Reassessing War Stress: Exposure and the Persian Gulf War

Research has shown a clear association between war-zone exposure and psychological readjustment in soldiers. Newer findings suggest that certain event and person characteristics are especially influential in this process. The present article has the following goals: (a) to review existing parameters in the traditional measurement of war-zone exposure, (b) to consider conceptual and methodological limitations in these approaches, (c) to present empirical data from a cohort of Persian Gulf War veterans that support the utility of a broader conceptualization of war trauma, and (d) to examine how gender may be differentially associated with some dimensions of war-zone stress and psychological outcome following deployment. Data suggest that identifying diverse dimensions of war-zone stress may enhance efforts to understand veterans' initial and long-range wartime recovery.

[1]  S. Prince-Embury,et al.  Psychological symptoms of residents in the aftermath of the Three Mile Island nuclear accident and restart. , 1988, The Journal of social psychology.

[2]  R. D. Tuddenham,et al.  PERSISTENT STRESS REACTION AFTER COMBAT: A 20-YEAR FOLLOW-UP. , 1965, Archives of general psychiatry.

[3]  H. Resnick,et al.  Vulnerability-Stress Factors in Development of Posttraumatic Stress Disorder , 1992, The Journal of nervous and mental disease.

[4]  M. Lund,et al.  The Combat Exposure Scale: a systematic assessment of trauma in the Vietnam War. , 1984, Journal of clinical psychology.

[5]  H. Glover Four syndromes of post‐traumatic stress disorder: Stressors and conflicts of the traumatized with special focus on the Vietnam combat veteran , 1988 .

[6]  G. Wyatt Sexual abuse of ethnic minority children: Identifying dimensions of victimization. , 1990 .

[7]  A. Leonard,et al.  Buffalo Creek Survivors in the Second Decade: Comparison with Unexposed and Nonlitigant Groups1 , 1990 .

[8]  Stevan E. Hobfoll,et al.  Objective versus subjective measurement of stress and social support: combat-related reactions. , 1987, Journal of consulting and clinical psychology.

[9]  Z. Solomon,et al.  Israeli psychological casualties of the Persian Gulf war: characteristics, therapy, and selected issues. , 1991, Israel journal of medical sciences.

[10]  A. Baum,et al.  Stress, intrusive imagery, and chronic distress. , 1990, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[11]  M. Dew,et al.  Mental health effects of the Three Mile Island nuclear reactor restart. , 1987, The American journal of psychiatry.

[12]  S. Southwick,et al.  Exposure to atrocities and severity of chronic posttraumatic stress disorder in Vietnam combat veterans. , 1992, The American journal of psychiatry.

[13]  T. Keane,et al.  Mississippi Scale for Combat-Related Posttraumatic Stress Disorder: three studies in reliability and validity. , 1988, Journal of consulting and clinical psychology.

[14]  Richard Strayer,et al.  Vietnam Veterans: A Study Exploring Adjustment Patterns and Attitudes , 1975 .

[15]  E. Diener,et al.  Gender differences in negative affect and well-being: the case for emotional intensity. , 1991, Journal of personality and social psychology.

[16]  R R McCrae Situational determinants of coping responses: loss, threat, and challenge. , 1984, Journal of personality and social psychology.

[17]  J. McCarroll,et al.  The nature of a traumatic stressor: handling dead bodies. , 1990, The Journal of nervous and mental disease.

[18]  C. G. Watson,et al.  Validities of five combat scales. , 1989 .

[19]  A. Leonard,et al.  Buffalo Creek survivors in the second decade: stability of stress symptoms. , 1990, The American journal of orthopsychiatry.

[20]  F. Lorenz,et al.  Husband and wife differences in response to undesirable life events. , 1993, Journal of health and social behavior.

[21]  E. Clipp,et al.  Combat Experience, Comradeship, and Psychological Health , 1988 .

[22]  N. Breslau,et al.  Posttraumatic stress disorder in an urban population of young adults: risk factors for chronicity. , 1992, The American journal of psychiatry.

[23]  M. Zeidner,et al.  Anxiety and bodily symptoms under the threat of missile attacks: The israeli scene , 1991 .

[24]  G. Gleser,et al.  QUANTIFYING INTERVIEW DATA ON PSYCHIC IMPAIRMENT OF DISASTER SURVIVORS , 1978, The Journal of nervous and mental disease.

[25]  F. Norris,et al.  Epidemiology of trauma: frequency and impact of different potentially traumatic events on different demographic groups. , 1992, Journal of consulting and clinical psychology.

[26]  R. Rosenheck,et al.  War zone traumas and posttraumatic stress disorder symptomatology. , 1992, The Journal of nervous and mental disease.

[27]  S. Cohen,et al.  Stress and infectious disease in humans. , 1991, Psychological bulletin.

[28]  P. Sutker,et al.  Clinical and research assessment of posttraumatic stress disorder: A conceptual overview. , 1991 .

[29]  J. Wolfe,et al.  New Perspectives in the Assessment and Diagnosis of Combat-Related Posttraumatic Stress Disorder , 1993 .

[30]  Kathryn L. Taylor,et al.  Clinical evaluation of a measure to assess combat exposure. , 1989 .

[31]  G. Gleser,et al.  Multiple Diagnosis in Posttraumatic Stress Disorder. The Role of War Stressors , 1989, The Journal of nervous and mental disease.

[32]  L. Derogatis,et al.  The Brief Symptom Inventory: an introductory report , 1983, Psychological Medicine.

[33]  N. Breslau,et al.  Posttraumatic Stress Disorder: The Stressor Criterion , 1987, The Journal of nervous and mental disease.

[34]  M. Branchey,et al.  Duration and Intensity of Combat Exposure and Posttraumatic Stress Disorder in Vietnam Veterans , 1990, The Journal of nervous and mental disease.

[35]  Friedman Mj,et al.  Measurement of combat exposure, posttraumatic stress disorder, and life stress among Vietnam combat veterans , 1986 .