Prewar, War-Zone, and Postwar Predictors of Posttraumatic Stress in Female Vietnam Veteran Health Care Providers
Titel:
Prewar, War-Zone, and Postwar Predictors of Posttraumatic Stress in Female Vietnam Veteran Health Care Providers
Auteur:
McTeague, Lisa M. McNally, Richard J. Litz, Brett T.
Verschenen in:
Military psychology
Paginering:
Jaargang 16 (2004) nr. 2 pagina's 99-114
Jaar:
2004-04-01
Inhoud:
Using the National Vietnam Veterans Readjustment Study database, we explored predictors of current posttraumatic stress disorder (PTSD) symptom severity in 373 female Vietnam veteran health care providers. We derived war-zone stressor scales to encompass general contextual and specific occupational stressors. To assess the comparative impact of war-zone stressors, we included measures of prewar and postwar factors in a multivariate model. PTSD symptom severity was significantly related to war-zone deprivation, dilemmas for health care providers, purposelessness, and unit cohesion. In contrast, the war-zone stressors more clearly identifiable as criterion-A-level traumatic exposure were not directly related to outcome. Results support the clinical relevance of war-zone occupational stressors while emphasizing the predominance of postwar emotional support and life events in the expression of chronic PTSD symptoms among this population.