Oversight on Post-traumatic Stress Disorder: Hearing Before the Committee on Veterans' Affairs, United States Senate, One Hundredth Congress, Second Session, July 14, 1988, Part 2

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Page 519 - Only extremely large increases in any disease rate could be discovered and reach statistical significance in a population so diluted. The dilution effect caused by the inclusion of a majority of veterans with no exposure in the study population is compounded by the deliberate exclusion of some veterans who are likely to show health effects. By design, CDC eliminated veterans with multiple tours of duty in Vietnam, and anyone over the grade of E-5. Although this criteria is not as restrictive as that...
Page 227 - At least two of the following symptoms that were not present before the trauma: (1) hyperalertness or exaggerated startle response (2) sleep disturbance (3) guilt about surviving when others have not, or about behavior required for survival...
Page 401 - MR. CHAIRMAN, THIS CONCLUDES MY PREPARED STATEMENT. I APPRECIATE THE OPPORTUNITY TO APPEAR BEFORE YOUR COMMITTEE AND PRESENT THIS IMPORTANT AND SENSITIVE PROGRAM.
Page 15 - After that initisl post set vice period, Vietnam veterans were no more likely to die from suicide than non-Vietnam veterans. In fact, after the 5-year postservice period, the rate of suicides is less in the Vietnam veterans group. Of the several mortality studies of Vietnam veterans, only the CDC study and the Wisconsin Department of Health Vietnam Veterans Study provide suicide rates necessary to estimate the number of suicides among all Vietnam veterans. Using either study, the projected number...
Page 548 - The essential feature of this disorder is the development of characteristic symptoms following a psychologically distressing event that is outside the range of usual human experience (ie, outside the range of such common experiences as simple bereavement, chronic illness, business losses, and marital conflict).
Page 227 - ... because of an association with an environmental or ideational stimulus C. Numbing of responsiveness to or reduced involvement with the external world, beginning some time after the trauma, as shown by at least one of the following: (1) markedly diminished interest in one or more significant activities (2) feeling of detachment or estrangement from others (3) constricted affect D. At least two of the following symptoms that were not present before the trauma: (1) hyperalertness or exaggerated...
Page 564 - Let our disease be what it would, we were abandoned to our fate. Now and then an American physician was brought in as a captive, but if he could obtain his parole he left the ship, nor could we much blame him for this; for his own death was next to certain, and his success in saving others by medicine, in our situation, was small.
Page 227 - Reexperiencing of the trauma, as evidenced by at least one of the following: (1) recurrent and intrusive recollections of the event (2) recurrent dreams of the event (3...
Page 15 - Vietnam conflict rather than among the more than 8 million veterans who served during the Vietnam era. Furthermore, the Increased risk was described as occurring among Vietnam veterans of all ages. The CDC Vietnam Experience Study Mortality Assessment showed that during the first 5 years after discharge deaths from suicide were 1.7 times more likely among Vietnam veterans than non-Vietnam veterans. After that Initial post service period, Vietnam veterans were no more likely to die from suicide than...
Page 564 - I do not recollect seeing her afloat during the whole time I was a prisoner.* All the filth that accumulated among upwards of a thousand men was daily thrown overboard, and would remain there till carried away by the tide. The impurity of the water may be easily conceived ; and in this water our meat was boiled.

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