Severity of combat-related posttraumatic stress disorder versus noncombat-related posttraumatic stress disorder - A community-based study in American Indian and Hispanic veterans
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作者:
Brinker, Michael
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机构:Minneapolis Vet Affairs Med Ctr, Mental Hlth Serv, Minneapolis, MN 55417 USA
Brinker, Michael
Westermeyer, Joseph
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机构:Minneapolis Vet Affairs Med Ctr, Mental Hlth Serv, Minneapolis, MN 55417 USA
Westermeyer, Joseph
Thuras, Paul
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机构:Minneapolis Vet Affairs Med Ctr, Mental Hlth Serv, Minneapolis, MN 55417 USA
Thuras, Paul
Canive, Jose
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机构:Minneapolis Vet Affairs Med Ctr, Mental Hlth Serv, Minneapolis, MN 55417 USA
Canive, Jose
机构:
[1] Minneapolis Vet Affairs Med Ctr, Mental Hlth Serv, Minneapolis, MN 55417 USA
[2] Univ Minnesota, Dept Psychiat, Minneapolis, MN 55455 USA
[3] Univ New Mexico, Dept Psychiat, Albuquerque, NM 87131 USA
[4] Albuquerque Vet Affairs Med Ctr, Psychiat Clin Res, Albuquerque, NM USA
The goal of the study was to compare severity of combat-related posttraumatic stress disorder (PTSD) versus noncombat-related PTSD in a group known to have high rates of combat-related PTSD. Sample consisted of 255 male American Indian and Hispanic veterans with lifetime PTSD who were contacted in communities in 2 regions of the country. Measures of PTSD severity included current posttraumatic symptoms, remission from lifetime PTSD, lifetime severity of alcohol-drug related problems, and mental health treatment history. Our findings revealed that veterans with combat-related PTSD had more severe posttraumatic symptoms, were less apt to have remitted from PTSD during the last year, and-contrary to expectation-were less apt to have sought mental health treatment since military duty. In conclusion, combat-related PTSD was more severe, as compared with noncombat-related PTSD, in this group, on 2 out of 5 measures. A low rate of mental health treatment since military duty may have contributed to increased symptoms and a lower remission rate.
机构:
Cent Inst Mental Hlth, Dept Psychosomat Med & Psychotherapy, D-6800 Mannheim, GermanyMinist Def, Mil Mental Hlth Res Ctr, NL-3509 AA Utrecht, Netherlands
Kraus, Anja
Geuze, Elbert
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Minist Def, Mil Mental Hlth Res Ctr, NL-3509 AA Utrecht, Netherlands
Univ Utrecht, Med Ctr, Rudolf Magnus Inst Neurosci, Div Neurosci, Utrecht, NetherlandsMinist Def, Mil Mental Hlth Res Ctr, NL-3509 AA Utrecht, Netherlands
Geuze, Elbert
Schmahl, Christian
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Cent Inst Mental Hlth, Dept Psychosomat Med & Psychotherapy, D-6800 Mannheim, GermanyMinist Def, Mil Mental Hlth Res Ctr, NL-3509 AA Utrecht, Netherlands
Schmahl, Christian
Greffrath, Wolfgang
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Heidelberg Univ, Med Fac Mannheim, Ctr Biomed & Med Technol Mannheim CBTM, Div Neurophysiol, D-6800 Mannheim, GermanyMinist Def, Mil Mental Hlth Res Ctr, NL-3509 AA Utrecht, Netherlands
Greffrath, Wolfgang
Treede, Rolf-Detlef
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Heidelberg Univ, Med Fac Mannheim, Ctr Biomed & Med Technol Mannheim CBTM, Div Neurophysiol, D-6800 Mannheim, GermanyMinist Def, Mil Mental Hlth Res Ctr, NL-3509 AA Utrecht, Netherlands
Treede, Rolf-Detlef
Bohus, Martin
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机构:
Cent Inst Mental Hlth, Dept Psychosomat Med & Psychotherapy, D-6800 Mannheim, GermanyMinist Def, Mil Mental Hlth Res Ctr, NL-3509 AA Utrecht, Netherlands
Bohus, Martin
Vermetten, Eric
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机构:
Minist Def, Mil Mental Hlth Res Ctr, NL-3509 AA Utrecht, Netherlands
Univ Utrecht, Med Ctr, Rudolf Magnus Inst Neurosci, Div Neurosci, Utrecht, NetherlandsMinist Def, Mil Mental Hlth Res Ctr, NL-3509 AA Utrecht, Netherlands