Women Vietnam Veterans: Do PTSD Symptoms Mediate Effects of Warzone Service on Health?
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作者:
Kaiser, Anica Pless
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Boston Univ, Sch Med, Boston, MA 02215 USA
VA Boston Healthcare Syst, Boston, MA USAColumbia Univ, Mailman Sch Publ Hlth, New York, NY 10032 USA
Kaiser, Anica Pless
[3
,4
]
Spiro, Avron, III
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Boston Univ, Sch Publ Hlth, Boston, MA 02215 USA
Boston Univ, Sch Med, Boston, MA 02215 USA
VA Boston Healthcare Syst, Boston, MA USAColumbia Univ, Mailman Sch Publ Hlth, New York, NY 10032 USA
Spiro, Avron, III
[2
,3
,4
]
Lee, Lewina Onyi
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机构:
Boston Univ, Sch Publ Hlth, Boston, MA 02215 USA
VA Boston Healthcare Syst, Boston, MA USAColumbia Univ, Mailman Sch Publ Hlth, New York, NY 10032 USA
Lee, Lewina Onyi
[2
,4
]
Stellman, Jeanne Mager
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机构:
Columbia Univ, Mailman Sch Publ Hlth, New York, NY 10032 USAColumbia Univ, Mailman Sch Publ Hlth, New York, NY 10032 USA
Stellman, Jeanne Mager
[1
]
机构:
[1] Columbia Univ, Mailman Sch Publ Hlth, New York, NY 10032 USA
[2] Boston Univ, Sch Publ Hlth, Boston, MA 02215 USA
We used regression models to assess the impact of warzone stress on physical and mental health of 975 female Vietnam veteran nurses, and whether current PTSD symptoms mediated these relations. Women's Vietnam Memorial Project members were surveyed in 1998, with analyses adjusted for age, length of military service, and current health symptoms. Findings suggest that among women nurses deployed to Vietnam, the effects of warzone stress many years earlier on current health are both direct and indirect, mediated by PTSD symptoms. The legacy of wartime deployment remains, although muted in its expression, in military nurses nearly 30 years after their return.
机构:
Utah State Univ, Dept Psychol, 2800 Old Main Hill, Logan, UT 84321 USAUtah State Univ, Dept Psychol, 2800 Old Main Hill, Logan, UT 84321 USA
Livingston, Whitney S.
Fargo, Jamison D.
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Utah State Univ, Dept Psychol, 2800 Old Main Hill, Logan, UT 84321 USAUtah State Univ, Dept Psychol, 2800 Old Main Hill, Logan, UT 84321 USA
Fargo, Jamison D.
Blais, Rebecca K.
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Utah State Univ, Dept Psychol, 2800 Old Main Hill, Logan, UT 84321 USA
Arizona State Univ, Psychol Dept, Tempe, AZ USAUtah State Univ, Dept Psychol, 2800 Old Main Hill, Logan, UT 84321 USA
机构:
VA Greater Los Angeles Healthcare Syst, Geriatr Res Educ Clin Ctr, Sepulveda, CA 91343 USA
Univ Calif Los Angeles, David Geffen Sch Med, Div Geriatr Med, Los Angeles, CA 90095 USAVA Greater Los Angeles Healthcare Syst, Geriatr Res Educ Clin Ctr, Sepulveda, CA 91343 USA
Kramer, B. Josea
Jouldjian, Stella
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VA Greater Los Angeles Healthcare Syst, Los Angeles, CA USAVA Greater Los Angeles Healthcare Syst, Geriatr Res Educ Clin Ctr, Sepulveda, CA 91343 USA
Jouldjian, Stella
Washington, Donna L.
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VA Greater Los Angeles Healthcare Syst, Los Angeles, CA USAVA Greater Los Angeles Healthcare Syst, Geriatr Res Educ Clin Ctr, Sepulveda, CA 91343 USA
Washington, Donna L.
Harker, Judith O.
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VA Greater Los Angeles Healthcare Syst, Los Angeles, CA USAVA Greater Los Angeles Healthcare Syst, Geriatr Res Educ Clin Ctr, Sepulveda, CA 91343 USA
Harker, Judith O.
Saliba, Debra
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VA Greater Los Angeles Healthcare Syst, Geriatr Res Educ Clin Ctr, Sepulveda, CA 91343 USA
Univ Calif Los Angeles, David Geffen Sch Med, Div Geriatr Med, Los Angeles, CA 90095 USA
VA Greater Los Angeles Healthcare Syst, Hlth Serv Res Ctr Excellence, Sepulveda, CA USA
RAND Corp, Santa Monica, CA USAVA Greater Los Angeles Healthcare Syst, Geriatr Res Educ Clin Ctr, Sepulveda, CA 91343 USA
Saliba, Debra
Yano, Elizabeth M.
