Prewar Factors in Combat-Related Posttraumatic Stress Disorder: Structural Equation Modeling With a National Sample of Female and Male Vietnam Veterans
Structural equation modeling was used to examine relationships among prewar factors, dimensions of war-zone stress, and current posttraumatic stress disorder (PTSD) symptomatology using data from 1,632 female and male participants in the National Vietnam Veterans Readjustment Study. For men, previou...
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Veröffentlicht in: | Journal of consulting and clinical psychology 1996-06, Vol.64 (3), p.520-531 |
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description | Structural equation modeling was used to examine relationships among prewar factors, dimensions of war-zone stress, and current posttraumatic stress disorder (PTSD) symptomatology using data from 1,632 female and male participants in the National Vietnam Veterans Readjustment Study. For men, previous trauma history (accidents, assaults, and natural disasters ) directly predicted PTSD and also interacted with war-zone stressor level to exacerbate PTSD symptoms for high combat-exposed veterans. Male veterans who entered the war at a younger age displayed more symptoms. Family instability, childhood antisocial behavior, and age had indirect effects on PTSD for men. For women, indirect prewar effects emanated from family instability. More attention should be given to critical developmental conditions, especially family instability and earlier trauma exposure, in conceptualizing PTSD in adults. |
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For men, previous trauma history (accidents, assaults, and natural disasters ) directly predicted PTSD and also interacted with war-zone stressor level to exacerbate PTSD symptoms for high combat-exposed veterans. Male veterans who entered the war at a younger age displayed more symptoms. Family instability, childhood antisocial behavior, and age had indirect effects on PTSD for men. For women, indirect prewar effects emanated from family instability. More attention should be given to critical developmental conditions, especially family instability and earlier trauma exposure, in conceptualizing PTSD in adults.</description><identifier>ISSN: 0022-006X</identifier><identifier>EISSN: 1939-2117</identifier><identifier>DOI: 10.1037/0022-006X.64.3.520</identifier><identifier>PMID: 8698946</identifier><identifier>CODEN: JCLPBC</identifier><language>eng</language><publisher>Washington, DC: American Psychological Association</publisher><subject>Adult ; Adult and adolescent clinical studies ; Adults ; Antisocial Personality Disorder - diagnosis ; Antisocial Personality Disorder - psychology ; Anxiety disorders. Neuroses ; Armed Forces ; Biological and medical sciences ; Combat ; Combat Disorders - psychology ; Combat Experience ; Coping ; Counseling ; Counseling Techniques ; Evaluation Methods ; Family - psychology ; Female ; Gender differences ; Human ; Human Sex Differences ; Humans ; Life Change Events ; Male ; Medical sciences ; Middle Aged ; Military Veterans ; Models, Statistical ; National Surveys ; National Vietnam Veterans Readjustment Study ; Personality Development ; Personality Inventory - statistics & numerical data ; Post traumatic stress disorder ; Posttraumatic Stress Disorder ; Predictors ; Psychology. Psychoanalysis. Psychiatry ; Psychometrics ; Psychopathology. Psychiatry ; Risk Factors ; Sex Factors ; Sexes ; Stress Management ; Stress Variables ; Structural Equation Modeling ; Structural Equation Models ; Studies ; Veterans ; Veterans - psychology ; Vietnam ; Vietnam Veterans ; Vietnam War ; War</subject><ispartof>Journal of consulting and clinical psychology, 1996-06, Vol.64 (3), p.520-531</ispartof><rights>1996 American Psychological Association</rights><rights>1996 INIST-CNRS</rights><rights>Copyright American Psychological Association Jun 1996</rights><rights>1996, American Psychological Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a526t-b77af1523df60ee460a1c3a6753beeed153948fbb0c9ce2a5a9a4daf7185e2463</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27868,27923,27924,30998,30999</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ532064$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3143032$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8698946$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Beutler, Larry E</contributor><creatorcontrib>King, Daniel W</creatorcontrib><creatorcontrib>King, Lynda A</creatorcontrib><creatorcontrib>Foy, David W</creatorcontrib><creatorcontrib>Gudanowski, David M</creatorcontrib><title>Prewar Factors in Combat-Related Posttraumatic Stress Disorder: Structural Equation Modeling With a National Sample of Female and Male Vietnam Veterans</title><title>Journal of consulting and clinical psychology</title><addtitle>J Consult Clin Psychol</addtitle><description>Structural equation modeling was used to examine relationships among prewar factors, dimensions of war-zone stress, and current posttraumatic stress disorder (PTSD) symptomatology using data from 1,632 female and male participants in the National Vietnam Veterans Readjustment Study. For men, previous trauma history (accidents, assaults, and natural disasters ) directly predicted PTSD and also interacted with war-zone stressor level to exacerbate PTSD symptoms for high combat-exposed veterans. Male veterans who entered the war at a younger age displayed more symptoms. Family instability, childhood antisocial behavior, and age had indirect effects on PTSD for men. For women, indirect prewar effects emanated from family instability. More attention should be given to critical developmental conditions, especially family instability and earlier trauma exposure, in conceptualizing PTSD in adults.