Military veterans who use avoidant coping strategies -- denying or minimizing distressing thoughts, experiences and emotions -- are more likely to exhibit symptoms of depression and generalized anxiety. However, emotional help and support from family members reduces the negative impacts of these conditions, according to a University of North Texas study on veterans' transition to becoming college and university students.
Counseling and wellness centers at colleges and universities -- where student veterans may seek help -- should therefore have more outreach to veterans' families, including couples counseling, the UNT researchers say.
The VETS, or Veterans Experiencing the Transition to Students project, is directed by Shelley Riggs, UNT associate professor of psychology, and four doctoral students in the UNT Family Attachment Lab. They surveyed 165 veterans who were currently enrolled in one private and two public universities in Texas, including UNT. The majority -- 117 -- had been deployed in Operation Enduring Freedom in Afghanistan or Operation Iraqi Freedom and Operation New Dawn in Iraq.
The survey respondents represented all military branches, with nearly half serving in the Army and more than 83 percent being non-commissioned officers.
In addition to being asked about Post-Traumatic Stress Disorder and other psychological symptoms, the student veterans responded to questions about their academic, emotional, personal and social adjustment to college, coping styles, social support and romantic relationship functioning, as well as their sense of being connected to their universities.
Fourth-year doctoral student Daniel Romero focused on the student veterans' coping strategies. Avoidant coping strategies, he said, appear to interfere with the veterans' successful adaption and psychological functioning in a school setting. He noted that avoidant coping can often be adaptive in military settings, where traumatic reactions must be suppressed to continue a mission.
"However, in the civilian world, ignoring difficult emotions and stressful events in counterproductive and can contribute to intrusive thoughts and other PTSD symptoms, and depression and anxiety symptoms," Romero said.
Veterans who used problem-focused coping, which involves identifying problematic stress and taking steps to resolve or overcome it, reported significantly lower levels of depression and generalized anxiety symptoms -- but only if they also reported high levels of emotional support from family members, Romero said. He noted, however, that this emotional support didn't affect levels of PTSD symptoms, which he said usually results from traumatic events, such as military combat, rather than other circumstances that could lead to depression and anxiety.
Romero's study will be published in an upcoming issue of Journal of Counseling Psychology and is currently available through the American Psychological Association's Online First Publications.
In other findings from the VETS project:
"If that is the case, then avoidance may actually facilitate successful adaption in a college setting," says Campbell, a Navy veteran. She noted that only hyperarousal symptoms of PTSD -- sleep disturbances, tension and being easily startled -- directly interfere with studying and completing class assignments. This type of hypervigilance about their surroundings "may make sitting in lecture halls particularly difficult" for veterans, which may distract them from absorbing information presented in class, she said.
Generalized anxiety symptoms, including restlessness and worry, also contribute with poor academic performance, Campbell said.
Results from the study were presented at the 2014 Texas Psychological Association and the American Psychological Association annual conventions.
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