Journal ArticleDOI
Disability compensation seeking among veterans evaluated for posttraumatic stress disorder.
B. Christopher Frueh,Jon D. Elhai,Paul B. Gold,Jeannine Monnier,Kathryn M. Magruder,Terence M. Keane,George W. Arana +6 more
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TLDR
This study provided further evidence that VA disability compensation incentives influence the way some veterans report their symptoms when they are being evaluated for PTSD and suggested that current VA disability policies have problematic implications for the delivery of clinical care, evaluation of treatment outcome, and rehabilitation efforts within the VA.Abstract:
Objective: This study sought to further examine the relationship between compensation-seeking status and reporting of symptoms among combat veterans who were evaluated for posttraumatic stress disorder (PTSD). Methods: Archival data were drawn for 320 adult male combat veterans who were consecutively evaluated at a Department of Veterans Affairs (VA) PTSD outpatient clinic from 1995 to 1999. The veterans were compared on variables from their clinical evaluation, including diagnostic status and self-report measures such as the Minnesota Multiphasic Personality Inventory-2, which includes scales designed to detect feigned or exaggerated psychopathology. Results: Compensation-seeking veterans reported significantly more distress across domains of psychopathology, even after the effects of income had been controlled for and despite an absence of differences in PTSD diagnoses between groups. However, compensation-seeking veterans also were much more likely to overreport or exaggerate their symptoms than were non-compensation-seeking veterans. Conclusions: This study provided further evidence that VA disability compensation incentives influence the way some veterans report their symptoms when they are being evaluated for PTSD. These data suggest that current VA disability policies have problematic implications for the delivery of clinical care, evaluation of treatment outcome, and rehabilitation efforts within the VA. (Psychiatric Services 54:84–91, 2003)read more
Citations
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Journal ArticleDOI
Cognitive processing therapy for veterans with military-related posttraumatic stress disorder.
Candice M. Monson,Paula P. Schnurr,Patricia A. Resick,Matthew J. Friedman,Yinong Young-Xu,Susan P. Stevens +5 more
TL;DR: This trial provides some of the most encouraging results of PTSD treatment for veterans with chronic PTSD and supports increased use of cognitive- behavioral treatments in this population.
Journal ArticleDOI
Prevalence estimates of combat-related post-traumatic stress disorder: critical review
TL;DR: A critical review of prevalence estimates of combat-related post-traumatic stress disorder among military personnel and veterans is provided, and of the relevant factors that may account for the variability of estimates within and across cohorts are provided, including methodological and conceptual factors accounting for differences.
Journal ArticleDOI
Posttraumatic stress disorder and depression in battle-injured soldiers.
Thomas A. Grieger,Stephen J. Cozza,Robert J. Ursano,Charles W. Hoge,Patricia E Martinez,Charles C. Engel,Harold J. Wain +6 more
TL;DR: Early severity of physical problems was strongly associated with later PTSD or depression and physical problem severity at 1 month was also associated with PTSD and depression severity at 7 months after control for 1-month PTSD and Depression severity, demographic variables, combat exposure, and deployment length.
Journal ArticleDOI
Change in posttraumatic stress disorder symptoms: do clinicians and patients agree?
Candice M. Monson,Jaimie L. Gradus,Yinong Young-Xu,Paula P. Schnurr,Jennifer L. Price,Jeremiah A. Schumm +5 more
TL;DR: The authors found no differences in the percentages of agreement between clinicians and patients in improvement and exacerbation in CSP 420, and the value of multimodal assessment of PTSD treatment outcomes is discussed.
Journal ArticleDOI
Etiology of depression comorbidity in combat-related PTSD: a review of the literature.
TL;DR: Evidence suggests that PTSD may be a causal risk factor for subsequent depression; however, associations are likely complex, involving bidirectional causality, common risk factors, and common vulnerabilities.
References
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Journal ArticleDOI
Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation
TL;DR: A meta-analysis of the BDI's internal consistency estimates yielded a mean coefficient alpha of 0.86 for psychiatric patients and 0.81 for non-psychiatric subjects as mentioned in this paper.
Journal ArticleDOI
Development, reliability, and validity of a dissociation scale.
Eve M. Bernstein,Frank W. Putnam +1 more
TL;DR: The Dissociative Experiences Scale (DES) has been developed to offer a means of reliably measuring dissociation in normal and clinical populations and was able to distinguish between subjects with a dissociative disorder (multiple personality) and all other subjects.
Book
Trauma and the Vietnam war generation: Report of findings from the National Vietnam Veterans Readjustment Study.
Richard A. Kulka,William E. Schlenger,John A. Fairbank,Richard L. Hough,B. Kathleen Jordan,Charles R. Marmar,Daniel S. Weiss +6 more