Inpatient diagnosis of Posttraumatic Stress Disorder.

Attempted to distinguish among 3 types of inpatient veterans: (a) those with a diagnosis of posttraumatic stress disorder (PTSD) and combat experience; (b) those with a diagnosis other than PTSD and with combat experience; and (c) non-PTSD, noncombat patients. 75 Vietnam-era veterans classified in these groups were administered an assessment battery that included the Minnesota Multiphasic Personality Inventory (MMPI), State-Trait Anxiety Inventory, and Profile of Mood States. Results show no differences among the groups on premorbid variables. PTSD Ss, however, responded in a more pathological direction on psychometric and adjustment variables. A discriminant analysis using these variables correctly classified 85% of the Ss in the 3 groups. Time spent in combat was highly correlated with PTSD variables such as intrusion and numbing experiences; total stress; and symptoms of anxiety, depression, and anger. Results also cross-validate the MMPI-based PTSD scale developed by T. Keane et al (see record 1985-02913-001). (16 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Counseling psychology in Veterans Affairs medical centers: Perceptions of chiefs of psychology.

Counseling psychology (CP) has attempted to define itself in ways that accurately reflect the specialty, that do not limit its practitioners from working in their domains of competence, and that set it apart from clinical psychology. S. Cleveland (1980) considered the success of this self-definition in a survey on the perception of counseling psychologists by chiefs of psychology services in the Veterans Administration medical centers (VAMCs). He suggested that counseling psychologists were "defecting" to clinical positions in the VAMCs and that some negative bias existed toward CP by some VAMC chiefs. This survey attempts to determine whether the chiefs' attitudes have shifted as CP redefines itself. Results were similar to those found by Cleveland: Negative bias exists but has decreased. In addition, counseling psychologists in the VAMCs have found a variety of positions, expanding their role beyond previous narrow definitions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Damage-induced property changes in composites subjected to cyclic thermal loading

Damage in the form of transverse cracks resulting from thermal loading is studied as it relates to the dimensional stability of flat laminates and stiffness changes in cylindrical tubes. Graphite-epoxy specimens were subjected to cyclic thermal loading in the temperature range −250 to +250°F. It is shown that transverse cracking is the dominant damage mechanism in both types of structural elements. Fiber splitting is also quite common at the low test temperatures. Experimental results indicate that damage significantly reduces the inplane coefficients of thermal expansion of flat laminates and the torsional stiffness of the tubes. Theoretical predictions for coefficients of thermal expansion as a function of crack spacing in flat laminates followed the same trend as experimental results.     

Examining comorbidity and posttraumatic stress disorder in a Vietnam veteran population using the MMPI-2

Examined the discriminant validity of the MMPI-2 in assessing comorbidity in a posttraumatic stress disorder (PTSD) Vietnam veteran population. The Structured Clinical Interview for the DSM-III-R (SCID) was used to diagnose veterans and to classify them into four groups: PTSD Only, PTSD with mood disorders, PTSD with other anxiety disorders, and PTSD with mood and anxiety disorders. All groups had clinical elevations on scales F, 1, 2, 3, 4, 6, 7, 8, 0, PK, and PS, with peak elevations on scales 8, 7, and 2. The PTSD Only group's MMPI-2 scores were not significantly lower than other groups' scores. The PTSD+Mood/Anxiety group was significantly more elevated on scales 2 and 7 than the PTSD Only and PTSD+Anxiety group but did not otherwise show significantly higher scale elevations than others groups. No significant differences existed between groups on scales F, L, K, PK, and PS. Implications of these results for PTSD and the current diagnostic system are explored.     

Some characteristics of effective psychiatric treatment programs.

Describes a VA cooperative study seeking to identify the ward milieu characteristics of effective psychiatric programs. It is the largest study undertaken so far in terms of number of programs (79), patients (21,667), characteristics examined (191), and adequacy of outcome measures used to estimate program effectiveness. It was performed as a multivariable, correlational natural history study. Differences in characteristics of patients treated in each program were controlled statistically, and a cross-validation design and multiple outcome measures were used to make spurious findings less likely. Program variables were divided into treatment and setting characteristics, or those characteristics that the staff did and did not have control over. Since the most promising treatment characteristics are to be used in a blind follow-up to this study, this article deals mainly with the setting variables. The major finding reported here is that patients admitted to and treated on wards in which a mixture of acute and chronic patients were being treated had better outcomes than patients treated on wards with a more narrowly defined patient population. (30 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Posttraumatic stress disorder: Silent problem among older combat veterans.

Examines posttraumatic stress disorder (PTSD) among older Vietnam combat veterans. It is suggested that PTSD among these veterans is generally chronic, silent, and exacerbated by the problems of aging. These Ss with PTSD can be divided into those with full PTSD and those with partial PTSD. Studies are cited showing prevalence rates for PTSD. The difficulties in measuring PTSD are described. Several moderating variables influence the expression of trauma problems at later life, including the presence of other stressors, health status, social support, and comorbidity. Several forms of therapy are considered, including cognitive behavioral therapy, reminiscence, and relaxational desensitization. Also, several treatment suggestions are given, advocating interventions of a stuck narrative in an aging population. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Static and Dynamic Energy-Absorption Capacity of Graphite-Epoxy Tubular Specimens

This article examines the energy-absorption capacity of 50k and 12k carbon fiber composite tubular specimens crushed axially, in both quasi-static and dynamic fashions. Round and square tubular specimens with - 45° and - 45°/0° fiber orientation schemes were studied. The fundamental issue was to compare the energy-absorption capacity of the lower-cost 50k material with the 12k material, and to examine the influence of specimen geometry, fiber orientation schemes, and dynamic effects on the energyabsorption characteristics. Specimens made from the 50k material absorbed less energy than similar specimens made with the 12k material, and the load ratios were generally higher for the 50k specimens. The square specimens tended to have lower values of specific energy absorption (SEA) than the circular specimens. In addition, the crush modes were somewhat different and the load ratios were generally higher for the square specimens than for the circular specimens. Changing the fiber orientation schemes did not have much of an effect on the SEA, nor on the crush modes, but the presence of 0° fibers led to higher load ratios for the 50k specimens. The specimens tested dynamically had lower SEAs and higher load ratios than similar specimens that were tested statically.     

Comparison of seven protocols to identify fecal contamination sources using Escherichia coli

Microbial source tracking (MST) uses various approaches to classify fecal-indicator microorganisms to source hosts. Reproducibility, accuracy, and robustness of seven phenotypic and genotypic MST protocols were evaluated by use of Escherichia coli from an eight-host library of known-source isolates and a separate, blinded challenge library. In reproducibility tests, measuring each protocol's ability to reclassify blinded replicates, only one (pulsed-field gel electrophoresis; PFGE) correctly classified all test replicates to host species; three protocols classified 48-62% correctly, and the remaining three classified fewer than 25% correctly. In accuracy tests, measuring each protocol's ability to correctly classify new isolates, ribotyping with EcoRI and PvuII approached 100% correctclassification but only 6% of isolates were classified; four of the other six protocols (antibiotic resistance analysis, PFGE, and two repetitive-element PCR protocols) achieved better than random accuracy rates when 30-100% of challenge isolates were classified. In robustness tests, measuring each protocol's ability to recognize isolates from nonlibrary