Tags

Type your tag names separated by a space and hit enter

Trajectories of PTSD: a 20-year longitudinal study.
Am J Psychiatry. 2006 Apr; 163(4):659-66.AJ

Abstract

OBJECTIVE

This study assessed the psychopathological effects of combat in veterans with and without combat stress reaction.

METHOD

Veterans (N=214) from the 1982 Lebanon War were assessed in a prospective longitudinal design: 131 suffered from combat stress reaction during the war, and 83 did not. They were evaluated 1, 2, 3, and 20 years after the war.

RESULTS

Combat stress reaction is an important vulnerability marker. Veterans with combat stress reaction were 6.6 times more likely to endorse posttraumatic stress disorder (PTSD) at all four measurements, their PTSD was more severe, and they were at increased risk for exacerbation/reactivation. A qualitative analysis of the profile of PTSD symptoms revealed some time-related changes in the symptom configuration of veterans who did not suffer from combat stress reaction. In both groups, the course fluctuated; PTSD rates dropped 3 years postwar and rose again 17 years later; 23% of veterans without combat stress reaction reported delayed PTSD.

CONCLUSIONS

These findings suggest that the detrimental effects of combat are deep and enduring and follow a complex course, especially in combat stress reaction casualties. The implications of aging and ongoing terror in impeding recovery from the psychological wounds of war are discussed.

Authors+Show Affiliations

Bob Shappel School of Social Work, Tel Aviv University, Ramat Aviv, Tel Aviv 69978, Israel. solomon@post.tau.ac.ilNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

16585441

Citation

Solomon, Zahava, and Mario Mikulincer. "Trajectories of PTSD: a 20-year Longitudinal Study." The American Journal of Psychiatry, vol. 163, no. 4, 2006, pp. 659-66.
Solomon Z, Mikulincer M. Trajectories of PTSD: a 20-year longitudinal study. Am J Psychiatry. 2006;163(4):659-66.
Solomon, Z., & Mikulincer, M. (2006). Trajectories of PTSD: a 20-year longitudinal study. The American Journal of Psychiatry, 163(4), 659-66.
Solomon Z, Mikulincer M. Trajectories of PTSD: a 20-year Longitudinal Study. Am J Psychiatry. 2006;163(4):659-66. PubMed PMID: 16585441.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Trajectories of PTSD: a 20-year longitudinal study. AU - Solomon,Zahava, AU - Mikulincer,Mario, PY - 2006/4/6/pubmed PY - 2006/5/25/medline PY - 2006/4/6/entrez SP - 659 EP - 66 JF - The American journal of psychiatry JO - Am J Psychiatry VL - 163 IS - 4 N2 - OBJECTIVE: This study assessed the psychopathological effects of combat in veterans with and without combat stress reaction. METHOD: Veterans (N=214) from the 1982 Lebanon War were assessed in a prospective longitudinal design: 131 suffered from combat stress reaction during the war, and 83 did not. They were evaluated 1, 2, 3, and 20 years after the war. RESULTS: Combat stress reaction is an important vulnerability marker. Veterans with combat stress reaction were 6.6 times more likely to endorse posttraumatic stress disorder (PTSD) at all four measurements, their PTSD was more severe, and they were at increased risk for exacerbation/reactivation. A qualitative analysis of the profile of PTSD symptoms revealed some time-related changes in the symptom configuration of veterans who did not suffer from combat stress reaction. In both groups, the course fluctuated; PTSD rates dropped 3 years postwar and rose again 17 years later; 23% of veterans without combat stress reaction reported delayed PTSD. CONCLUSIONS: These findings suggest that the detrimental effects of combat are deep and enduring and follow a complex course, especially in combat stress reaction casualties. The implications of aging and ongoing terror in impeding recovery from the psychological wounds of war are discussed. SN - 0002-953X UR - https://www.unboundmedicine.com/medline/citation/16585441/Trajectories_of_PTSD:_a_20_year_longitudinal_study_ L2 - https://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.163.4.659?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -