{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T03:07:02Z","timestamp":1782961622355,"version":"3.54.5"},"reference-count":31,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,5,4]],"date-time":"2017-05-04T00:00:00Z","timestamp":1493856000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000738","name":"U.S. Department of Veterans Affairs","doi-asserted-by":"publisher","award":["5I01CX000431\u201002"],"award-info":[{"award-number":["5I01CX000431\u201002"]}],"id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Traumatic Stress"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:p>The addition of self\u2010destructive and reckless behavior as a symptom of posttraumatic stress disorder (PTSD) in <jats:italic>DSM\u20105<\/jats:italic> has stimulated renewed interest in understanding relationships between these behaviors and trauma\u2010related psychopathology. This study examined the relationship between reckless and self\u2010destructive behaviors (RSDB), intervening exposure to new adverse events, and later PTSD severity in a sample of trauma\u2010exposed veterans. At baseline, participants were assessed for RSDB (past 5 years) and current PTSD severity (<jats:italic>N<\/jats:italic> = 222). PTSD severity was then reassessed approximately 4 years later (<jats:italic>N<\/jats:italic> = 148). Overall, RSDB were reported by 74.4% of the sample, with 61.3% engaging in multiple forms of RSDB. The most commonly endorsed behaviors included alcohol\/drug abuse (42.8%), driving while intoxicated (29.4%), gambling (24.7%), and aggression (23.1%). There was a positive correlation between RSDB and PTSD severity at both the baseline (<jats:italic>r<\/jats:italic> = .16, <jats:italic>p<\/jats:italic> = .031) and follow\u2010up assessment (<jats:italic>r<\/jats:italic> = .24, <jats:italic>p<\/jats:italic> = .005). Path models indicated that exposure to new adverse events fully mediated the effect of Time 1 RSDB on PTSD symptoms at Time 2 (indirect association: \u03b2 = .05, <jats:italic>p<\/jats:italic> = .046). Results suggest that RSDB are common among trauma\u2010exposed veterans and may perpetuate PTSD symptoms by increasing exposure to new adverse events.<\/jats:p>","DOI":"10.1002\/jts.22182","type":"journal-article","created":{"date-parts":[[2017,5,4]],"date-time":"2017-05-04T09:42:40Z","timestamp":1493890960000},"page":"270-278","source":"Crossref","is-referenced-by-count":39,"title":["Reckless Self\u2010Destructive Behavior and PTSD in Veterans: The Mediating Role of New Adverse Events"],"prefix":"10.1002","volume":"30","author":[{"given":"Joanna D.","family":"Lusk","sequence":"first","affiliation":[{"name":"National Center for PTSD at VA Boston Healthcare System  Boston Massachusetts USA"},{"name":"Department of Psychiatry Boston University School of Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naomi","family":"Sadeh","sequence":"additional","affiliation":[{"name":"National Center for PTSD at VA Boston Healthcare System  Boston Massachusetts USA"},{"name":"Department of Psychological and Brain Sciences University of Delaware  Newark Delaware USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erika J.","family":"Wolf","sequence":"additional","affiliation":[{"name":"National Center for PTSD at VA Boston Healthcare System  Boston Massachusetts USA"},{"name":"Department of Psychiatry Boston University School of Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark W.","family":"Miller","sequence":"additional","affiliation":[{"name":"National Center for PTSD at VA Boston Healthcare System  Boston Massachusetts USA"},{"name":"Department of Psychiatry Boston University School of Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,5,4]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02294359"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021-843X.112.4.545"},{"key":"e_1_2_5_4_1","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0049124187016001004"},{"key":"e_1_2_5_7_1","unstructured":"Berzofsky M. 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