The Roles of Combat Exposure, Personal Vulnerability, and Involvement in Harm to Civilians or Prisoners in Vietnam-War-Related Posttraumatic Stress Disorder:

作者: Bruce P. Dohrenwend , Thomas J. Yager , Melanie M. Wall , Ben G. Adams

DOI: 10.1177/2167702612469355

关键词:

摘要: The diagnosis posttraumatic stress disorder was introduced in 1980 amid debate about the psychiatric toll of Vietnam War. There is controversy, however, its central assumption that potentially traumatic stressors are more important than personal vulnerability causing disorder. We tested this with data from a rigorously diagnosed male subsample (n = 260) National Veterans Readjustment Study. Combat exposure, prewar vulnerability, and involvement harming civilians or prisoners were examined, only combat exposure proving necessary for onset. Although none three factors proved sufficient, estimated onset reached 97% veterans high on all three, harm to showing largest independent contribution. Severity onset; at least as long-term persistence. Implications primacy stressor assumption, f...

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