Webb-MurphyJ. A.JohnstonS. (2016). Preventing PTSD and depression and reducing health care costs in the military: A call for building resilience among service members. Military Medicine, 181(10), 1240–1247.
120.
*WaysmanM.SchwarzwaldJ.SolomonZ. (2001). Hardiness: An examination of its relationship with positive and negative long term changes following trauma. Journal of Traumatic Stress, 14(3), 531–548. https://doi.org/10.1023/A:1011112723704
121.
WeberM. C.SchulenbergS. E. (2023). The curvilinear relationships between posttraumatic growth and posttraumatic stress, depression, and anxiety. Traumatology, 29(2), 249–260. https://doi.org/10.1037/trm0000398
122.
*WrocklageK. M.SchweinsburgB. C.KrystalJ. H.TrejoM.RoyA.WeisserV.MooreT. M.SouthwickS. M.ScottJ. C. (2016). Neuropsychological functioning in veterans with posttraumatic stress disorder: Associations with performance validity, comorbidities, and functional outcomes. Journal of the International Neuropsychological Society, 22(4), 399–411. https://doi.org/10.1017/S1355617716000059
123.
⁂✢YahalomJ.YarnsB. C.ClairK.CloitreM.LangA. J.HamiltonA. B. (2022). Patient experiences and reported effectiveness of a multimodal short-term pilot therapy group for veteran men with military sexual trauma. Journal of Clinical Psychology, 78(12), 2410–2426. https://doi.org/10.1002/jclp.23353
124.
*ZangY.GallagherT.McLeanC. P.TannahillH. S.YarvisJ. S.FoaE. B. (2017). The impact of social support, unit cohesion, and trait resilience on PTSD in treatment-seeking military personnel with PTSD: The role of posttraumatic cognitions. Journal of Psychiatric Research, 86, 18–25. https://doi.org/10.1016/j.jpsychires.2016.11.005
125.
*ZerachG. (2020a). “He ain’t heavy, he’s my brother”: Distress tolerance moderates the association between secondary posttraumatic symptoms and secondary posttraumatic growth among siblings of combat veterans. Psychological Trauma, 12(7), 687–697. https://doi.org/10.1037/tra0000582
126.
*ZerachG. (2020b). Posttraumatic growth among combat veterans and their siblings: A dyadic approach. Journal of Clinical Psychology, 76(9), 1719–1735. https://doi.org/10.1002/jclp.22949
127.
*ZerachG.Gordon-ShalevT. (2023). A dyadic exploration of the associations between posttraumatic stress symptoms and posttraumatic growth among combat veterans and their parents: The role of distress tolerance. Psychological Trauma, 15(8), 1324–1333. https://doi.org/10.1037/tra0001394
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