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The Relationship between Severity of Combat Exposure and Army Status on Post-traumatic Stress Disorder among Australian Vietnam War Veterans

Published online by Cambridge University Press:  06 October 2014

Brian Hennessy
Affiliation:
University of Queensland, Repatriation General Hospital
Tian P.S. Oei*
Affiliation:
University of Queensland, Repatriation General Hospital
*
Department of Psychology, University of Queensland, Brisbane 4072
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Abstract

This study investigated the relationship between the level of combat exposure and army status (regular army soldiers vs national servicemen) and the subsequent development of combat-related post-traumatic stress disorder (PTSD). Sixty-four Australian infantrymen who were exposed to combat stress in Vietnam were used in this study. They were divided into four groups based on combat exposure and status as a regular or conscripted soldier. Subjects were assessed 23 years after their tour of duty in Vietnam for PTSD and psychiatric symptomatology using a PTSD inventory based on DSM-III-R criteria, the Self-report Checklist 90 (SCL-90), the Beck Depression Inventory (BDI), the Impact of Events Scale (IES), the Mississippi Scale for Combat-related PTSD (Mississippi Scale), the State and Trait Anxiety Inventory (STAI), and a demographic questionnaire. Results showed that 29.85% of the veterans have a positive diagnosis of PTSD according to self-report of symptoms based on the DSM-III-R criteria, while 54.89% of the remaining veterans suffer major symptoms of this disorder. MANOVA results show that neither the level of combat exposure nor the army status of the veterans had any significant effect on their psychiatric symptomatology as measured by the SCL-90, the BDI, the IES, and the STAI.

