Posttraumatic Stress Disorder Symptoms and Precombat Sexual and Physical Abuse in Desert Storm Veterans

Charles C. Engel · Angela L. Engel · SPENCER J. CAMPBELL · Miles McFall · Joan Russo · Wayne J. Katon

118 citations0/0 files storedThe Journal of Nervous and Mental Disease

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

Abstract

The purpose of this research was to study the association between precombat sexual and physical abuse and combat-related posttraumatic stress disorder (PTSD) symptoms in a clinical sample of male and female Desert Storm veterans. Two hundred ninety-seven veterans provided data on precombat sexual and physical abuse, precombat psychiatric problems, sociodemographics, Desert Storm combat exposure, and PTSD symptomatology using the Mississippi Scale. Men reported significantly higher levels of combat exposure, and women described significantly more frequent precombat abuse. Precombat-abused veterans reported more frequent precombat psychiatric histories. Analysis of covariance revealed that gender significantly modified the impact of precombat abuse on combat-related and other PTSD symptomatology after adjusting for precombat psychiatric history and level of combat exposure. Specifically, females describing precombat abuse reported much greater PTSD symptomatology than did females denying precombat abuse. These results in conjunction with previous research suggest that a relationship between precombat abuse and combat-related PTSD may exist. Prospective, longitudinal studies of both men and women are needed.

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References

1991Traumatic Events and Posttraumatic Stress Disorder in an Urban Population of Young Adults 1991Childhood traumas: an outline and overview 1992Epidemiology of trauma: Frequency and impact of different potentially traumatic events on different demographic groups.1988Mississippi Scale for Combat-Related Posttraumatic Stress Disorder: Three studies in reliability and validity.1989Childhood trauma in borderline personality disorder 1987Post-Traumatic Stress Disorder in the General Population 1989Clinical evaluation of a measure to assess combat exposure.1993Childhood physical abuse and combat-related posttraumatic stress disorder in Vietnam veterans

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