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Article   |    
Frequency of Symptoms and Concurrent Psychiatric Disorder in Vietnam Veterans With Chronic PTSD
Douglas K. Roszell; Miles E. McFall; Kenneth L. Malas
Psychiatric Services 1991; doi:
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Veterans Affairs Medical Center in Seattle; department of psychiatry and behavioral sciences at the University of Washington School of Medicine; Psychiatry Service (116A), VA Medical Center, 1660 South Columbian Way, Seattle, Washington 98108

Veterans Affairs Medical Center in Seattle; department of psychiatry and behavioral sciences at the University of Washington School of Medicine

Salt Lake City

© 1991 by the American Psychiatric Association

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Abstract

The frequency of symptoms of posttraumatic stress disorder within each of three categories—reexperiencing, avoidance or numbing, and physiological arousal—was examined in 116 Vietnam combat veterans with a diagnosis of PTSD. The prevalence of all PTSD symptoms was greater than 50 percent except for flashbacks, psychogenic amnesia, and sense of foreshortened future. Comorbidity in a subgroup of 48 patients was assessed using operational criteria for DSM-III-R mental disorders. Mood disorders, psychoactive substance abuse disorders, and other anxiety disorders frequently co-occurred with PTSD, but psychotic disorders were uncommon. These findings provide empirical validation of the DSM-III-R diagnostic criteria for PTSD.

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