Severity of combat-related posttraumatic stress disorder versus noncombat-related posttraumatic stress disorder - A community-based study in American Indian and Hispanic veterans

被引:25
作者
Brinker, Michael
Westermeyer, Joseph
Thuras, Paul
Canive, Jose
机构
[1] Minneapolis Vet Affairs Med Ctr, Mental Hlth Serv, Minneapolis, MN 55417 USA
[2] Univ Minnesota, Dept Psychiat, Minneapolis, MN 55455 USA
[3] Univ New Mexico, Dept Psychiat, Albuquerque, NM 87131 USA
[4] Albuquerque Vet Affairs Med Ctr, Psychiat Clin Res, Albuquerque, NM USA
关键词
veterans; combat; PTSD; treatment; remission;
D O I
10.1097/NMD.0b013e31811f4076
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The goal of the study was to compare severity of combat-related posttraumatic stress disorder (PTSD) versus noncombat-related PTSD in a group known to have high rates of combat-related PTSD. Sample consisted of 255 male American Indian and Hispanic veterans with lifetime PTSD who were contacted in communities in 2 regions of the country. Measures of PTSD severity included current posttraumatic symptoms, remission from lifetime PTSD, lifetime severity of alcohol-drug related problems, and mental health treatment history. Our findings revealed that veterans with combat-related PTSD had more severe posttraumatic symptoms, were less apt to have remitted from PTSD during the last year, and-contrary to expectation-were less apt to have sought mental health treatment since military duty. In conclusion, combat-related PTSD was more severe, as compared with noncombat-related PTSD, in this group, on 2 out of 5 measures. A low rate of mental health treatment since military duty may have contributed to increased symptoms and a lower remission rate.
引用
收藏
页码:655 / 661
页数:7
相关论文
共 38 条
[1]   One-year follow-up study of posttraumatic stress disorder among earthquake survivors in Turkey [J].
Altindag, A ;
Ozen, S ;
Sir, A .
COMPREHENSIVE PSYCHIATRY, 2005, 46 (05) :328-333
[2]  
[Anonymous], TRAUMA WAR STRESS RE
[3]  
[Anonymous], 2003, TRAUMA INTERVENTIONS
[4]   The prevalence of posttraumatic stress disorder among American Indian Vietnam veterans: Disparities and context [J].
Beals, J ;
Manson, SM ;
Shore, JH ;
Friedman, M ;
Ashcraft, M ;
Fairbank, JA ;
Schlenger, WE .
JOURNAL OF TRAUMATIC STRESS, 2002, 15 (02) :89-97
[5]  
Bremner JD, 1996, AM J PSYCHIAT, V153, P369
[6]  
BRESLAU N, 1987, AM J PSYCHIAT, V144, P578
[7]  
CERVANTES RC, 1989, HOSP COMMUNITY PSYCH, V40, P615
[8]   PTSD in former prisoners of war: Prewar, wartime, and postwar factors [J].
Dikel, TN ;
Engdahl, B ;
Eberly, R .
JOURNAL OF TRAUMATIC STRESS, 2005, 18 (01) :69-77
[9]   POST-TRAUMATIC STRESS DISORDER IN HISPANIC VIETNAM VETERANS - CLINICAL PHENOMENOLOGY AND SOCIOCULTURAL CHARACTERISTICS [J].
ESCOBAR, JI ;
RANDOLPH, ET ;
PUENTE, G ;
SPIWAK, F ;
ASAMEN, JK ;
HILL, M ;
HOUGH, RL .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 1983, 171 (10) :585-596
[10]  
Friedman, 1997, MATSUNAGA VIETNAM VE, V2