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Does combat trauma cause a majority of PTSD symptoms in combat Veterans?

机译:战斗创伤是否会在战斗退伍军人中引起大多数PTSD症状?

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Gilbertson et al concluded that "the majority of psychiatric symptoms reported by combat veterans with PTSD [posttraumatic stress disorder] would not have been present were it not for their exposure to traumatic events." This conclusion was based on a comparison between combat-exposed Vietnam veterans and identical male twins who were not exposed to combat trauma. I question whether the results truly support the conclusion that the majority of symptoms would not have been present, as an important factor contributing to reported psychopa-thology in veterans is compensation status.2"4 The authors seemed to have dismissed this possibility by noting that "[W]e cannot rule out the possibility that increased SCL-90-R scores to some degree represent compensation-seeking or general symptom overreport-ing in the PTSD group. The literature on this, however, has been inconclusive
机译:吉尔伯特森等人得出的结论是:“如果不是因创伤后应激障碍而遭受创伤后应激障碍的战斗退伍军人所报告的大多数精神病症状就不会出现。”该结论是根据在战斗中经历过战斗的越南退伍军人与未遭受战斗创伤的同卵双胞胎进行比较而得出的。我怀疑结果是否真的支持不会出现大多数症状的结论,因为导致退伍军人心理行为学报道的一个重要因素是补偿状态。2“ 4作者似乎注意到这种可能性,但认为这种可能性不成立。 “ [W]不能排除PTSD组SCL-90-R分数增加到一定程度代表寻求补偿或一般症状过度报道的可能性。然而,关于这一点的文献尚无定论。

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