Long N, MacDonald C, Chamberlain K
Department of Psychology, Massey University, Palmerston North, New Zealand.
Aust N Z J Psychiatry. 1996 Apr;30(2):253-6. doi: 10.3109/00048679609076102.
The aim of the paper is to investigate the prevalence of posttraumatic stress disorder (PTSD), depression and anxiety in a community sample of New Zealand Vietnam War veterans.
Data were collected as part of a national survey on the health and mental health of New Zealand Vietnam veterans. Five hundred and seventy-three randomly selected male Vietnam veterans participated in a postal survey. The questionnaire contained a number of demographic, biographical and psychological measures.
The results revealed that 10% of the veterans could be classified as PTSD cases and that these veterans exhibited high levels of depression and anxiety. In PTSD cases, 15% were also classified with anxiety, 6% with depression, and 73% were classified with both anxiety and depression. In PTSD cases 94% were classified with more than one additional disorder. In non-PTSD cases 27% were classified with anxiety, and 1% with depression, while 12% experienced both anxiety and depression.
The consequences of comorbidity for research and treatment are discussed and it is suggested that health professionals should be attentive to military experience as a predictor of these disorders.
本文旨在调查新西兰越战退伍军人社区样本中创伤后应激障碍（PTSD）、抑郁症和焦虑症的患病率。
数据收集是新西兰越战退伍军人健康与心理健康全国调查的一部分。573名随机挑选的男性越战退伍军人参与了邮寄调查。问卷包含多项人口统计学、传记式和心理测量指标。
结果显示，10%的退伍军人可被归类为创伤后应激障碍病例，这些退伍军人表现出高度的抑郁和焦虑。在创伤后应激障碍病例中，15%也被归类为焦虑症，6%为抑郁症，73%同时被归类为焦虑症和抑郁症。在创伤后应激障碍病例中，94%被归类为患有不止一种其他疾病。在非创伤后应激障碍病例中，27%被归类为焦虑症，1%为抑郁症，而12%同时经历了焦虑和抑郁。
讨论了共病对研究和治疗的影响，并建议卫生专业人员应关注军事经历，将其作为这些疾病的一个预测因素。