Type
Research Article
Copyright
Copyright © The Author(s) 1991

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References

REFERENCES

American Psychiatric Association. (1980). Diagnostic and Statistical Manual of Mental Disorders (3rd ed.). (DSM-III). Washington, DC: Author.Google Scholar
American Psychiatric Association. (1987). Diagnostic and Statistical Manual of Mental Disorders (3rd ed.—revised). (DSM-III-R). Washington, DC: Author.Google Scholar
Beck, A.T., Ward, C.H., Mendelson, M., Mock, J., & Erbaugh, J. (1960). Unpublished study. Department of Psychiatry, University of Pennsylvania, Philadelphia.Google Scholar
Beck, A.T., Steer, R.A., & Garbin, M.G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77100.Google Scholar
Bowman, B. (1982). The Vietnam veteran ten years on. Australian and New Zealand Journal of Psychiatry, 16, 107127.CrossRefGoogle Scholar
Brown, B., Conrad, P., & Quinn, J. (1987). Assessment and Treatment of Post-traumatic Stress Disorder Workshop. Tenth National Conference, Australian Behaviour Modification Association, Gold Coast.Google Scholar
Card, J. (1987). Epidemiology of PTSD in a national cohort of Vietnam veterans. Journal of Clinical Psychology, 43, 616.3.0.CO;2-X>CrossRefGoogle Scholar
Derogatis, L. (1977). SCL-90 administration, scoring and procedures manual. Baltimore, MD: Johns Hopkins.Google Scholar
Egendorf, A., Kadushin, C., Laufer, R., Rothbart, G., & Solan, L. (1981). Legacies of Vietnam: Comparative adjustment of veterans and their peers. New York: Center for Policy Research.Google Scholar
Foy, D.W., & Card, J.J. (1987). Combat-related post-traumatic stress disorder etiology: Replicated findings in a national sample of Vietnam-era men. Journal of Clinical Psychology, 43, 2831.Google Scholar
Foy, D.W., Carroll, E.M., & Donahoe, C.P. (1987). Etiological factors in the development of PTSD in clinical samples of Vietnam combat veterans. Journal of Clinical Psychology, 43, 1721.3.0.CO;2-Q>CrossRefGoogle ScholarPubMed
Foy, D.W., Resnick, H.S., Sipprelle, R.C., & Carroll, E.M. (1987). Premilitary, military and post-military factors in the development of combat-related post-traumatic stress disorder. The Behavior Therapist, 10, 39.Google Scholar
Foy, D.W., Sipprelle, R.C., Reuger, D.B., & Carroll, E.M. (1984). Etiology of post-traumatic stress disorder in Vietnam veterans: Analysis of premilitary, military and combat exposure influences. Journal of Consulting and Clinical Psychology, 52, 7987.Google Scholar
Green, M.A., & Berlin, M.A. (1987). Five psychosocial variables related to the existence of posttraumatic stress disorder symptoms. Journal of Clinical Psychology, 43, 643649.Google Scholar
Hendin, H., Pollinger Haas, A., Singer, P., Gold, F., & Trigos, G.G. (1983). The influence of precombat personality on post-traumatic stress disorder. Comprehensive Psychiatry, 24, 530533.Google Scholar
Horowitz, M., Wilner, M., & Alvarez, W. (1979). Impact of Event Scale: A measure of subjective stress. Psychosomatic Medicine, 41, 209218.Google Scholar
Keane, T.M., Caddell, J.M., & Taylor, K.L. (1988). Mississippi Scale for combat-related posttraumatic stress disorder: Three studies in reliability and validity. Journal of Consulting and Clinical Psychology, 56, 8590.Google Scholar
Keane, T.M., Fairbank, J.A., Caddell, J.M., Zimering, R.T., Taylor, K.L., & Mora, C.A. (1989). Clinical evaluation of a measure to assess combat exposure. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 1, 5355.Google Scholar
Keane, T.M., Owen Scott, W., Chavoga, G.A., Lamparski, D.M., & Fairbank, J.A. (1985). Social support in Vietnam veterans with post-traumatic stress disorder. A comparative analysis. Journal of Consulting and Clinical Psychology, 53, 95102.CrossRefGoogle ScholarPubMed
Laufer, R.S., Frey-Wouters, E., & Gallops, M.S. (1985). Traumatic Stressors in the Vietnam War and Post-traumatic Stress Disorder. In Figley, C.R. (Ed.), Trauma and its Wake. New York: Brunner/Mazel.Google Scholar
Lyons, J.A., Geradi, R.J., Wolfe, J., & Keane, T.M. (1988). Multiaxial assessment of PTSD: Phe-nomenological, psychometric and psychological considerations. Boston Veterans Administration and Medical Center and Tufts University School of Medicine.Google Scholar
Oei, T.P.S., Evans, L., & Crook, G. (in press). The utility and validity of the STAI in anxiety disorders. British Journal of Clinical Psychology.Google Scholar
Oei, T.P.S., Lim, B., Hennessy, B. (in press). Psychological dysfunction in battle: Post-traumatic stress disorder and Combat stress reactions. Clinical Psychology Review.Google Scholar
Penk, W.E., Robinowitz, R., Roberts, W.R., Patterson, E.T., Dolan, M.P., & Atkins, H.G. (1981). Adjustment differences among male substance abusers varying in degree of combat experience in Vietnam. Journal of Consulting and Clinical Psychology, 49, 426437.Google Scholar
Schwarzwald, J., Solomon, Z., Weisenberg, M., & Mikulincer, M. (1987). Validation of the Impact of Event Scale for psychological sequelae of combat. Journal of Consulting and Clinical Psychology, 55, 251256.Google Scholar
Scurfield, R.M. (1985). Post-trauma Stress Assessment and Treatment: Overview and Formulations. In Figley, C.R. (Ed.), Trauma and its wake. New York: Brunner/Mazel.Google Scholar
Solomon, Z., Mikulincer, M., & Bleich, A. (1988). Characteristic expressions of combat-related posttraumatic stress disorder among Israeli soldiers in the 1982 Lebanon war. Behavioral Medicine, Winter, 171178.Google Scholar
Solomon, Z., Weisenberg, M., Schwarzwald, J., Mikulincer, M. (1987). Post-traumatic stress disorder among frontline soldiers with combat stress reaction: The 1982 Israeli experience. American Journal of Psychiatry, 144, 448454.Google ScholarPubMed
Spielberger, C.D. (1983). State-trait anxiety inventory: Self-evaluation questionnaire. Palo Alto, California: Consulting Psychologist Press.Google Scholar
Streimer, J.H., Cosstick, J., & Tennant, C. (1985). The psychological adjustment of Australian Vietnam veterans. American Journal of Psychiatry, 142, 616618.Google Scholar
Weisenberg, M., Solomon, Z., Schwarzwald, J., & Mikulincer, M. (1987). Assessing the severity of post-traumatic stress disorder: Relation between dichotomous and continuous measures. Journal of Consulting and Clinical Psychology, 55, 432434.Google Scholar