{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T11:25:24Z","timestamp":1784546724337,"version":"3.55.0"},"reference-count":36,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2018,2,28]],"date-time":"2018-02-28T00:00:00Z","timestamp":1519776000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Rehabilitation Research and Development Service of the VA Office of Research and Development","award":["I01RX00304-01A1"],"award-info":[{"award-number":["I01RX00304-01A1"]}]},{"name":"Rehabilitation Research and Development Service of the VA Office of Research and Development","award":["I01RX000304-01A4"],"award-info":[{"award-number":["I01RX000304-01A4"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Posttraumatic stress disorder (PTSD) strongly predicts greater disability and lower quality of life (QOL). Mindfulness\u2010based and other third\u2010wave behavior therapy interventions improve well\u2010being by enhancing mindfulness, self\u2010compassion, and psychological flexibility. We hypothesized that these mechanisms of therapeutic change would comprise a single latent factor that would predict disability and QOL after accounting for PTSD symptom severity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Iraq and Afghanistan war veterans (<jats:italic>N\u00a0<\/jats:italic>=\u00a0117) completed a study of predictors of successful reintegration. Principal axis factor analysis tested whether mindfulness, self\u2010compassion, and psychological flexibility comprised a single latent factor. Hierarchical regression tested whether this factor predicted disability and QOL 1 year later.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mindfulness, self\u2010compassion, and psychological flexibility comprised a single factor that predicted disability and QOL after accounting for PTSD symptom severity. PTSD symptoms remained a significant predictor of disability but not QOL.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Targeting these mechanisms may help veterans achieve functional recovery, even in the presence of PTSD symptoms.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jclp.22596","type":"journal-article","created":{"date-parts":[[2018,2,28]],"date-time":"2018-02-28T11:48:43Z","timestamp":1519818523000},"page":"1272-1280","source":"Crossref","is-referenced-by-count":35,"title":["The influence of mindfulness, self\u2010compassion, psychological flexibility, and posttraumatic stress disorder on disability and quality of life over time in war veterans"],"prefix":"10.1002","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9621-8762","authenticated-orcid":false,"given":"Eric C.","family":"Meyer","sequence":"first","affiliation":[{"name":"Department of Veterans Affairs VISN 17 Center of Excellence for Research on Returning War Veterans at Central Texas Veterans Health Care System"},{"name":"Texas A&amp;M University Health Science Center College of Medicine"},{"name":"Warriors Research Institute at Baylor Scott &amp; White Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheila B.","family":"Frankfurt","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs VISN 17 Center of Excellence for Research on Returning War Veterans at Central Texas Veterans Health Care System"},{"name":"Texas A&amp;M University Health Science Center College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan A.","family":"Kimbrel","sequence":"additional","affiliation":[{"name":"Durham VA Medical Center"},{"name":"VA Mid\u2010Atlantic Mental Illness Research Education and Clinical Center"},{"name":"Duke University Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryann B.","family":"DeBeer","sequence":"additional","affiliation":[{"name":"Department of Veterans Affairs VISN 17 Center of Excellence for Research on Returning War Veterans at Central Texas Veterans Health Care System"},{"name":"Texas A&amp;M University Health Science Center College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzy B.","family":"Gulliver","sequence":"additional","affiliation":[{"name":"Texas A&amp;M University Health Science Center College of Medicine"},{"name":"Warriors Research Institute at Baylor Scott &amp; White Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9900-636X","authenticated-orcid":false,"given":"Sandra B.","family":"Morrisette","sequence":"additional","affiliation":[{"name":"The University of Texas at San Antonio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,2,28]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/clipsy.bph077"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.2490080106"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beth.2011.03.007"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/tra0000078"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.84.4.822"},{"issue":"60","key":"e_1_2_6_8_1","first-page":"1","article-title":"The Quality of Life Scale (QOLS): Reliability, validity, and utilization","volume":"1","author":"Burckhardt C. 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