Clinical presentations and treatment outcomes of peacekeeper veterans with PTSD: preliminary findings

Am J Psychiatry. 2005 Nov;162(11):2188-90. doi: 10.1176/appi.ajp.162.11.2188.

Abstract

Objective: Despite evidence of potential psychiatric sequelae following peacekeeping operations, no data have appeared on treatment outcome for this population. This study examined intake and treatment outcome data for a group of peacekeepers with posttraumatic stress disorder (PTSD).

Method: Participants were 63 Australian Vietnam veterans and 66 Australian peacekeepers attending specialized PTSD treatment units. Measures of PTSD, depression, anxiety, alcohol use, and anger were obtained at intake and 3-month follow-up.

Results: PTSD scores were more severe for peacekeepers than Vietnam veterans at intake, primarily in reexperiencing symptoms. In terms of comorbidity, only anger was higher among peacekeepers. No differences were apparent in treatment outcome. Initial anger predicted change in PTSD severity for peacekeepers.

Conclusions: The finding of differences between peacekeepers and Vietnam veterans in anger and reexperiencing symptoms, in addition to the attenuating role of anger on treatment outcome, suggests that modification to standard PTSD treatment models may be warranted for peacekeepers.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Alcohol Drinking / epidemiology
  • Alcohol Drinking / psychology
  • Anger
  • Anxiety Disorders / diagnosis
  • Anxiety Disorders / epidemiology
  • Australia / epidemiology
  • Clinical Protocols
  • Combat Disorders / diagnosis
  • Combat Disorders / epidemiology
  • Combat Disorders / therapy
  • Comorbidity
  • Depressive Disorder / diagnosis
  • Depressive Disorder / epidemiology
  • Follow-Up Studies
  • Humans
  • Life Change Events
  • Male
  • Middle Aged
  • Military Personnel / psychology*
  • Military Personnel / statistics & numerical data
  • Psychiatric Status Rating Scales
  • Risk Factors
  • Stress Disorders, Post-Traumatic / diagnosis*
  • Stress Disorders, Post-Traumatic / epidemiology
  • Stress Disorders, Post-Traumatic / therapy*
  • Treatment Outcome
  • Veterans / psychology*
  • Vietnam Conflict