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Frequency of Symptoms and Concurrent Psychiatric Disorder in Vietnam Veterans With Chronic PTSD

Frequency of Symptoms and Concurrent Psychiatric Disorder in Vietnam Veterans With Chronic PTSD Douglas K. Roszell M.D. 1 , Miles E. McFall Ph.D. 2 , and Kenneth L. Malas M.D. 3 1 Veterans Affairs Medical Center in Seattle; department of psychiatry and behavioral sciences at the University of Washington School of Medicine; Psychiatry Service (116A), VA Medical Center, 1660 South Columbian Way, Seattle, Washington 98108 2 Veterans Affairs Medical Center in Seattle; department of psychiatry and behavioral sciences at the University of Washington School of Medicine 3 Salt Lake City The frequency of symptoms of posttraumatic stress disorder within each of three categories—reexperiencing, avoidance or numbing, and physiological arousal—was examined in 116 Vietnam combat veterans with a diagnosis of PTSD. The prevalence of all PTSD symptoms was greater than 50 percent except for flashbacks, psychogenic amnesia, and sense of foreshortened future. Comorbidity in a subgroup of 48 patients was assessed using operational criteria for DSM-III-R mental disorders. Mood disorders, psychoactive substance abuse disorders, and other anxiety disorders frequently co-occurred with PTSD, but psychotic disorders were uncommon. These findings provide empirical validation of the DSM-III-R diagnostic criteria for PTSD. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Psychiatric Services American Psychiatric Publishing, Inc (Journal)

Frequency of Symptoms and Concurrent Psychiatric Disorder in Vietnam Veterans With Chronic PTSD

Frequency of Symptoms and Concurrent Psychiatric Disorder in Vietnam Veterans With Chronic PTSD

Psychiatric Services , Volume 42 (3): 293 – Mar 1, 1991

Abstract

Douglas K. Roszell M.D. 1 , Miles E. McFall Ph.D. 2 , and Kenneth L. Malas M.D. 3 1 Veterans Affairs Medical Center in Seattle; department of psychiatry and behavioral sciences at the University of Washington School of Medicine; Psychiatry Service (116A), VA Medical Center, 1660 South Columbian Way, Seattle, Washington 98108 2 Veterans Affairs Medical Center in Seattle; department of psychiatry and behavioral sciences at the University of Washington School of Medicine 3 Salt Lake City The frequency of symptoms of posttraumatic stress disorder within each of three categories—reexperiencing, avoidance or numbing, and physiological arousal—was examined in 116 Vietnam combat veterans with a diagnosis of PTSD. The prevalence of all PTSD symptoms was greater than 50 percent except for flashbacks, psychogenic amnesia, and sense of foreshortened future. Comorbidity in a subgroup of 48 patients was assessed using operational criteria for DSM-III-R mental disorders. Mood disorders, psychoactive substance abuse disorders, and other anxiety disorders frequently co-occurred with PTSD, but psychotic disorders were uncommon. These findings provide empirical validation of the DSM-III-R diagnostic criteria for PTSD.

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Publisher
American Psychiatric Publishing, Inc (Journal)
Copyright
Copyright © 1991 American Psychiatric Association. All rights reserved.
ISSN
1075-2730
Publisher site
See Article on Publisher Site

Abstract

Douglas K. Roszell M.D. 1 , Miles E. McFall Ph.D. 2 , and Kenneth L. Malas M.D. 3 1 Veterans Affairs Medical Center in Seattle; department of psychiatry and behavioral sciences at the University of Washington School of Medicine; Psychiatry Service (116A), VA Medical Center, 1660 South Columbian Way, Seattle, Washington 98108 2 Veterans Affairs Medical Center in Seattle; department of psychiatry and behavioral sciences at the University of Washington School of Medicine 3 Salt Lake City The frequency of symptoms of posttraumatic stress disorder within each of three categories—reexperiencing, avoidance or numbing, and physiological arousal—was examined in 116 Vietnam combat veterans with a diagnosis of PTSD. The prevalence of all PTSD symptoms was greater than 50 percent except for flashbacks, psychogenic amnesia, and sense of foreshortened future. Comorbidity in a subgroup of 48 patients was assessed using operational criteria for DSM-III-R mental disorders. Mood disorders, psychoactive substance abuse disorders, and other anxiety disorders frequently co-occurred with PTSD, but psychotic disorders were uncommon. These findings provide empirical validation of the DSM-III-R diagnostic criteria for PTSD.

Journal

Psychiatric ServicesAmerican Psychiatric Publishing, Inc (Journal)

Published: Mar 1, 1991

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