Exposure to atrocities and severity of chronic posttraumatic stress disorder in Vietnam combat veterans

Rachel Yehuda · Earl L. Giller

120 citations0/0 files storedAmerican Journal of Psychiatry

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Posttraumatic Stress Disorder Research Child Abuse and Trauma Migration, Health and Trauma

Abstract

OBJECTIVE: The authors' objective was to explore aspects of trauma associated with severity of posttraumatic stress disorder (PTSD) in Vietnam veterans. METHOD: Several ratings of stress exposure and symptom severity were administered to 40 patients with combat-related PTSD. RESULTS: A significant relationship was observed between exposure to atrocities and the impact of PTSD on veterans' lives, as measured by the Mississippi Scale for Combat-Related Posttraumatic Stress Disorder. Exposure to atrocities was also significantly correlated with current symptom severity. In contrast, combat exposure alone was not significantly associated with overall symptom severity. Both atrocity and combat exposure, however, were significantly related to reexperiencing symptoms. CONCLUSIONS: The data suggest that the enduring effect and severity of PTSD symptoms on an individual are associated more with exposure to brutal human death and suffering than the threat of death associated with combat.

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References

1960A RATING SCALE FOR DEPRESSION 1979Impact of Event Scale: A Measure of Subjective Stress 1988Mississippi Scale for Combat-Related Posttraumatic Stress Disorder: Three studies in reliability and validity.1992Trauma and the Vietnam War Generation 1984Etiology of Posttraumatic Stress Disorder in Vietnam veterans: Analysis of premilitary, military, and combat exposure influences.1987Posttraumatic stress disorder: the etiologic specificity of wartime stressors 1984War Stress and Trauma: The Vietnam Veteran Experience

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