The impact of killing in war on mental health symptoms and related functioning

Shira Maguen · Thomas J. Metzler · Brett T. Litz · Karen H. Seal · Sara J. Knight · Charles R. Marmar

179 citations0/0 files storedJournal of Traumatic Stress

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Posttraumatic Stress Disorder Research Terrorism, Counterterrorism, and Political Violence Migration, Health and Trauma

Abstract

This study examined the mental health and functional consequences associated with killing combatants and noncombatants. Using the National Vietnam Veterans Readjustment Study (NVVRS) survey data, the authors reported the percentage of male Vietnam theater veterans (N = 1200) who killed an enemy combatant, civilian, and/or prisoner of war. They next examined the relationship between killing in war and a number of mental health and functional outcomes using the clinical interview subsample of the NVVRS (n = 259). Controlling for demographic variables and exposure to general combat experiences, the authors found that killing was associated with posttraumatic stress disorder symptoms, dissociation, functional impairment, and violent behaviors. Experiences of killing in war are important to address in the evaluation and treatment of veterans.

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References

1988Diagnostic and Statistical Manual of Mental Disorders 1979Measuring Intrafamily Conflict and Violence: The Conflict Tactics (CT) Scales 2004Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care 1997Assessing psychological trauma and PTSD 1990Trauma and the Vietnam War generation: report of findings from the National Vietnam Veterans Readjustment Study 1988Mississippi Scale for Combat-Related Posttraumatic Stress Disorder: Three studies in reliability and validity.1996On Killing: The Psychological Cost of Learning to Kill in War and Society 1984Empirical development of an MMPI subscale for the assessment of combat-related posttraumatic stress disorder.

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2012Does Combat Experience Foster Organizational Skill? Evidence from Ethnic Cleansing during the Partition of South Asia 2011The impact of killing and injuring others on mental health symptoms among police officers 2013Building a peaceful society: Origins, prevention, and reconciliation after genocide and other group violence.2012KILLING IN COMBAT MAY BE INDEPENDENTLY ASSOCIATED WITH SUICIDAL IDEATION

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