Psychiatr Serv. 2014 Jun 1;65(6):830-2. doi: 10.1176/appi.ps.201300232.
Correlates of the sharp increase in Vietnam era veterans diagnosed as having posttraumatic stress disorder (PTSD) in the Veterans Health Administration (VHA) were examined.
Analyses compared receipt of a PTSD diagnosis and service-connected disability compensation in 2004-2006 and 2007-2009.
Among Vietnam era veterans, the percentage with a PTSD diagnosis in 2007-2009 was 22.2% higher than the percentage with PTSD in 2004-2006; the percentage without PTSD was 6.2% higher than in 2004-2006. Of those with PTSD in 2007-2009, 22.6% were previous VHA service users newly diagnosed ("conversions"); only 12.8% were entirely new to VHA ("recents"). Rates of disability compensation among recents and conversions were almost two and three times higher, respectively, than among those without PTSD.
The increase in Vietnam era veterans with PTSD is associated with more frequent "conversion" to PTSD among previous VHA users and receipt of disability compensation.
研究退伍军人事务部（VHA）中越战老兵被诊断患有创伤后应激障碍（PTSD）的人数急剧增加的相关因素。
分析比较了 2004-2006 年和 2007-2009 年 PTSD 诊断和与服务相关的残疾补偿的情况。
在越战老兵中，2007-2009 年患有 PTSD 的比例比 2004-2006 年高出 22.2%；没有 PTSD 的比例比 2004-2006 年高出 6.2%。在 2007-2009 年患有 PTSD 的患者中，有 22.6%是新诊断为 PTSD 的前 VHA 服务使用者（“转换”）；只有 12.8%是完全新到 VHA（“新患者”）。新患者和转换患者的残疾补偿率分别比无 PTSD 患者高近两倍和三倍。
越战老兵 PTSD 人数的增加与之前 VHA 用户中 PTSD 更频繁的“转换”和残疾补偿的获得有关。
