Abstract
Thirty high-combat Vietnam veterans with a diagnosis of Post-traumatic Stress Disorder (PTSD) were compared with a second group of 30 high-combat Vietnam veterans without evidence of PTSD on measures of military adjustment and exposure to traumatic violence during combat. Military adjustment was assessed for precombat and combat service periods and included measures of alcohol and drug use, disciplinary actions, and social support. The PTSD-positive group reported significantly greater exposure to traumatic violence and more distress at having observed and participated in such acts than did the PTSD-negative group. Multiple regression analysis revealed the five traumatic violence frequency and distress scales to be significant predictors of severity of PTSD symptoms. Group differences were not attributable to premilitary demographic or social adjustment variables. Analyses of covariance demonstrated that both groups increased their drug and alcohol use and reported fewer social supports from precombat to combat periods. Results support the residual stress model of PTSD etiology, implicating trauma as the major contributing factor in the disorder.
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References
American Psychiatric Association. (1980).Diagnostic and Statistical Manual of Mental Disorders (third edition), Washington, D.C., Author.
Borus, J. F. (1973a). Reentry: I. Adjustment issues facing the Vietnam returnee.Arch. Gen. Psychiatry 28: 501–506.
Borus, J. F. (1973b). Reentry: II. “Making it” back in the states.Am. J. Psychiatry 130(8): 805–854.
Carroll, E. M., Rueger, D. B., Foy, D. W., and Donahoe, C. P. (1985). Vietnam combat veterans with posttraumatic stress disorder: Analysis of marital and cohabiting adjustment.J. Abnorm. Psychol. 94(3): 329–337.
Egendorf, A., Kaduschin, C., Laufer, R. S., Rothbart, G., and Sloan, L. (1981).Legacies of Vietnam: Comparative adjustment of veterans and their peers (Publication no. V101 134P-630), Government Printing Office, Washington, D.C.
Figley, C. R. (1978).Stress Disorders among Vietnam Veterans Bruner-Mazel, New York.
Foy, D. W., Carroll, E. M., and Donahoe, C. P. (1987). Etiological factors in the development of PTSD in clinical samples of Vietnam Combat Veterans.J. Clin. Psychol. (Special Monograph). 43: 17–26.
Foy, D. W., Sipprelle, R. C., Rueger, D. B., and Carroll, E. M. (1984). Etiology of posttraumatic stress disorder in Vietnam veterans: Analysis of premilitary, military, and combat exposure influences.J. Consult. Clin. Psychol. 52: 79–87.
Futterman, S., and Pumpian-Mindlin, E. (1951). Traumatic war neuroses five years later.Am. J. Psychiatry 108: 401.
Grinker, R. R., and Spiegel, J. P. (1945).Men under Stress Blakiston, New York.
Hendin, H., Haas, A., Linger, P., Haughton, W., Schwartz, M., and Wallen, V. (1984). The reliving experience in Vietnam veterans with posttraumatic stress disorder.Comprehen. Psychiatry 25: 165–173.
Horowitz, M. J., and Solomon, G. F. (1975). A prediction of delayed stress response syndromes in Vietnam veterans.J. Social Issues 31: 67–80.
Laufer, R. S., Brett, E., and Gallops, M. S. (1983).Patterns of Post-traumatic Stress Disorder among Vietnam Veterans Exposed to Combat Violence, Paper presented at the meeting of the American Psychological Association, New York.
Laufer, R. S., and Gallops, M. S. (1982).A Model of War Stress and Post-war Trauma: The Vietnam Experience, Paper presented at the meeting of the American Sociological Association, San Francisco, Calif.
Lund, M., Foy, D. W., Sipprelle, R. C., and Strachan, A. (1984). The Combat Exposure Scale: A systematic assessment of trauma in the Vietnam war.J. Clin. Psychol. 40: 1323–1328.
Sarason, I. G., Levine, H. M., Basham, R. B., and Sarason, B. R. (1983). Assessing social support: The Social Support Questionnaire.J. Personal. Social Psychol. 44: 127–139.
Wilson, J. P. (1978).Identity, Ideology, and Crises: The Vietnam Veteran in Transition (Part 2) Disabled American Veterans, Cincinnati, Ohio.
Worthington, E. R. (1977). Post-service adjustment and Vietnam era veterans.Milit. Med. 142: 865–866.
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Gallers, J., Foy, D.W., Donahoe, C.P. et al. Post-traumatic stress disorder in Vietnam combat veterans: Effects of traumatic violence exposure and military adjustment. J Trauma Stress 1, 181–192 (1988). https://doi.org/10.1007/BF00974997
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DOI: https://doi.org/10.1007/BF00974997