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Posttraumatic Stress Disorder in U. S. and Russian Veterans
Thomas W. Miller; Robert F. Kraus; Peter Kamenchenko; Alexi Krasnienski
Psychiatric Services 1993; doi:
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The authors acknowledge the assistance of the department of psychiatry at the University of Kentucky, the Department of Veterans Affairs, the National Mental Health Research Center of the Russian Academy of Medical Sciences, and the National Center for Posttraumatic Stress Disorder. They also thank Deborah Kessler and Katrina Scott of the VA and Tag Heister, Virginia Lynn Gift, and Debbie Howard of the department of psychiatry at the University of Kentucky. Research was partly supported by a grant from the International Research and Exchanges Board, with funds provided by Andrew W. Mellon Foundation, the National Endowment for the Humanities, and the U.S. Department of State.

University of Kentucky College of Medicine, 206 Medical Center Annex II, Lexington, Kentucky 40536

University of Kentucky College of Medicine, 206 Medical Center Annex II, Lexington, Kentucky 40536; Veterans Affairs Medical Center in Lexington

National Mental Health Research Center of the Academy of Medical Sciences in Moscow, Russia

1993 by the American Psychiatric Association

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Abstract

Recent cross-national studies of post traumatic stress disorder have added significantly to our understanding of the impact of stressful life events such as wartime experiences on the adaptation of traumatized individuals (1-3,10). Future clinical research should give serious consideration to several issues. First, cultural bias and its influence on the perceptions of both persons and events should be carefully considered when assessing the impact of stressful life events. Second, the effects of life changes, such as marriage and divorce, on the etiology and onset of a psychiatric disorder should be examined.Third, the full range of psychological components of well-adjusted survivors of trauma should be examined. Fourth, the effects of the clustering of stressful events should be investigated; the cumulative burden of stressors may lead to decompensation and symptoms of PTSD. Finally, biological and cognitive variables and personality characteristics that affect adaptation should be examined to determine what factors make a person more or less vulnerable to traumatic life experiences.

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