RSDB correlated positively with PTSD severity at both the baseline ( r =. The most commonly endorsed behaviors included alcohol/drug abuse (42.8%), driving while intoxicated (29.4%), gambling (24.7%), and aggression (23.1%). Overall, RSDB were reported by 74.4% of the sample, with 61.3% engaging in multiple forms of RSDB. PTSD severity was then reassessed approximately 4 years later ( N = 148). At baseline, participants were assessed for RSDB (past 5 years) and current PTSD severity ( N = 222). This study examined the relationship between reckless and self-destructive behaviors (RSDB), intervening exposure to new adverse events, and later PTSD severity in a sample of trauma-exposed veterans. The addition of self-destructive and reckless behavior as a symptom of posttraumatic stress disorder (PTSD) in DSM-5 has stimulated renewed interest in understanding relationships between these behaviors and trauma-related psychopathology.
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