Psychophysiologic assessment of posttraumatic stress disorder in Vietnam nurse veterans who witnessed injury or death

被引:82
作者
Carson, MA
Paulus, LA
Lasko, NB
Metzger, LJ
Wolfe, J
Orr, SP
Pitman, RK
机构
[1] Vet Affairs Med Ctr, Res Serv, Manchester, NH 03103 USA
[2] Harvard Univ, Sch Med, Dept Psychiat, Cambridge, MA 02138 USA
[3] Vet Affairs Med Ctr, Natl Ctr PTSD, Boston, MA USA
[4] Boston Univ, Sch Med, Dept Psychiat, Boston, MA 02118 USA
关键词
D O I
10.1037/0022-006X.68.5.890
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
This study examined whether witnessing death and injury could produce psychophysiologically responsive posttraumatic stress disorder (PTSD). Participants consisted of medication-free female Vietnam nurse veterans with a diagnosis of current PTSD (n = 17) and who never had PTSD (n = 21), related to their military service. Individualized scripts describing personal traumatic military nursing events, a standard military nursing event, and other life events were tape recorded and played back to the participant while heart rate, skin conductance, and facial electromyograms were recorded. Nurses with PTSD showed significantly larger physiologic responses than non-PTSD nurses only during imagery of military-related nursing events. The groups' self-reported emotional responses did not differ during imagery. Psychophysiologic results support the proposition that witnessing death and serious injury to others is sufficiently stressful to cause PTSD.
引用
收藏
页码:890 / 897
页数:8
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