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Which Vietnam veterans develop posttraumatic stress disorders?

N Solkoff, P Gray, S Keill

    Journal of Clinical Psychology
    |September 1, 1986
    PubMed
    Summary
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    Combat intensity and homecoming perceptions significantly differentiated Vietnam veterans with post-traumatic stress disorder (PTSD) from controls. Early life and preservice factors did not distinguish the groups.

    Area of Science:

    • Psychiatry
    • Psychology
    • Military Medicine

    Background:

    • Post-traumatic stress disorder (PTSD) is a significant concern among combat veterans.
    • Understanding the contributing factors to PTSD in veterans is crucial for developing effective interventions.

    Purpose of the Study:

    • To compare Vietnam combat veterans diagnosed with PTSD to combat veteran controls.
    • To identify factors differentiating PTSD and non-PTSD combat veterans.

    Main Methods:

    • A structured interview was used to evaluate 50 Vietnam combat veterans with PTSD and 50 combat veteran controls.
    • Assessments included childhood, family history, preservice, combat, and postdischarge experiences.

    Main Results:

    • Significant differences were found in the intensity of combat experiences between the groups.

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  • Perceptions of homecoming experiences also significantly differed between PTSD and control groups.
  • Early history and immediate preservice factors did not differentiate the groups.

    • Conclusions:

    • The intensity of combat and homecoming experiences are key factors associated with PTSD in Vietnam veterans.
    • Preservice and early life factors appear less critical in differentiating PTSD in this cohort.