Documented combat exposure of US veterans seeking treatment for combat-related post-traumatic stress disorder.

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Title: Documented combat exposure of US veterans seeking treatment for combat-related post-traumatic stress disorder.
Authors: Frueh, B. Christopher, Elhai, Jon D., Grubaugh, Anouk L., Monnier, Jeannine, Kashdan, Todd B., Sauvageot, Julie A., Hamner, Mark B., Burkett, B. G., Arana, George W.
Source: British Journal of Psychiatry. Jun2005, Vol. 186, p467-472. 6p.
Subjects: Treatment of post-traumatic stress disorder, Combat psychology, American veterans, Vietnam War, 1961-1975, Diseases, Medical care, Medical centers, Documentation
Geographic Terms: United States
Abstract: Background: There are concerns regarding the validity of combat exposure reports of veterans seeking treatment for combat-related post-traumatic stress disorder (PTSD) within US Veterans Affairs Medical Centers.Aims: To verify combat exposure history for a relevant sample through objective historical data.Method: Archival records were reviewed from the US National Military Personnel Records Center for 100 consecutive veterans reporting Vietnam combat in a Veterans Affairs PTSD clinic. Cross-sectional clinical assessment and 12-month service use data were also examined.Results: Although 93% had documentation of Vietnam war-zone service, only 41% of the total sample had objective evidence of combat exposure documented in their military record. There was virtually no difference between the Vietnam 'combat' and 'no combat' groups on relevant clinical variables.Conclusions: A significant number of treatment-seeking Veterans Affairs patients may misrepresent their combat involvement in Vietnam. There are implications for the integrity of the PTSD database and the Veterans Affairs healthcare system. [ABSTRACT FROM AUTHOR]
Copyright of British Journal of Psychiatry is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Documented combat exposure of US veterans seeking treatment for combat-related post-traumatic stress disorder.
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  Data: <searchLink fieldCode="AR" term="%22Frueh%2C+B%2E+Christopher%22">Frueh, B. Christopher</searchLink><br /><searchLink fieldCode="AR" term="%22Elhai%2C+Jon+D%2E%22">Elhai, Jon D.</searchLink><br /><searchLink fieldCode="AR" term="%22Grubaugh%2C+Anouk+L%2E%22">Grubaugh, Anouk L.</searchLink><br /><searchLink fieldCode="AR" term="%22Monnier%2C+Jeannine%22">Monnier, Jeannine</searchLink><br /><searchLink fieldCode="AR" term="%22Kashdan%2C+Todd+B%2E%22">Kashdan, Todd B.</searchLink><br /><searchLink fieldCode="AR" term="%22Sauvageot%2C+Julie+A%2E%22">Sauvageot, Julie A.</searchLink><br /><searchLink fieldCode="AR" term="%22Hamner%2C+Mark+B%2E%22">Hamner, Mark B.</searchLink><br /><searchLink fieldCode="AR" term="%22Burkett%2C+B%2E+G%2E%22">Burkett, B. G.</searchLink><br /><searchLink fieldCode="AR" term="%22Arana%2C+George+W%2E%22">Arana, George W.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22British+Journal+of+Psychiatry%22">British Journal of Psychiatry</searchLink>. Jun2005, Vol. 186, p467-472. 6p.
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  Data: <searchLink fieldCode="DE" term="%22Treatment+of+post-traumatic+stress+disorder%22">Treatment of post-traumatic stress disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Combat+psychology%22">Combat psychology</searchLink><br /><searchLink fieldCode="DE" term="%22American+veterans%22">American veterans</searchLink><br /><searchLink fieldCode="DE" term="%22Vietnam+War%2C+1961-1975%22">Vietnam War, 1961-1975</searchLink><br /><searchLink fieldCode="DE" term="%22Diseases%22">Diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+centers%22">Medical centers</searchLink><br /><searchLink fieldCode="DE" term="%22Documentation%22">Documentation</searchLink>
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  Data: <bold>Background: </bold>There are concerns regarding the validity of combat exposure reports of veterans seeking treatment for combat-related post-traumatic stress disorder (PTSD) within US Veterans Affairs Medical Centers.<bold>Aims: </bold>To verify combat exposure history for a relevant sample through objective historical data.<bold>Method: </bold>Archival records were reviewed from the US National Military Personnel Records Center for 100 consecutive veterans reporting Vietnam combat in a Veterans Affairs PTSD clinic. Cross-sectional clinical assessment and 12-month service use data were also examined.<bold>Results: </bold>Although 93% had documentation of Vietnam war-zone service, only 41% of the total sample had objective evidence of combat exposure documented in their military record. There was virtually no difference between the Vietnam 'combat' and 'no combat' groups on relevant clinical variables.<bold>Conclusions: </bold>A significant number of treatment-seeking Veterans Affairs patients may misrepresent their combat involvement in Vietnam. There are implications for the integrity of the PTSD database and the Veterans Affairs healthcare system. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of British Journal of Psychiatry is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1192/bjp.186.6.467
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        Text: English
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        Type: general
      – SubjectFull: Combat psychology
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      – SubjectFull: American veterans
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      – SubjectFull: Vietnam War, 1961-1975
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              Text: Jun2005
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              Y: 2005
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