Symptom patterns associated with chronic PTSD in male veterans: new findings from the National Vietnam Veterans Readjustment Study

The Journal of Nervous and Mental Disease
Randall D MarshallBruce P Dohrenwend

Abstract

A subsample of 255 male Vietnam veterans from the National Vietnam Veterans Readjustment Study received in-depth psychiatric diagnostic interviews. This paper focuses on the 88 veterans with a war-related onset of PTSD. Among these veterans, the avoidance cluster, especially its symptoms of numbing, was most strongly associated with chronic PTSD; less strongly but also significantly associated was the hyperarousal cluster. Further analyses show that these associations are not artifacts of the relationship of symptom patterns to prewar demographic factors (race/ethnicity, socioeconomic status, age at entry into Vietnam), comorbidity, treatment and compensation seeking, or probable severity of war-related trauma. We conclude that certain symptom profiles may predict enduring pathological responses to trauma and therefore provide targets for intervention efforts.

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Citations

Apr 3, 2009·Journal of Psychiatric Practice·John C MarkowitzRandall D Marshall
Mar 23, 2010·Journal of Anxiety Disorders·Brian L Thompson, Jennifer Waltz
Sep 1, 2009·Journal of Traumatic Stress·Nicole R NugentMonica M Fitzgerald
Aug 28, 2007·Journal of Traumatic Stress·Bruce P DohrenwendRandall Marshall
Oct 30, 2012·Stress : the International Journal on the Biology of Stress·Jony SheyninCatherine E Myers
Dec 12, 2012·Journal of Affective Disorders·Michael A CucciareKenneth R Weingardt
Jun 7, 2012·Behavior Modification·Ariel J LangMichael Essex
May 1, 2018·European Journal of Psychotraumatology·Kasper EskelundSoren B Andersen
Jul 20, 2020·Journal of Abnormal Child Psychology·Gen LiJon D Elhai
Apr 19, 2021·Journal of Psychiatric Research·Camilo J RuggeroRoman Kotov
Sep 5, 2021·Social Psychiatry and Psychiatric Epidemiology·Laura SampsonSandro Galea

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