title: Persisting posttraumatic stress disorder symptoms and their relationship to functioning in Vietnam veterans: a 14-year follow-up.
abstract: The authors examined the longitudinal association between persisting posttraumatic stress disorder (PTSD) symptoms and multiple domains of life functioning in a community sample of 1,377 American Legionnaire Vietnam veterans first assessed in 1984 and followed-up 14 years later. Almost 30 years after their return from Vietnam, 10% of veterans continued to experience severe PTSD symptoms. At all levels of combat exposure, persisting severe PTSD symptoms were associated with worse family relationships, more smoking, less life satisfaction and happiness, more mental health service use, and more nonspecific health complaints at the 14-year follow-up. Further investigation is needed to determine whether the PTSD-functioning relationship is causal and if successful treatment of PTSD is associated with improvement in functioning.
authors.affiliation: Departments of Society, Human Development, and Health and Epidemiology, Harvard School of Public Health, Boston, MA, USA.
authors.forename: Karestan C
authors.initials: KC
authors.lastname: Koenen
authors.forename: Steven D
authors.initials: SD
authors.lastname: Stellman
authors.forename: John F
authors.initials: JF
authors.lastname: Sommer
authors.forename: Jeanne Mager
authors.initials: JM
authors.lastname: Stellman
mesh_terms: D000368:Aged; D000428:Alcohol Drinking / Q000453:epidemiology; D005500:Follow-Up Studies; D006240:Happiness; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D010549:Personal Satisfaction; D015995:Prevalence; D011788:Quality of Life / Q000523:psychology; D012720:Severity of Illness Index; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology*; D011795:Surveys and Questionnaires; D014728:Veterans / Q000523:psychology* / Q000706:statistics & numerical data*; D047829:Vietnam Conflict