</description><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Adults</subject><subject>Antisocial Personality Disorder - diagnosis</subject><subject>Antisocial Personality Disorder - psychology</subject><subject>Anxiety disorders. Neuroses</subject><subject>Armed Forces</subject><subject>Biological and medical sciences</subject><subject>Combat</subject><subject>Combat Disorders - psychology</subject><subject>Combat Experience</subject><subject>Coping</subject><subject>Counseling</subject><subject>Counseling Techniques</subject><subject>Evaluation Methods</subject><subject>Family - psychology</subject><subject>Female</subject><subject>Gender differences</subject><subject>Human</subject><subject>Human Sex Differences</subject><subject>Humans</subject><subject>Life Change Events</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Military Veterans</subject><subject>Models, Statistical</subject><subject>National Surveys</subject><subject>National Vietnam Veterans Readjustment Study</subject><subject>Personality Development</subject><subject>Personality Inventory - statistics & numerical data</subject><subject>Post traumatic stress disorder</subject><subject>Posttraumatic Stress Disorder</subject><subject>Predictors</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychometrics</subject><subject>Psychopathology. Psychiatry</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>Sexes</subject><subject>Stress Management</subject><subject>Stress Variables</subject><subject>Structural Equation Modeling</subject><subject>Structural Equation Models</subject><subject>Studies</subject><subject>Veterans</subject><subject>Veterans - psychology</subject><subject>Vietnam</subject><subject>Vietnam Veterans</subject><subject>Vietnam War</subject><subject>War</subject><issn>0022-006X</issn><issn>1939-2117</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>K30</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkV2L1DAUhoO4rOPoHxCFoos3S8ecpEnaG0HG_VAWXPwA78Jpegpd-rVJiuy_t3WGQcWPq1y8z3lPDg9jT4BvgEvzinMhUs71143ONnKjBL_HVlDIIhUA5j5bHYAH7GEIN5xz0Fwds-NcF3mR6RV7fe3pG_rkHF0cfEiaPtkOXYkx_UgtRqqS6yHE6HHqMDYu-RQ9hZC8bcLgK_KP2FGNbaDH-3fNvpyffd5eplcfLt5t31ylqISOaWkM1qCErGrNiTLNEZxEbZQsiagCJYssr8uSu8KRQIUFZhXWBnJFItNyzV7uekc_3E4Uou2a4KhtsadhCtbkkIMw5r-gMkpJo5fG57-BN8Pk-_kIqyGTQkqAf0ECuJ4Zsax88TcIFORSC_GjSuwo54cQPNV29E2H_s4Ct4tNu8iyiyyrMyvtbHMeeravnsqOqsPIXt-cn-xzDA7b2mPvmnDA5HwIn09Zs6c7jHzjDunZeyUF19kcn-5iHNGO4c6hn1W3FNzkPfXROjf-_KeTP9O_Yt8BGIjJWg</recordid><startdate>19960601</startdate><enddate>19960601</enddate><creator>King, Daniel W</creator><creator>King, Lynda A</creator><creator>Foy, David W</creator><creator>Gudanowski, David M</creator><general>American Psychological Association</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>EOLOZ</scope><scope>FKUCP</scope><scope>IOIBA</scope><scope>K30</scope><scope>PAAUG</scope><scope>PAWHS</scope><scope>PAWZZ</scope><scope>PAXOH</scope><scope>PBHAV</scope><scope>PBQSW</scope><scope>PBYQZ</scope><scope>PCIWU</scope><scope>PCMID</scope><scope>PCZJX</scope><scope>PDGRG</scope><scope>PDWWI</scope><scope>PETMR</scope><scope>PFVGT</scope><scope>PGXDX</scope><scope>PIHIL</scope><scope>PISVA</scope><scope>PJCTQ</scope><scope>PJTMS</scope><scope>PLCHJ</scope><scope>PMHAD</scope><scope>PNQDJ</scope><scope>POUND</scope><scope>PPLAD</scope><scope>PQAPC</scope><scope>PQCAN</scope><scope>PQCMW</scope><scope>PQEME</scope><scope>PQHKH</scope><scope>PQMID</scope><scope>PQNCT</scope><scope>PQNET</scope><scope>PQSCT</scope><scope>PQSET</scope><scope>PSVJG</scope><scope>PVMQY</scope><scope>PZGFC</scope><scope>7QJ</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>7RZ</scope><scope>PSYQQ</scope><scope>7X8</scope></search><sort><creationdate>19960601</creationdate><title>Prewar Factors in Combat-Related Posttraumatic Stress Disorder</title><author>King, Daniel W ; King, Lynda A ; Foy, David W ; Gudanowski, David M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a526t-b77af1523df60ee460a1c3a6753beeed153948fbb0c9ce2a5a9a4daf7185e2463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Adults</topic><topic>Antisocial Personality Disorder - diagnosis</topic><topic>Antisocial Personality Disorder - psychology</topic><topic>Anxiety disorders. Neuroses</topic><topic>Armed Forces</topic><topic>Biological and medical