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VA Greater Los Angeles Healthcare Syst, Hlth Serv Res Ctr Excellence, Sepulveda, CA USAVA Greater Los Angeles Healthcare Syst, Geriatr Res Educ Clin Ctr, Sepulveda, CA 91343 USA
机构:
VA Western New York Healthcare Syst, Ctr Integrated Healthcare, Buffalo, NY 14215 USAVA Western New York Healthcare Syst, Ctr Integrated Healthcare, Buffalo, NY 14215 USA
King, Paul R.
Wade, Michael J.
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Syracuse VA Med Ctr, Ctr Integrated Healthcare, Syracuse, NY USAVA Western New York Healthcare Syst, Ctr Integrated Healthcare, Buffalo, NY 14215 USA
Wade, Michael J.
Beehler, Gregory P.
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VA Western New York Healthcare Syst, Ctr Integrated Healthcare, Buffalo, NY 14215 USA
SUNY Buffalo, Buffalo, NY 14260 USAVA Western New York Healthcare Syst, Ctr Integrated Healthcare, Buffalo, NY 14215 USA
机构:
Henry M Jackson Fdn Advancement Mil Med Inc, Bethesda, MD USA
WRIISC, DVA, Washington, DC USAHenry M Jackson Fdn Advancement Mil Med Inc, Bethesda, MD USA
Breneman, Charity B.
Valmas, Mary M.
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机构:
WRIISC, DVA, Washington, DC USA
Washington DC VA Med Ctr, Dept Vet Affairs, Washington, DC USAHenry M Jackson Fdn Advancement Mil Med Inc, Bethesda, MD USA
Valmas, Mary M.
Skalina, Lauren M.
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Washington DC VA Med Ctr, Dept Vet Affairs, Washington, DC USAHenry M Jackson Fdn Advancement Mil Med Inc, Bethesda, MD USA
Skalina, Lauren M.
Cypel, Yasmin
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VHA, DVA, Hlth Outcomes Mil Exposures, Washington, DC USAHenry M Jackson Fdn Advancement Mil Med Inc, Bethesda, MD USA
Cypel, Yasmin
Spiro, Avron
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VA Boston Healthcare Syst, Massachusetts Vet Epidemiol Res & Informat Ctr MAV, Boston, MA USA
Boston Univ, Sch Med & Publ Hlth, Dept Epidemiol, Boston, MA 02118 USAHenry M Jackson Fdn Advancement Mil Med Inc, Bethesda, MD USA
Spiro, Avron
Frayne, Susan M.
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VAPAHCS, Natl Ctr PTSD, Palo Alto, CA USA
VAPAHCS, VA HSR&D Ctr Innovat Implementat Ci2i, Palo Alto, CA USA
Stanford Univ, Div Primary Care & Populat Hlth, Sch Med, Palo Alto, CA 94619 USAHenry M Jackson Fdn Advancement Mil Med Inc, Bethesda, MD USA
Frayne, Susan M.
Magruder, Kathryn M.
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Med Univ SC, Dept Psychiat & Behav Sci & Publ Hlth, Charleston, SC USAHenry M Jackson Fdn Advancement Mil Med Inc, Bethesda, MD USA
Magruder, Kathryn M.
Kilbourne, Amy M.
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US Dept Vet Affairs, QUERI, Washington, DC USA
Univ Michigan, Med Sch, Dept Learning Hlth Sci, Ann Arbor, MI USAHenry M Jackson Fdn Advancement Mil Med Inc, Bethesda, MD USA
Kilbourne, Amy M.
Kimerling, Rachel
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VAPAHCS, Natl Ctr PTSD, Palo Alto, CA USA
VAPAHCS, VA HSR&D Ctr Innovat Implementat Ci2i, Palo Alto, CA USAHenry M Jackson Fdn Advancement Mil Med Inc, Bethesda, MD USA
Kimerling, Rachel
Reinhard, Matthew J.
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WRIISC, DVA, Washington, DC USA
Georgetown Univ, Med Ctr, Dept Psychiat, Washington, DC USAHenry M Jackson Fdn Advancement Mil Med Inc, Bethesda, MD USA
机构:
VA Puget Sound Hlth Care Syst, Seattle, WA USA
Univ Washington, Dept Psychiat & Behav Sci, Seattle, WA 98195 USAVA Puget Sound Hlth Care Syst, Seattle, WA USA
Lehavot, Keren
Der-Martirosian, Claudia
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VEMEC, Dept Vet Affairs, North Hills, CA USAVA Puget Sound Hlth Care Syst, Seattle, WA USA
Der-Martirosian, Claudia
Simpson, Tracy L.
