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
Hauptverfasser: King, Daniel W, King, Lynda A, Foy, David W, Gudanowski, David M
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container_title Journal of consulting and clinical psychology
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creator King, Daniel W
King, Lynda A
Foy, David W
Gudanowski, David M
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. 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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 &amp; numerical data</topic><topic>Post traumatic stress disorder</topic><topic>Posttraumatic Stress Disorder</topic><topic>Predictors</topic><topic>Psychology. Psychoanalysis. 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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.</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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