Steven Stellman - Risk factors for course of posttraumatic stress disorder among Vietnam veterans: a 14-year follow-up of American Legionnaires

Document created by Steven Stellman on Dec 1, 2016
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  Publication Details (including relevant citation   information):

  Koenen, K. C., Stellman, J. M., Stellman, S. D., Sommer, J. F.,   Jr. 71 (6) 980-6-

  Abstract: Risk factors affecting the course of   posttraumatic stress disorder (PTSD) are poorly understood. As   part of a larger study on characterizing exposure to herbicides   in Vietnam, the authors investigated this issue in a random   sample of 1,377 American Legionnaires who had served in Southeast   Asia during the Vietnam War and were followed over a 14-year   period. High combat exposure, perceived negative community   attitudes at homecoming, minority race, depression symptoms at   Time 1, and more anger at Time 1 predicted a more chronic course.   Community involvement at Time 1 was protective and associated   with decreased risk at Time 2. Discomfort in disclosing Vietnam   experiences was associated with an increased risk for developing   PTSD but did not predict its course. Combat exposure predicted   PTSD course more strongly than any other risk factor. Findings   suggest recovery from PTSD is significantly influenced by   perceived social support.

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