E-ISSN : 2733-4538
Veterans who have experienced combat exposure can develop various physical and psychological symptoms in later life, such as posttraumatic stress disorder (PTSD). Even though approximately 320,000 South Korean army troops were deployed in the Vietnam War, there have been only a few studies of Korean Vietnam War veterans to date. Therefore, the present study was conducted to examine the prevalence of PTSD symptoms of Korean Vietnam War veterans and to investigate the predictors of PTSD symptoms among demographic data, prewar factors (traumatic events, childhood family environments), warzone factors (combat exposure, controllability, social support), and postwar factors (social support after homecoming, additional stressful life events). The prevalence of PTSD symptoms in Korean Vietnam War veterans was found to be 40.8%. Additionally, logistic regression revealed that the likelihood of developing PTSD symptoms in later life depended on current income and physical health, childhood family environments, combat exposure, and social support, as well as additional stressful life events after homecoming. Implications and limitations of this study were discussed along with suggestions for future studies.
국방군사연구소 (1996). 월남파병과 국가발전. 서울: 국방부.
김성란 (2011). 타인의 고통을 바라보는 시선: 베트남전 참전군인에 대한 인식을 중심으로. 민주주의와 인권, 11, 217-252.
최진희, 정문용, 정일진 (1997). 참전 국가 유공자들에서 외상 후 스트레스 장애의 위험 인자. 신경정신의학, 36, 997-1003.
Aldwin, C. M., Levenson, M. R., & Spiro, A. Ⅲ. (1994). Vulnerability and resilience to combat exposure: Can stress have lifelong effects? Psychology and Aging, 9, 33-44.
Allen, I. M. (1986). Posttraumatic stress disorder among Black Vietnam Veterans. Hospital and Community Psychiatry, 37, 55-61.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorder (4th ed.). Washington, DC: Author.
Beals, J., Manson, S. M., Shore, J. H., Friedman, M., Ashcraft, M., Fairbank, J. A., et al. (2002). The prevalence of posttraumatic stress disorder among American Indian Vietnam veterans: Disparities and context. Journal of Traumatic Stress, 15, 89-97.
Brewin, C. R., Andrews, B., & Valentine, J. D. (2000). Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. Journal of Consulting and Clinical Psychology, 68, 748-766.
Burkett, B. G., & Whitley, G. (1998). Stolen valor: How the Vietnam generation was robbed of its heroes and its history. Dallas, TX: Verity Press.
Centers for Disease Control. (1988). Health status of Vietnam veterans: I. Psychosocial characteristics. Journal of the American Medical Association, 259, 2701-2707.
Chung, M. Y. Suh, I. Kim, D. K. & Jeong, I. J. (2005). Prevalence of posttraumatic stress disorder in Korean veterans and an analysis of associated variables. Psychiatry Investigation, 2, 8-17.
Dohrenwend, B. P., Turner, J. B., Turse, N. A., Adams, B. G., Koenen, K. C., & Marshall, R. (2006). The psychological risks of Vietnam for U. S. veterans: A revisit with new data and methods. Science, 313, 979–982.
Dohrenwend, B. P., Turner, J. B., Turse, N. A., Adams, B. G., Koenen, K. C., & Marshall, R. (2007). Continuing controversy over the psychological risks of Vietnam for U.S. veterans. Journal of Traumatic Stress, 20, 449- 466.
Dohrenwend, B. P., Turner, J. B., Turse, N. A., Lewis-Fernandez, R., & Yager, T. J. (2008). War-related posttraumatic stress disorder in Black, Hispanic, and majority White Vietnam veterans: The roles of exposure and vulnerability. Journal of Traumatic Stress, 21, 133-141.
Elder, G. H., & Clipp, E. C. (1989). Combat experience and emotional health: Impairment and resilience in later life. Journal of Personality, 57, 311-341.
Fontana, A., Rosenheck, R., & Horvath, T. (1997). Social support and psychopathology in the war zone. The Journal of Nervous and Mental Disease, 185, 675-681.
Foy, D. W., & Card, J. J. (1987). Combat-related Post-traumatic stress disorder etiology: Replicated findings in a national sample of Vietnam-era men. Journal of Clinical Psychology, 43, 28-31.
Foy, D. W., Resnick, H. S., Sipprelle, R. C., & Carroll, E. M. (1987). Premilitary, military, and postmilitary factors in the development of combat-related posttraumatic stress disorder. The Behavior Therapist, 10, 3-9.
Hennessy, B., & Oei, T. P. S. (1991). The relationship between severity of combat exposure and Army status on post-traumatic stress disorder among Australian Vietnam War veterans. Behavior Change, 8, 136-144.
Jones, E., & Wessely, S. (2005). Shell shock to PTSD: Military psychiatry from 1900 to the Gulf War. Hove, UK: Psychology Press.
Keane, T. M., Caddell, J. M., & Taylor, K. L. (1988). Mississippi Scale for Combat-Related Posttraumatic Stress Disorder: Three studies in reliability and validity. Journal of Consulting and Clinical Psychology, 56, 85-90.
