Comparison of outcome between homogeneous and heterogeneous treatment environments in combat-related posttraumatic stress disorder

Citation
Dr. Johnson et al., Comparison of outcome between homogeneous and heterogeneous treatment environments in combat-related posttraumatic stress disorder, J NERV MENT, 187(2), 1999, pp. 88-95
Citations number
26
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Psychiatry,Neurology,"Neurosciences & Behavoir
Journal title
JOURNAL OF NERVOUS AND MENTAL DISEASE
ISSN journal
0022-3018 → ACNP
Volume
187
Issue
2
Year of publication
1999
Pages
88 - 95
Database
ISI
SICI code
0022-3018(199902)187:2<88:COOBHA>2.0.ZU;2-1
Abstract
This study compared treatment outcome at discharge, and 4, 8, and 12 month follow-up between an inpatient program consisting of a mixture of Vietnam c ombat veterans with posttraumatic stress disorder (PTSD) and general psychi atric patients (N = 42), and the same program at a later period, consisting of only Vietnam combat veterans with PTSD (N = 33). Veterans rated the hom ogeneous environment higher in satisfaction, support, order, clarity, and a mount of discussion of combat, and lower in hostility, than the heterogeneo us condition. However, veterans showed no improvement in condition at 12 mo nth follow-up, with the exception of decreased violence, replicating earlie r studies. No differences in outcome were found between homogeneous or hete rogeneous treatment environments. This study underscores the enduring natur e of chronic posttraumatic stress disorder in the veteran population.