Atrocities Exposure in Vietnam Combat Veterans with Chronic Posttraumatic Stress Disorder: Relationship to Combat Exposure, Symptom Severity, Guilt, and Interpersonal Violence

  title={Atrocities Exposure in Vietnam Combat Veterans with Chronic Posttraumatic Stress Disorder: Relationship to Combat Exposure, Symptom Severity, Guilt, and Interpersonal Violence},
  author={Jean C. Beckham and Michelle E. Feldman and Angela C. Kirby},
  journal={Journal of Traumatic Stress},
Vietnam combat veterans (N = 151) with chronic posttraumatic stress disorder (PTSD) completed measures of atrocities exposure, combat exposure, PTSD symptom severity, guilt and interpersonal violence. PTSD symptom severity, guilt and interpersonal violence rates were similar to previously reported studies that examined treatment seeking combat veterans with PTSD. Controlling for combat exposure, endorsement of atrocities exposure was related to PTSD symptom severity, PTSD B (reexperiencing… 
Interpersonal hostility and violence in vietnam combat veterans with chronic posttraumatic stress disorder: A review of theoretical models and empirical evidence
There is strong evidence that anger and violence are prevalent problems in Vietnam combat veterans with posttraumatic stress disorder, and a summary of relevant empirical studies is presented.
Exposure, Agency, Perceived Threat, and Guilt as Predictors of Posttraumatic Stress Disorder in Veterans
Using a sample of 289 Iraq/Afghanistan veterans, this study examined the contributions of combat exposure, agency, perceived threat, and guilt to posttraumatic stress disorder (PTSD) symptoms.
Shame and guilt in PTSD
Abstract An established and growing body of research has examined the associations of shame and guilt to posttraumatic stress disorder (PTSD). While guilt has produced mixed results more frequently
Combat trauma: trauma with highest risk of delayed onset and unresolved posttraumatic stress disorder symptoms, unemployment, and abuse among men.
Men reporting combat as their worst trauma were more likely to have lifetime PTSD, delayed PTSD symptom onset, and unresolved PTSD symptoms, and to be unemployed, fired, divorced, and physically abusive to their spouses than men reporting other traumas as their best experience.
Perpetration-induced traumatic stress in combat veterans.
The hypothesis that posttraumatic stress disorder (PTSD) associated with killing is more severe than that associated with other traumas causing PTSD was tested on U.S. government data from Vietnam
Specific symptoms predict suicidal ideation in Vietnam combat veterans with chronic post-traumatic stress disorder.
It was found that the reexperiencing symptom cluster was significantly associated with suicidal ideation but the other two symptom clusters (avoidance/numbing and increased arousal) were not.
Moral transgression during the Vietnam War: a path analysis of the psychological impact of veterans’ involvement in wartime atrocities
Findings highlight the heightened risk conveyed by involvement in wartime atrocities and suggest that the psychological sequelae experienced following atrocity involvement may extend well beyond guilt and PTSD.
Combat Exposure, Agency, Perceived Threat, Guilt, and Posttraumatic Stress Disorder among Iraq and Afghanistan War Veterans
This study assessed how various combat experiences related to post-deployment adjustment among 289 Iraq/Afghanistan veterans. The study examined the relationships among three predictor variables
A cluster analysis of symptom patterns and adjustment in Vietnam combat veterans with chronic posttraumatic stress disorder.
Results provide support for the theoretical concept of malignant PTSD and suggest that veterans with chronic PTSD are not homogenous, whereas some manifest extreme levels of both functional impairment and PTSD symptomatology, others exhibit markedly less functional impairment despite manifesting clinically significant levels of PTSD.
Combat‐related guilt mediates the relations between exposure to combat‐related abusive violence and psychiatric diagnoses
The findings suggest that guilt may be a mechanism through which abusive violence is related to PTSD and MDD among combat‐deployed Veterans and suggest the importance of assessing abusive‐violence related guilt among Combat‐de deployed Veterans and implementing relevant interventions for such guilt whenever indicated.


Exposure to atrocities and severity of chronic posttraumatic stress disorder in Vietnam combat veterans.
The data suggest that the enduring effect and severity of PTSD symptoms on an individual are associated more with exposure to brutal human death and suffering than the threat of death associated with combat.
Interpersonal violence and its correlates in Vietnam veterans with chronic posttraumatic stress disorder.
It is suggested that combat veterans with PTSD exhibit greater interpersonal violence than combat veterans without PTSD, and that there are multiple factors in this population which determine violent behavior.
Aggression and its correlates in Vietnam veterans with and without chronic posttraumatic stress disorder.
Increased aggression in war veterans is more appropriately regarded as a property of PTSD, rather than a direct consequence of military combat, and the association between compromised neurologic and neuropsychologic status and the psychometric measures was modest and explained little of the group differences.
The Cycle of Trauma: Relationship Aggression in Male Vietnam Veterans With Symptoms of Posttraumatic Stress Disorder
Results indicated that PTSD symptomatology places veterans at increased risk for perpetrating relationship aggression against their partners.
Interpersonal and self-reported hostility among combat veterans with and without posttraumatic stress disorder
The results suggest that the level of hostility in PTSD combat veterans may be high as compared to comparison groups, and the implications of these results and possible research directions are presented.
Warzone violence in Vietnam: An examination of premilitary, military, and postmilitary factors in PTSD in-patients
The impact of childhood victimization and other premilitary factors on warzone abusive violence was examined with 177 Vietnam combat veteran inpatients. Premilitary and military variables were also
Posttraumatic stress disorder: the etiologic specificity of wartime stressors.
The results indicate that extreme stressors are uniquely linked with posttraumatic stress disorder's characteristic cluster of symptoms but challenge DSM-III's implicit assumption that the reexperienced trauma is the stressor responsible for posttraumatic Stress disorder.
Alternative representations of war zone stressors: relationships to posttraumatic stress disorder in male and female Vietnam veterans.
Four conceptualizations of war zone stressor experiences were defined: traditional combat, atrocities-abusive violence, perceived threat, and malevolent environment, and there was evidence that one path coefficient in the model differed for men and women.
Posttraumatic Stress Disorder Among Vietnam Theater Veterans A Causal Model of Etiology in a Community Sample
  • R. Rosenheck
  • Psychology, Medicine
    The Journal of nervous and mental disease
  • 1994
Data from the National Vietnam Veterans Readjustment Study were used to develop and cross-validate a model of the etiology of posttraumatic stress disorder (PTSD) among a community sample of 1198 male Vietnam theater veterans, finding exposure to war-related and non-war-related traumas occurred largely independently of each other.
Assessment of a new self-rating scale for post-traumatic stress disorder.
The DTS showed predictive validity against response to treatment, as well as being sensitive to treatment effects, and offers promised as a scale which is particularly suited to assessing symptom severity, treatment outcome and in screening for the likely diagnosis of PTSD.