Continuing controversy over the psychological risks of Vietnam for US veterans
Continuing controversy over the psychological risks of Vietnam for US veterans
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DOI：
10.1002/jts.20296
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发表时间：
2007-08-01
影响因子：
3.3
通讯作者：
Marshall, Randall
中科院分区：
文献类型：
--
作者：
Dohrenwend, Bruce P.;Turner, J. Blake;Marshall, Randall
1988年，越南国家退伍军人调整研究(NVVRS)报告了30.9%的终生创伤后应激障碍(PTSD)和15.2%的创伤后应激障碍(PTSD)现患率，并与战斗暴露的回顾报告存在很强的剂量/反应关系。怀疑者认为，记忆偏见和其他缺陷夸大了结果。使用一种新的基于记录的暴露测量和对NVVRS亚样本的诊断，作者在最近一期的《科学》杂志上解决了这一争议(B.P.Dohrenwend等人，2006年)。他们发现几乎没有伪造的证据，甚至有更强的剂量/反应关系，当完全调整损伤和暴露证据时，18.7%的发病和9.1%的战争相关创伤后应激障碍的现患率。这些税率低于最初的NVVRS税率，这一事实引发了持续的争议，往往掩盖了研究结果的更重要影响。
In 1988, the National Vietnam Veterans Readjustment Study (NVVRS) reported 30.9% lifetime and 15.2% current rates of posttraumatic stress disorder (PTSD), and a strong dose/response relationship with retrospective reports of combat exposure. Skeptics argued that recall bias and other flaws inflated the results. Using a new record-based exposure measure and diagnoses in an NVVRS subsample, the authors addressed this controversy in a recent issue of Science (B. P Dohrenwend et al., 2006). They found little evidence of falsification, an even stronger dose/response relationship and, when fully adjusted for impairment and evidence of exposure, 18.7% onset and 9.1% current rates Of war-related PTSD. The fact that these rates are lower than the original NVVRS rates has stimulated continuing controversy that has tended to obscure the more important implications of the study results.