Keane, T. M., Fairbank, J. A., Caddell, J. M., Zimering, R. T., Taylor, K. L., & Mora, C. A. (1989). Clinical evaluation of a measure to assess combat exposure. Psychological Assessment, 1, 53-55.
Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of General Psychiatry, 52, 1048-1060.
King, D. W., & King, L. A. (1991). Validity issues in research on Vietnam veteran adjustment. Psychological Bulletin, 109, 107-124.
King, D. W., King, L. A., Foy, D. W., & Gudanowski, D. M. (1996). Prewar factors in combat-related posttraumatic stress disorder: Structural equation modeling with a national sample of female and male Vietnam veterans. Journal of Consulting and Clinical Psychology, 64, 520-531.
King, D. W., King, L. A., Foy, D. W., Keane, T. M., & Fairbank, J. A. (1999). Posttraumatic stress disorder in a national sample of female and male Vietnam veterans: Risk factors, war-zone stressors, and resilience-recovery variables. Journal of Abnormal Psychology, 108, 164-170.
King, L. A., King, D. W., Fairbank, J. A., Keane, T. M., & Adams, G. A. (1998). Resilience-recovery factors in post-traumatic stress disorder among female and male Vietnam veterans: Hardiness, postwar social support, and additional stressful life events. Journal of Personality and Social Psychology, 74, 420-434.
King, L. A., King, D. W., Vickers, K., Davison, E. H., & Spiro, A. (2007). Assessing late-onset stress symptomatology among aging male combat veterans. Aging and Mental Health, 11, 175-191.
King, L, A., King, D, W., Vogt, D. S., Knight, J., & Samper, R. E. (2006). Deployment Risk and Resilience Inventory: A collection of measures for studying deployment-related experiences of military personnel and veterans. Military Psychology, 18, 89-120.
Kulka, R. A., Schlenger, W. E., Fairbank, J. A., Hough, R. L., Jordan, B. K., Marmar, C. R., et al. (1990). Trauma and the Vietnam War generation: Report of findings from the National Vietnam Veterans Readjustment Study. New York: Brunner/Mazel.
Kulka, R. A., Schlenger., W. E., Fairbank, J. A., Hough, R. L., Jordan, B. K., Marmar, C. R., et al. (1991). The National Vietnam Veterans Readjustment Study: Tables of findings and technical appendices. New York: Brunner/Mazel.
Lee, K. A., Vaillant, G. E., Torrey, W. C., & Elder, G. H. (1995). A 50- year prospective study of the psychological sequelae of World War II combat. American Journal of Psychiatry, 152, 516-522.
Maguen, S., Vogt, D. S., King, L. A., King, D. W., & Litz, B. T. (2006). Posttraumatic growth among Gulf war I veterans: The predictive role of deployment-related experiences and background characteristics. Journal of Loss and Trauma, 11, 373-388.
Ortega, A. N., & Rosenheck, R. (2000). Posttraumatic stress disorder among Hispanic Vietnam veterans. American Journal of Psychiatry, 157, 615-619.
O’Toole, B. I., Marshall, R. P., Grayson, D. A., Schureck, R. J., Dobson, M., Ffrench, M., et al. (1996). The Australian Vietnam Veterans Health Study. III. Psychological health of Australian Vietnam veterans and its relationship to combat. International Journal of Epidemiology, 25, 331-340.
O’Toole, B. I., Marshall, R. P., Schureck, R. J., & Dobson, M. (1998). Risk factors for posttraumatic stress disorder in Australian Vietnam veterans. Australian and New Zealand Journal of Psychiatry, 32, 21-31.
Rotter, J. (1966). Generalized expectancies for internal versus external control of reinforcement. Psychological Monographs: General and Applied, 80, 1-28.
Schlenger, W., & Fairbank, J. (1996). Ethnocultural considerations in understanding PTSD and related disorders among military veterans. In A. J. Marsella, M. J. Friedman, E. T. Gerrity & R. M. Scurfield (Eds.), Ethnocultural aspects of PTSD: Issues, research, and clinical application (pp.529-538). Washington DC: American Psychological Association.
Sharkansky, E. J., King, D. W., King, L. A., Wolfe, J., Erickson, D. J., & Stokes, L. R. (2000). Coping with Gulf war combat stress: Mediating and moderating effects. Journal of Abnormal Psychology, 109, 188-197.
Solomon, Z., & Mikulincer, M. (1990). Life events and combat-related posttraumatic stress disorder: The intervening role of locus of control and social support. Military Psychology, 2, 241-256.
Solomon, Z., Mikulincer, M., & Flum, H. (1988). Negative life events, coping responses, and combat-related psychopathology. Journal of Abnormal Psychology 97, 302-307.
Spiro, A. Ⅲ, Schnurr, P., & Aldwin, C. M. (1994). Combat-related PTSD in older men. Psychology and Aging, 9, 17-26.
Sutker, B., & Allain, A, N. (1995). Psychological assessment of aviators captured in World War Ⅱ. Psychological Assessment, 7, 66-68.