Documented combat exposure of US veterans seeking treatment for combat-related post-traumatic stress disorder.
نویسندگان
چکیده
BACKGROUND There are concerns regarding the validity of combat exposure reports of veterans seeking treatment for combat-related post-traumatic stress disorder (PTSD) within US Veterans Affairs Medical Centers. AIMS To verify combat exposure history for a relevant sample through objective historical data. METHOD Archival records were reviewed from the US National Military Personnel Records Center for 100 consecutive veterans reporting Vietnam combat in a Veterans Affairs PTSD clinic. Cross-sectional clinical assessment and 12-month service use data were also examined. RESULTS Although 93% had documentation of Vietnam war-zone service, only 41% of the total sample had objective evidence of combat exposure documented in their military record. There was virtually no difference between the Vietnam 'combat' and 'no combat' groups on relevant clinical variables. CONCLUSIONS A significant number of treatment-seeking Veterans Affairs patients may misrepresent their combat involvement in Vietnam. There are implications for the integrity of the PTSD database and the Veterans Affairs healthcare system.
منابع مشابه
Background There are concerns regarding the validityof combatexposure reports of veterans seeking treatment for combat-relatedpost-traumatic stress disorder (PTSD) within USVeterans
Declaration of interest None. Fundingdetailed in Acknowledgements. There is extensive documentation of the prevalence, severity and correlates of posttraumatic stress disorder (PTSD) in Vietnam veterans exposed to the trauma of combat and war-zone service (Kulka et al, 1990). Research with Vietnam combat veterans has been used to create and refine the DSM criteria for PTSD (Shephard, 2001), to ...
متن کاملSIMON WESSELY post - traumatic stress disorder exposure of US veterans seeking treatment for combat - related
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ورودعنوان ژورنال:
- The British journal of psychiatry : the journal of mental science
دوره 186 شماره
صفحات -
تاریخ انتشار 2005