Green B L, Lindy J D, Grace M C, Gleser G C
Department of Psychiatry, University of Cincinnati Medical School, OH 45267-0539.
J Nerv Ment Dis. 1989 Jun;177(6):329-35. doi: 10.1097/00005053-198906000-00002.
Prior studies have shown that posttraumatic stress disorder (PTSD) in Vietnam veterans is associated with various aspects of war stressors and that other diagnoses often co-occur with PTSD in this population. The present report examines the prediction of other diagnoses, in combination with PTSD, from a variety of war stressor experiences in a broad sample of veterans recruited from clinical and nonclinical sources. The results show that PTSD with panic disorder is better explained by war stressors than other diagnostic combinations and that high-risk assignments and exposure to grotesque deaths were more salient than other stressor experiences in accounting for different diagnostic combinations. Implications of the findings for PTSD's placement in the DSM-III-R and for psychological and pharmacological treatments were discussed.
先前的研究表明，越战老兵的创伤后应激障碍（PTSD）与战争应激源的各个方面相关，且在这一群体中其他诊断常常与PTSD同时出现。本报告从临床和非临床来源招募的广泛退伍军人样本中，考察了各种战争应激源经历对与PTSD合并出现的其他诊断的预测作用。结果显示，与其他诊断组合相比，战争应激源能更好地解释PTSD合并惊恐障碍的情况，并且在解释不同诊断组合时，高危任务和接触恐怖死亡比其他应激源经历更为突出。讨论了这些发现对PTSD在《精神疾病诊断与统计手册》第三版修订版（DSM-III-R）中的分类以及对心理和药物治疗的意义。
