Symptom and comorbidity patterns in World War II and Vietnam veterans with posttraumatic stress disorder.

Journal Article (Journal Article)

Forty-four veterans with posttraumatic stress disorder (PTSD) from World War II and Vietnam were compared. The groups were comparable on many socioeconomic and combat measures and age at onset of PTSD. Vietnam veterans exhibited more severe PTSD symptoms, higher Hamilton depression scores, and higher scores on the hostility, psychoticism, and "additional symptom" Symptom Checklist-90 (SCL-90) scales. They also had more survivor guilt, impairment of work and interests, avoidance of reminders of trauma, detachment/estrangement from others, startle response, derealization, and suicidal tendencies. Differences were noted between the groups as to the nature of upsetting experiences. Vietnam veterans had a greater lifetime frequency of panic disorder and an earlier age of onset for alcoholism. In other respects, the two groups were diagnostically similar, with PTSD being related to the sequential emergence of psychiatric diagnoses in similar manner for World War II and Vietnam patients.

Full Text

Duke Authors

Cited Authors

  • Davidson, JR; Kudler, HS; Saunders, WB; Smith, RD

Published Date

  • March 1990

Published In

Volume / Issue

  • 31 / 2

Start / End Page

  • 162 - 170

PubMed ID

  • 2311383

International Standard Serial Number (ISSN)

  • 0010-440X

Digital Object Identifier (DOI)

  • 10.1016/0010-440x(90)90020-s


  • eng

Conference Location

  • United States