The Impact of Covid-19 on Veterans’ Resilience, Attachment, and Negative Affect

On March 13, 2020, the US issued an emergency declaration in response to the COVID-19 pandemic, necessitating increased domestic engagement of the military to mount the national public health response. The US military’s increased domestic health response to the COVID-19 pandemic, combined with the effects of its involvement in a 20-year war exacerbated by recent tensions around America’s exit from Afghanistan, has led to increased stress on our already overburdened forces. This study compares baseline data from a treatment-seeking veteran sample before the onset of COVID-19 (n = 119) to veterans who sought counseling services during the pandemic (n = 100). We used six standardized mental health measures that assess attachment avoidance, attachment anxiety, resilience, depression, generalized anxiety, posttraumatic stress disorder (PTSD), and suicidality. Independent samples t-tests revealed that depression, generalized anxiety, and PTSD significantly decreased from before the pandemic to after its onset. However, the strength of the correlations between all six measures increased. We interpret the findings through an attachment and resiliency framework. We also explore the role of negative affect that might underlie depression, generalized anxiety, and PTSD. Lastly, we review and discuss a transdiagnostic approach to the therapeutic process, accounting for the COVID-19 pandemic

Anxiety · Declaration · Disease · Generalized anxiety disorder · Mental health · Moral injury · Pandemic · Political science · Posttraumatic stress · Psychiatry · Psychological resilience · Psychotherapist · Public health · Clinical Psychology · COVID-19 and Mental Health · Medicine · Posttraumatic Stress Disorder Research · Psychology · Resilience and Mental Health

• Affective temperament, attachment style, and the psychological impact of the Covid-19 outbreak

  Open Access•Lorenzo Moccia, Delfina Janiri et al.•Brain, Behavior, and Immunity•2020

  Incluir item

• The Suicidal Behaviors Questionnaire-Revised (SBQ-R)

  Open Access•Augustine Osman, Courtney L Bagge et al.•Assessment•2001

  Incluir item

• Covid-19 and addiction

  Open Access•Mahua Jana Dubey, Ritwik Ghosh et al.•Diabetes & Metabolic Syndrome:…•2020

  Incluir item

• Psychological resilience and dysfunction among hospitalized survivors of the Sars epidemic in Hong Kong

  George A Bonanno, Samuel M Y Ho et al.•Health Psychology•2008

  Incluir item

• Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care

  Charles W Hoge, Carl A Castro et al.•New England Journal of Medicine•2004

  Incluir item

• The Posttraumatic Stress Disorder Checklist for DSM‐5 (PCL‐5)

  Open Access•Christy A Blevins, Frank W Weathers et al.•Journal of Traumatic Stress•2015

  Incluir item

• Loss, Trauma, and Human Resilience

  George A Bonanno•American Psychologist•2004

  Incluir item

• A Brief Measure for Assessing Generalized Anxiety Disorder

  Robert L Spitzer, Carmen Pérez de los Ríos et al.•A.M.A. Archives of Internal…•2006

  Incluir item

• The PHQ-9

  Kurt Kroenke, Robert L Spitzer et al.•Journal of General Internal…•2001

  Incluir item

• Comorbid mood and anxiety disorders and severity of posttraumatic stress disorder symptoms in treatment-seeking veterans

  Kelly A Knowles, Rebecca K Sripada et al.•Psychological Trauma Theory…•2018

  Incluir item

• Psychological adjustment during the global outbreak of Covid-19

  Shuquan Chen, George A Bonanno•Psychological Trauma Theory…•2020

  Incluir item

• Resilience is spreading

  Open Access•Emma K PeConga, Gabrielle M Gauthier et al.•Psychological Trauma Theory…•2020

  Incluir item

• Risk of Developing Post-traumatic Stress Disorder in Severe Covid-19 Survivors, Their Families and Frontline Healthcare Workers

  Open Access•Marcin Sekowski, Małgorzata Gambin et al.•Frontiers in Psychiatry•2021

  Incluir item

• The capacity for understanding mental states

  Open Access•P Fonagy, M Steele et al.•Infant Mental Health Journal•1991

  Incluir item

• Factors associated with post-traumatic growth in response to the Covid-19 pandemic

  Open Access•Peter J, Joyce Tsai et al.•Social Science & Medicine•2021

  Incluir item

• The resilience framework as a strategy to combat stress-related disorders

  Open Access•Raffael Kalisch, Dewleen G Baker et al.•Nature Human Behaviour•2017

  Incluir item

• The impact of Covid-19 on first responders' resilience and attachment

  Jose Carbajal, Warren N Ponder et al.•Journal of Human Behavior in the…•2022

  Incluir item