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VA Puget Sound Hlth Care Syst, Seattle, WA USA
Univ Washington, Dept Psychiat & Behav Sci, Seattle, WA 98195 USAVA Puget Sound Hlth Care Syst, Seattle, WA USA
Simpson, Tracy L.
Shipherd, Jillian C.
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Natl Ctr PTSD, Womens Hlth Sci Div, Boston, MA USA
VA Boston Healthcare Syst, Boston, MA USA
Boston Univ, Sch Med, Boston, MA 02118 USA
VA Patient Care Serv LGBT Program, Washington, DC USAVA Puget Sound Hlth Care Syst, Seattle, WA USA
Shipherd, Jillian C.
Washington, Donna L.
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CSHIIP, VA Greater Los Angeles Hlth Serv Res & Dev HSR&D, Sepulveda, CA USA
Univ Calif Los Angeles, David Geffen Sch Med, Dept Med, Los Angeles, CA 90095 USAVA Puget Sound Hlth Care Syst, Seattle, WA USA
机构:
US Dept Vet Affairs, Epidemiol Program, Hlth Outcomes Mil Exposures 12P0P5, 810 Vermont Ave NW, Washington, DC 20420 USAUS Dept Vet Affairs, Epidemiol Program, Hlth Outcomes Mil Exposures 12P0P5, 810 Vermont Ave NW, Washington, DC 20420 USA
Cypel, Yasmin
Schnurr, Paula P.
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机构:
US Dept Vet Affairs, Natl Ctr PTSD, White River Jct, VT USA
Geisel Sch Med Dartmouth, Dept Psychiat, Hanover, NH USAUS Dept Vet Affairs, Epidemiol Program, Hlth Outcomes Mil Exposures 12P0P5, 810 Vermont Ave NW, Washington, DC 20420 USA
Schnurr, Paula P.
Schneiderman, Aaron, I
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US Dept Vet Affairs, Epidemiol Program, Hlth Outcomes Mil Exposures 12P0P5, 810 Vermont Ave NW, Washington, DC 20420 USAUS Dept Vet Affairs, Epidemiol Program, Hlth Outcomes Mil Exposures 12P0P5, 810 Vermont Ave NW, Washington, DC 20420 USA
Schneiderman, Aaron, I
Culpepper, William J.
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US Dept Vet Affairs, Epidemiol Program, Hlth Outcomes Mil Exposures 12P0P5, 810 Vermont Ave NW, Washington, DC 20420 USAUS Dept Vet Affairs, Epidemiol Program, Hlth Outcomes Mil Exposures 12P0P5, 810 Vermont Ave NW, Washington, DC 20420 USA
Culpepper, William J.
Akhtar, Fatema Z.
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US Dept Vet Affairs, Epidemiol Program, Hlth Outcomes Mil Exposures 12P0P5, 810 Vermont Ave NW, Washington, DC 20420 USAUS Dept Vet Affairs, Epidemiol Program, Hlth Outcomes Mil Exposures 12P0P5, 810 Vermont Ave NW, Washington, DC 20420 USA
Akhtar, Fatema Z.
Morley, Sybil W.
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US Dept Vet Affairs, VISN 2 Ctr Excellence Suicide Prevent, Canandaigua, NY USAUS Dept Vet Affairs, Epidemiol Program, Hlth Outcomes Mil Exposures 12P0P5, 810 Vermont Ave NW, Washington, DC 20420 USA
Morley, Sybil W.
Fried, Dennis A.
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US Dept Vet Affairs, War Related Injury & Illness Study Ctr, E Orange, NJ USAUS Dept Vet Affairs, Epidemiol Program, Hlth Outcomes Mil Exposures 12P0P5, 810 Vermont Ave NW, Washington, DC 20420 USA
Fried, Dennis A.
Ishii, Erick K.
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US Dept Vet Affairs, Populat Hlth Serv 10P4V, Washington, DC USAUS Dept Vet Affairs, Epidemiol Program, Hlth Outcomes Mil Exposures 12P0P5, 810 Vermont Ave NW, Washington, DC 20420 USA
Ishii, Erick K.
Davey, Victoria J.
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US Dept Vet Affairs, Off Res & Dev 14RD, Washington, DC USAUS Dept Vet Affairs, Epidemiol Program, Hlth Outcomes Mil Exposures 12P0P5, 810 Vermont Ave NW, Washington, DC 20420 USA