Self-report questionnaire data, collected at two stages of treatment, are presented for a group of 40 combat veterans with PTSD treated within the VA mental health system. Patients completed the Beck Depression Inventory, Mississippi Scale, and Dissociative Experiences Scale prior to treatment at a PTSD outpatient clinic and at midtreatment follow-up. Patients' symptom reports at follow-up were not correlated with length of time in treatment. Further, results suggest that patients' self-reported symptoms on these measures do not show evidence of improvement after entry into the VA mental health system. Explanations for this apparent chronicity of symptoms are discussed.
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References
1.
American Psychiatric Association. (1987) Diagnostic and statistical manual of mental disorders. (3rd ed., Rev.) Washington, DC: Author.
2.
AtkinsonR. M.HendersonR. G.SparrL. F.DealeS. (1982) Assessment of Vietnam veterans for Posttraumatic Stress Disorder in Veterans Administration disability claims. American Journal of Psychiatry, 139, 1118–1121.
3.
BeckA. T. (1978) Depression Inventory. Philadelphia, PA: Center for Cognitive Therapy.
4.
BerkE.BlackJ.LocastroJ.WickisJ.SimpsonT.KeaneT. M.PenkW. (1989) Traumatogenicity: effects of self-reported noncombat trauma on MMPIs of male Vietnam combat and noncombat veterans treated for substance abuse. Journal of Clinical Psychology, 45, 704–708.
5.
BernsteinE. M.PutnamF. W. (1986) Development, reliability, and validity of a dissociation scale. Journal of Nervous and Mental Disease, 174, 727–735.
6.
BlakeD. D.WeathersF. W.NacyL. N.KaloupekD. G.KlauminzerG.CharneyD. S.KeaneT. M. (1990) A clinician rating scale for assessing current and lifetime PTSD: the CAPS-1. Behavior Therapist, 18, 187–188.
7.
BoudewynsP. A.HyerL. (1990) Physiological response to combat memories and preliminary treatment outcome in Vietnam veteran PTSD patients treated with direct therapeutic exposure. Behavior Therapy, 21, 63–87.
8.
CooperN. A.ClumG. A. (1989) Imaginal flooding as a supplementary treatment for PTSD in combat veterans: a controlled study. Behavior Therapy, 20, 381–391.
9.
EgendorfA.KadushinC.LauferR.RothbartG.SloanL. (1981) Legacies of Vietnam: comparative adjustment of veterans and their peers. New York: Center for Policy Research.
10.
HovensJ. E.FalgerP. R. J.Op den VeldeW.De GroenJ. H. M.Van DuijnH. (1994) Posttraumatic Stress Disorder in male and female Dutch Resistance veterans of World War II in relation to trait anxiety and depression. Psychological Reports, 74, 275–285.
11.
HyerL.McCranieE. W.PeralmeL. (1993) Psychotherapeutic treatment of chronic PTSD. PTSD Research Quarterly, 4, 1–7.
12.
KeaneT. M.CaddellJ. M.TaylorK. L. (1988) Mississippi Scale for combat-related PTSD: three studies in reliability and validity. Journal of Consulting and Clinical Psychology, 56, 85–90.
13.
KeaneT. M.FairbankJ. A.CaddellJ. M.ZimeringR. T. (1989) Implosive (flooding) therapy reduces symptoms of PTSD in Vietnam combat veterans. Behavior Therapy, 20, 245–260.
14.
LongR.WineP.PenkW.KeaneT.ChewD.GersteinC.O'NeillJ.NadelsonT. (1989) Chronicity: adjustment differences of Vietnam combat veterans differing in rates of psychiatric hospitalization. Journal of Clinical Psychology, 45, 745–753.
15.
McCaffreyR. J.HicklingE. J.MarrazoM. J. (1989) Civilian-related post-traumatic stress disorder: assessment-related issues. Journal of Clinical Psychology, 45, 72–76.
16.
OeiT. P. S.LimB.HennessyB. (1990) Psychological dysfunction in battle: combat stress reactions and Posttraumatic Stress Disorder. Clinical Psychology Review, 10, 355–388.
17.
RaheR. H. (1988) Acute versus chronic psychological reactions to combat. Military Medicine, 153, 365–371.
18.
ReavesM. E.CallenK. E.MaxwellM. J. (1993) Vietnam veterans in the general hospital: seven years later. Journal of Traumatic Stress, 6, 343–350.
19.
SolomonS. D.GerrityE. T.MuffA. M. (1992) Efficacy of treatments for Posttraumatic Stress Disorder. Journal of the American Medical Association, 268, 633–638.
20.
SpitzerR. L.WilliamsJ. B.GibbonM.FirstM. B. (1990) Structured Clinical Interview for DSM-III—R. Washington, DC: American Psychiatric Press.
