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Early symptom predictors of chronic distress in Gulf War veterans.
J Nerv Ment Dis. 2004 Feb; 192(2):146-52.JN

Abstract

Although there is evidence that specific early hyperarousal, avoidance, and emotional numbing symptoms are associated with later posttraumatic stress disorder (PTSD) symptomatology among veterans, little is known about predictors of later non-PTSD-related psychological symptoms. One and 2 years after serving in the Gulf War, 348 military reservists were assessed for severity of war zone stress, PTSD, psychological distress, and stress-mediated physical complaints. Overall PTSD symptomatology and emotional numbing and hyperarousal symptom clusters increased over time, whereas re-experiencing and avoidance symptoms showed no change. Emotional numbing and hyperarousal symptoms at 1 year predicted generalized distress, depression, anxiety, hostility, and somatic symptoms at 2 years, whereas re-experiencing and avoidance symptoms did not. Findings highlight the importance of targeting early emotional numbing and hyperarousal symptom clusters to reduce longer-term psychological distress.

Authors+Show Affiliations

Veterans Affairs Medical Center, Mental Health Service Line, New Orleans, LA 70112, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

14770059

Citation

Thompson, Karin E., et al. "Early Symptom Predictors of Chronic Distress in Gulf War Veterans." The Journal of Nervous and Mental Disease, vol. 192, no. 2, 2004, pp. 146-52.
Thompson KE, Vasterling JJ, Benotsch EG, et al. Early symptom predictors of chronic distress in Gulf War veterans. J Nerv Ment Dis. 2004;192(2):146-52.
Thompson, K. E., Vasterling, J. J., Benotsch, E. G., Brailey, K., Constans, J., Uddo, M., & Sutker, P. B. (2004). Early symptom predictors of chronic distress in Gulf War veterans. The Journal of Nervous and Mental Disease, 192(2), 146-52.
Thompson KE, et al. Early Symptom Predictors of Chronic Distress in Gulf War Veterans. J Nerv Ment Dis. 2004;192(2):146-52. PubMed PMID: 14770059.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Early symptom predictors of chronic distress in Gulf War veterans. AU - Thompson,Karin E, AU - Vasterling,Jennifer J, AU - Benotsch,Eric G, AU - Brailey,Kevin, AU - Constans,Joseph, AU - Uddo,Madeline, AU - Sutker,Patricia B, PY - 2004/2/11/pubmed PY - 2004/3/26/medline PY - 2004/2/11/entrez SP - 146 EP - 52 JF - The Journal of nervous and mental disease JO - J Nerv Ment Dis VL - 192 IS - 2 N2 - Although there is evidence that specific early hyperarousal, avoidance, and emotional numbing symptoms are associated with later posttraumatic stress disorder (PTSD) symptomatology among veterans, little is known about predictors of later non-PTSD-related psychological symptoms. One and 2 years after serving in the Gulf War, 348 military reservists were assessed for severity of war zone stress, PTSD, psychological distress, and stress-mediated physical complaints. Overall PTSD symptomatology and emotional numbing and hyperarousal symptom clusters increased over time, whereas re-experiencing and avoidance symptoms showed no change. Emotional numbing and hyperarousal symptoms at 1 year predicted generalized distress, depression, anxiety, hostility, and somatic symptoms at 2 years, whereas re-experiencing and avoidance symptoms did not. Findings highlight the importance of targeting early emotional numbing and hyperarousal symptom clusters to reduce longer-term psychological distress. SN - 0022-3018 UR - https://www.unboundmedicine.com/medline/citation/14770059/Early_symptom_predictors_of_chronic_distress_in_Gulf_War_veterans_ L2 - https://doi.org/10.1097/01.nmd.0000110286.10445.ab DB - PRIME DP - Unbound Medicine ER -