sciences</topic><topic>Combat</topic><topic>Combat Disorders - psychology</topic><topic>Combat Experience</topic><topic>Coping</topic><topic>Counseling</topic><topic>Counseling Techniques</topic><topic>Evaluation Methods</topic><topic>Family - psychology</topic><topic>Female</topic><topic>Gender differences</topic><topic>Human</topic><topic>Human Sex Differences</topic><topic>Humans</topic><topic>Life Change Events</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Military Veterans</topic><topic>Models, Statistical</topic><topic>National Surveys</topic><topic>National Vietnam Veterans Readjustment Study</topic><topic>Personality Development</topic><topic>Personality Inventory - statistics & numerical data</topic><topic>Post traumatic stress disorder</topic><topic>Posttraumatic Stress Disorder</topic><topic>Predictors</topic><topic>Psychology. Psychoanalysis. 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Psychiatry</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Sexes</topic><topic>Stress Management</topic><topic>Stress Variables</topic><topic>Structural Equation Modeling</topic><topic>Structural Equation Models</topic><topic>Studies</topic><topic>Veterans</topic><topic>Veterans - psychology</topic><topic>Vietnam</topic><topic>Vietnam Veterans</topic><topic>Vietnam War</topic><topic>War</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>King, Daniel W</creatorcontrib><creatorcontrib>King, Lynda A</creatorcontrib><creatorcontrib>Foy, David W</creatorcontrib><creatorcontrib>Gudanowski, David M</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Periodicals Index Online Segment 01</collection><collection>Periodicals Index Online Segment 04</collection><collection>Periodicals Index Online Segment 29</collection><collection>Periodicals Index Online</collection><collection>Primary Sources Access—Foundation Edition (Plan E) - 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Academic</collection><jtitle>Journal of consulting and clinical psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>King, Daniel W</au><au>King, Lynda A</au><au>Foy, David W</au><au>Gudanowski, David M</au><au>Beutler, Larry E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ532064</ericid><atitle>Prewar Factors in Combat-Related Posttraumatic Stress Disorder: Structural Equation Modeling With a National Sample of Female and Male Vietnam Veterans</atitle><jtitle>Journal of consulting and clinical psychology</jtitle><addtitle>J Consult Clin Psychol</addtitle><date>1996-06-01</date><risdate>1996</risdate><volume>64</volume><issue>3</issue><spage>520</spage><epage>531</epage><pages>520-531</pages><issn>0022-006X</issn><eissn>1939-2117</eissn><coden>JCLPBC</coden><abstract>Structural equation modeling was used to examine relationships among prewar factors, dimensions of war-zone stress, and current posttraumatic stress disorder (PTSD) symptomatology using data from 1,632 female and male participants in the National Vietnam Veterans Readjustment Study. For men, previous trauma history (accidents, assaults, and natural disasters ) directly predicted PTSD and also interacted with war-zone stressor level to exacerbate PTSD symptoms for high combat-exposed veterans. Male veterans who entered the war at a younger age displayed more symptoms. Family instability, childhood antisocial behavior, and age had indirect effects on PTSD for men. For women, indirect prewar effects emanated from family instability. More attention should be given to critical developmental conditions, especially family instability and earlier trauma exposure, in conceptualizing PTSD in adults.</abstract><cop>Washington, DC</cop><pub>American Psychological Association</pub><pmid>8698946</pmid><doi>10.1037/0022-006X.64.3.520</doi><tpages>12</tpages></addata></record> |
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subjects | Adult Adult and adolescent clinical studies Adults Antisocial Personality Disorder - diagnosis Antisocial Personality Disorder - psychology Anxiety disorders. Neuroses Armed Forces Biological and medical sciences Combat Combat Disorders - psychology Combat Experience Coping Counseling Counseling Techniques Evaluation Methods Family - psychology Female Gender differences Human Human Sex Differences Humans Life Change Events Male Medical sciences Middle Aged Military Veterans Models, Statistical National Surveys National Vietnam Veterans Readjustment Study Personality Development Personality Inventory - statistics & numerical data Post traumatic stress disorder Posttraumatic Stress Disorder Predictors Psychology. Psychoanalysis. Psychiatry Psychometrics Psychopathology. Psychiatry Risk Factors Sex Factors Sexes Stress Management Stress Variables Structural Equation Modeling Structural Equation Models Studies Veterans Veterans - psychology Vietnam Vietnam Veterans Vietnam War War |
title | Prewar Factors in Combat-Related Posttraumatic Stress Disorder: Structural Equation Modeling With a National Sample of Female and Male Vietnam Veterans |
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