Current literature on the etiology of combat-related PTSD strongly imp
licates combat trauma exposure as a primary etiological factor. Howeve
r, studies of premilitary variables have produced conflicting results,
perhaps in part due to methodological inconsistencies and failure to
employ standardized measures. The present study examines one premilita
ry variable, childhood physical abuse history. Using a standardized me
asure developed by child abuse researchers, forty-five percent of vete
rans with PTSD were identified as recipients of abusive physical punis
hment during childhood. A positive correlation between physical abuse
history and severity of combat-related PTSD was found. These prelimina
ry findings set the stage for further investigation of the child abuse
variable and underscore the need for treatment of veterans with comba
t-related PTSD which addresses developmental traumagenic events.