“…Subsequent relapse was also found to be uncommon in the 1974 follow-up . Noteworthy, nonetheless, are other reports of this cohort and other veterans, which showed an excess of alcohol abuse (O'Brien et al, 1980;Boscarino, 1981) and poor social adjustment (Mintz et al, 1979) among those with a history of opiate use in Vietnam, as well as the appearance of a depressive syndrome associated with combat experience (Helzer et al, 1976;Nace et al, 1977). Questions thus remain about the long-term outcomes for Vietnam veterans who began using opiates in Vietnam.…”
Section: Historical Backroundmentioning
confidence: 63%
“…A complex intervening process is more likely to have been involved, as drug use in Vietnam and shortly afterwards was correlated with other problems, which are also associated with premature death, such as alcohol abuse (Wish et al, 1979;Fett et al, 1987b), depression (Helzer et al, 1976;Nace et al, 1977), post-traumatic stress disorder (PTSD; Keane and Wolfe, 1990), and suicidality (Kramer et al, 1994). Among our cohort members, these problems appear to have taken a cumulative toll on the well-being of veterans, particularly those with a history of opiate use in Vietnam (Price et al, 1998(Price et al, , 2001a.…”
“…Subsequent relapse was also found to be uncommon in the 1974 follow-up . Noteworthy, nonetheless, are other reports of this cohort and other veterans, which showed an excess of alcohol abuse (O'Brien et al, 1980;Boscarino, 1981) and poor social adjustment (Mintz et al, 1979) among those with a history of opiate use in Vietnam, as well as the appearance of a depressive syndrome associated with combat experience (Helzer et al, 1976;Nace et al, 1977). Questions thus remain about the long-term outcomes for Vietnam veterans who began using opiates in Vietnam.…”
Section: Historical Backroundmentioning
confidence: 63%
“…A complex intervening process is more likely to have been involved, as drug use in Vietnam and shortly afterwards was correlated with other problems, which are also associated with premature death, such as alcohol abuse (Wish et al, 1979;Fett et al, 1987b), depression (Helzer et al, 1976;Nace et al, 1977), post-traumatic stress disorder (PTSD; Keane and Wolfe, 1990), and suicidality (Kramer et al, 1994). Among our cohort members, these problems appear to have taken a cumulative toll on the well-being of veterans, particularly those with a history of opiate use in Vietnam (Price et al, 1998(Price et al, , 2001a.…”
“…The association of depression and war ex periences is suggested by Helzer et al [8], They found a 7% prevalence rate for full major affective disorder in their random sam ple of 470 Vietnam veterans, and some symp toms of depression in 26%. While Nace et al [9] reported that in their sample of 202 Viet nam veterans, who were either hospitalized or in a drug treatment program.…”
In this study, 147 Dutch Resistance veterans from WW II are evaluated on psychometric instruments for anxiety, depression and anger. Resistance veterans appeared to be more anxious, depressive and angry on these instruments compared to controls from the validation studies of the respective instruments. Veterans currently suffering from PTSD (56%) were significantly more anxious, depressed, and angry than veterans without PTSD. With respect to staying in Nazi concentration camps, which is an extremely severe stressor, and in which half of the veterans were imprisoned, no difference on the three instruments was found. Anxiety, depression and anger were observed to be highly interrelated in PTSD. The close interrelationship between anxiety and depression, anxiety and danger, and depression and anger mediated by way of anxiety is, however, not unique for traumatized subjects. It is argued that for Resistance veterans only the intrusive reminiscences of the stressful events disciminate this constellation of symptoms from subjects with an anxious-depressive symptomatology.
“…Analysis of mean p-ofiles indicates that one important feature differentiating those suffering from PTSD from those without PTSD is an affective component. Previous research has indicated that depression is more common in PTSD than is reflected in the description provided by DSM-I11 (Helzer, Robins, & Davis, 1976;Nace, Meyers, OIBrien, Ream, & Mintz, 1971;Silver & Iacono, 1984).…”
This study investigated the systems of Minnesota Multiphasic Personality Inventory (MMPI) configural interpretation of Skinner and Jackson (1978) and Kunce (1979) with Vietnam veterans with posttraumatic stress disorder (PTSD). MMPI profiles of four groups differing in combat exposure were compared on four MMPI configural variables from Kunce (1979) and Skinner and Jackson (1978). The four groups were (a) PTSD sufferers, (b) Vietnam combat veterans without PTSD, (c) Vietnam noncombat veterans, and (d) Vietnam era veterans. All groups were further divided into hospitalized versus nonhospitalized subgroups. Dependent variables were Skinner and Jackson's (a) sociopathic modal profile, (b) neurotic profile, (c) psychotic profile, and (d) Kunce's emotional expression (enthusiastic-reserved) dimension. Results indicated that hospitalized PTSD subjects had significantly higher scores on Skinner and Jackson's neurotic profile; both hospitalized and nonhospitalized PTSD subjects had higher scores on the psychotic profile and were more "reserved" on Kunce's emotional expression dimension. Results were interpreted in terms of configural MMPI interpretation systems and the adjustment of Vietnam veterans with PTSD. PTSD was viewed as exhibiting cognitive, somatic, and affective features.
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