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Momentary assessment of PTSD symptoms and sexual risk behavior in male OEF/OIF/OND Veterans

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  • Additional Information
    • Affiliation:
      a Yale School of Medicine, New Haven, CT 06519, USA
      b Yale School of Public Health, New Haven, CT 06519, USA
      c VA Connecticut Healthcare System, West Haven, CT 06516, USA
      d U.S. Department of Veterans Affairs National Center for PTSD, USA
    • Keywords:
      PTSD
      Veterans
      Sexual risk
      HIV
      Substance use
      EMA
    • Abstract:
      Background Post-traumatic stress disorder (PTSD) in Veterans is associated with increased sexual risk behaviors, but the nature of this association is not well understood. Typical PTSD measurement deriving a summary estimate of symptom severity over a period of time precludes inferences about symptom variability, and whether momentary changes in symptom severity predict risk behavior.
    • Abstract:
      Results Median within-day survey completion rates maintained near 90%, and PTSD symptoms showed high within-person variability, ranging up to 59 points on the 80-point scale. Six Veterans reported alcohol or substance use, and substance users reported use of more than one drug. Eight Veterans reported 1 to 28 high-risk sexual events. Heightened PTSD-related negative affect and externalizing behaviors preceded high-risk sexual events. Greater PTSD symptom instability was associated with having multiple sexual partners in the 28-day period.
    • Abstract:
      Limitations These results are preliminary, given this small sample size, and multiple comparisons, and should be verified with larger Veteran samples.
    • Abstract:
      Conclusions Results support the feasibility and utility of using of EMA to better understand the relationship between PTSD symptoms and sexual risk behavior in Veterans. Specific antecedent-risk behavior patterns provide promise for focused clinical interventions.
    • Abstract:
      @@@@Highlights •Veterans had 90.5% median completion of daily surveys of PTSD and sexual behavior.•Veterans reported accessibility and acceptability of daily web-based assessments.•PTSD symptoms varied substantially within person over 28 days.•PTSD-related negative affect and externalizing behaviors preceded sexual risk-taking.•PTSD symptom instability was associated with having concurrent sexual partners.
    • ISSN:
      0165-0327
    • Accession Number:
      10.1016/j.jad.2015.10.039
    • Accession Number:
      S0165032715305280
    • Copyright:
      Published by Elsevier B.V.
  • Citations
    • ABNT:
      BLACK, A. C. et al. Momentary assessment of PTSD symptoms and sexual risk behavior in male OEF/OIF/OND Veterans. Journal of Affective Disorders, [s. l.], v. 190, p. 424–428, 2016. DOI 10.1016/j.jad.2015.10.039. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edselp&AN=S0165032715305280. Acesso em: 2 dez. 2020.
    • AMA:
      Black AC, Cooney NL, Justice AC, et al. Momentary assessment of PTSD symptoms and sexual risk behavior in male OEF/OIF/OND Veterans. Journal of Affective Disorders. 2016;190:424-428. doi:10.1016/j.jad.2015.10.039
    • APA:
      Black, A. C., Cooney, N. L., Justice, A. C., Fiellin, L. E., Pietrzak, R. H., Lazar, C. M., & Rosen, M. I. (2016). Momentary assessment of PTSD symptoms and sexual risk behavior in male OEF/OIF/OND Veterans. Journal of Affective Disorders, 190, 424–428. https://doi.org/10.1016/j.jad.2015.10.039
    • Chicago/Turabian: Author-Date:
      Black, Anne C., Ned L. Cooney, Amy C. Justice, Lynn E. Fiellin, Robert H. Pietrzak, Christina M. Lazar, and Marc I. Rosen. 2016. “Momentary Assessment of PTSD Symptoms and Sexual Risk Behavior in Male OEF/OIF/OND Veterans.” Journal of Affective Disorders 190 (January): 424–28. doi:10.1016/j.jad.2015.10.039.
    • Harvard:
      Black, A. C. et al. (2016) ‘Momentary assessment of PTSD symptoms and sexual risk behavior in male OEF/OIF/OND Veterans’, Journal of Affective Disorders, 190, pp. 424–428. doi: 10.1016/j.jad.2015.10.039.
    • Harvard: Australian:
      Black, AC, Cooney, NL, Justice, AC, Fiellin, LE, Pietrzak, RH, Lazar, CM & Rosen, MI 2016, ‘Momentary assessment of PTSD symptoms and sexual risk behavior in male OEF/OIF/OND Veterans’, Journal of Affective Disorders, vol. 190, pp. 424–428, viewed 2 December 2020, .
    • MLA:
      Black, Anne C., et al. “Momentary Assessment of PTSD Symptoms and Sexual Risk Behavior in Male OEF/OIF/OND Veterans.” Journal of Affective Disorders, vol. 190, Jan. 2016, pp. 424–428. EBSCOhost, doi:10.1016/j.jad.2015.10.039.
    • Chicago/Turabian: Humanities:
      Black, Anne C., Ned L. Cooney, Amy C. Justice, Lynn E. Fiellin, Robert H. Pietrzak, Christina M. Lazar, and Marc I. Rosen. “Momentary Assessment of PTSD Symptoms and Sexual Risk Behavior in Male OEF/OIF/OND Veterans.” Journal of Affective Disorders 190 (January 15, 2016): 424–28. doi:10.1016/j.jad.2015.10.039.
    • Vancouver/ICMJE:
      Black AC, Cooney NL, Justice AC, Fiellin LE, Pietrzak RH, Lazar CM, et al. Momentary assessment of PTSD symptoms and sexual risk behavior in male OEF/OIF/OND Veterans. Journal of Affective Disorders [Internet]. 2016 Jan 15 [cited 2020 Dec 2];190:424–8. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edselp&AN=S0165032715305280