The purpose of the study was to investigate the influence of social support and exposure to combat on the development of posttraumatic stress disorder (PTSD) in Vietnam veterans. A second purpose was to examine the influence of premorbid psychological adjustment on PTSD. Questionnaires were mailed to a population of Vietnam veterans, yielding a sample of 52 veterans who were blocked into four groups in a 2 (social support) by 2 (combat level) design. Home interviews were conducted, and comparisons among the groups were made regarding presence of PTSD symptoms, depression, and other psychological disturbance. Results found that veterans who received high social support reported fewer symptoms, and veterans with high combat trauma reported more symptoms. Generally, a significant interaction between social support and combat level was not found. Premorbid functioning was not found to differ among the four groups, suggesting little relationship to PTSD symptoms.
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References
1.
American Psychiatric Association . (1980). Diagnostic and statistical manual of mental disorders. (3rd ed.). Washington, DC: Author.
2.
Beck, A. T. , Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 53-63.
3.
Caplan, G. (1981). Mastery of stress: Psychological aspects. American Journal of Psychiatry, 138, 413-420.
4.
Card, J. (1983). Lives after Vietnam. Lexington, MA: Lexington Books.
5.
Cobb, S. (1976). Social support as a moderator of life stress. Psychosomatic Medicine, 38, 301-314.
6.
DeFazio, V. , Rustin, S., & Diamond, A. (1975). Symptom development in Vietnam era veterans. American Journal of Orthopsychiatry, 45, 158-163.
7.
Derogatis, L. , Lipman, R., Rickels, K., Uhlenhuth, E., & Covi, L. (1974). The Hopkins Symptoms Checklist (HSCL): A self-report symptom inventory. Behavioral Science, 19, 1-14.
8.
Dillman, D. , Christenson, J., Carpenter, E., & Brooks, R. (1974). Increasing mail questionnaire responses: A four-state comparison. American Sociological Review, 39, 744-756.
9.
Egendorf, A. , Kadushin, C., Laufer, R. S., Rothbart, G., & Sloan, L. (1981). Legacies of Vietnam: Comparative adjustment of veterans and their peers. New York: Center for Policy Research.
10.
Figley, C. (1977). The American Legion study of psychological adjustment among Vietnam Veterans. Lafayette, IN: Purdue University.
11.
Figley, C. (1978a). Stress disorders among Vietnam veterans: Theory, research, and treatment. New York: Bruner/ Mazel.
12.
Figley, C. (1978b). Symptoms of delayed combat stress among a college sample of Vietnam veterans. Military Medicine, 143, 107-110.
13.
Foy, D. , Sipprelle, R., Rueger, D., & Carrol, E. (1984). Etiology of posttraumatic stress disorder in Vietnam veterans: Analysis of preliminary, military, and combat exposure influences. Journal of Consulting and Clinical Psychology, 52, 79-87.
14.
Frye, J. , & Stockton, R. (1982). Discriminant analysis of PTSD among a group of Vietnam veterans. American Journal of Psychiatry, 139, 52-56.
15.
Goodwin, J. (1980). The etiology of combat-related post-traumatic stress disorders. Cincinnati: Disabled American Veterans.
16.
Kadushin, C. (1983). Mental health and the interpersonal environment: A reexamination of some effects of social structure on mental health. American Sociological Review, 48, 188-198.
17.
Kadushin, C. , Boulanger, G., & Martin, J. (1981). Long term stress reactions: Some causes, consequences, and naturally occurring support systems. In A. Egendorf et al. (Eds.), Legacies of Vietnam. New York: Center for Policy Research.
18.
Kardiner, A. (1959). Traumatic neurosis of war. In S. Arieti (Ed.), American handbook of psychiatry (Vol. 1). New York: Basic Books.
19.
Keane, T. , & Fairbank, J. A. (1983). Survey analysis of combat-related stress disorders in Vietnam veterans. American Journal of Psychiatry, 240, 348-350.
20.
Keane, T. , Malloy, P. F., & Fairbank, J. A. (1984). Empirical development of an MMPI subscale for the assessment of combat-related posttraumatic stress disorders. Journal of Consulting and Clinical Psychology, 52, 888-891.
21.
Keane, T. , Scott, O., Chavoya, G., Lamparski, D., & Fairbank, J. (1985). Social support in Vietnam veterans with posttraumatic stress disorder: A comparative analysis. Journal of Consulting and Clinical Psychology, 53, 95-102.
22.
Laufer, R. , Yager, T., Frey-Wouters, E., & Donnellan, J. (1981). Post-war trauma: Social and psychological problems of Vietnam veterans in the aftermath of the Vietnam war. In A. Egendorf et al. (Eds.), Legacies of Vietnam. New York: Center for Policy Research.
23.
Merbaum, M. , & Hefez, A. (1976). Some personality characteristics of soldiers exposed to extreme war stress. Journal of Consulting and Clinical Psychology, 44, 1-6.
24.
Monroe, S. , Imhoff, D., Wise, D., & Harris, J. (1983). Prediction of psychological symptoms under high-risk psychosocial circumstances: Life events, social support, and symptom specificity. Journal of Abnormal Psychology, 91, 338-350.
25.
Moos, R. (1974). Family Stability Scale, Form R. Palo Alto, CA: Consulting Psychologists Press.
26.
Penk, W. E. , Robinowitz, R., Roberts, W. R., Patterson, E. T., Dolan, M. F., & 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, 426-437.
27.
Rabkin, J. , & Struening, G. (1976). Life events, stress, and illness. Science, 194, 1013-1020.
28.
Roberts, W. , Penk, W., Gearing, M., Robinowitz, R., Dolan, M., & Patterson, E. (1982). Interpersonal problems of Vietnam combat veterans with symptoms of PTSD. Journal of Abnormal Psychology, 91, 444-450.
29.
Strayer, R. , & Ellerhorn, L. (1975). Vietnam veterans: A study exploring adjustment patterns and attitudes. Journal of Social Issues, 31, 81-94.
30.
Tabachnick, B. G. , & Fidell, L. (1983). Using multivariate statistics. New York: Harper& Row.
31.
Wilson, J. (1978). Identity, ideology, and crisis: The Vietnam veteran in transition, Part 1 and 2. Forgotten warrior project. Cleveland: Cleveland State University.
32.
Worthington, E. R. (1977). Post-service adjustment and Vietnam-era veterans. Military Medicine, 142, 865-866.
33.
Worthington, E. R. (1978). Demographic and preservice variables as predictors of postmilitary service adjustment. In C. R. Figley (Ed.), Stress disorders among Vietnam Veterans. New York: Brunner/ Mazel.
