0
Commentary |

Combat Effects on Mental Health:  The More Things Change, the More They Remain the Same

Roger K. Pitman, MD
Arch Gen Psychiatry. 2006;63(2):127-128. doi:10.1001/archpsyc.63.2.127.
Text Size: A A A
Published online

Extract

In this issue, Pizarro and colleagues1 add a particular kind of archaeological perspective on the American Civil War.2 From a painstaking archival examination of the military and medical records of 15 027 US Civil War veterans, they produced insights into the mental health consequences of that war, which should lay to rest the notion that there was something psychiatrically unique about the Vietnam Conflict or about what used to be called “post-Vietnam syndrome.” Their central findings strikingly echo the results of research into the mental health status of Vietnam veterans, including posttraumatic stress disorder (PTSD).3,4 For example, these authors' findings included the following: (1) psychological trauma, as measured by serving in a Civil War company in which more soldiers were killed, conferred a greater risk of developing signs of physical (cardiac and gastrointestinal) disease and comorbid physical and nervous disease; (2) being wounded was associated with an increased risk of nervous disease alone and comorbid nervous and physical disease; (3) being a prisoner of war predicted signs of comorbid physical and nervous disease and even mortality; and (4) younger soldiers had an increased risk of comorbid physical and nervous disease and even of earlier death if they witnessed more death during the war.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Topics
PubMed Articles
Neuroimaging in Alcohol and Drug Dependence. Curr Behav Neurosci Rep 2014;1(1):45-54.
Jobs
brightcove.createExperiences();