Dt. Holmes et al., PRELIMINARY EVIDENCE OF PSYCHOLOGICAL DISTRESS AMONG RESERVISTS IN THE PERSIAN-GULF-WAR, The Journal of nervous and mental disease, 186(3), 1998, pp. 166-173
This study was conducted as a preliminary investigation into the prese
nce and nature of psychological distress among military reserve person
nel as a result of their participation in the Persian Gulf War. Eleven
months after cessation of hostilities in the Gulf War, a self-report
survey was mailed to the home of each of the 1090 members who had been
assigned to the study Air National Guard unit during this period. Aft
er unit activation in December 1990, 517 of these individuals were dep
loyed to the Persian Gulf as participants in Operation Desert Storm. T
he remainder of the unit participated in their military service during
this period without being deployed to the Persian Gulf. The survey co
nsisted of a demographic section, the Mississippi Scale for Combat Rel
ated Posttraumatic Stress Disorder (M-PTSD), the revised Symptom Check
list 90 (SCL-90-R), and an anecdotal response section; 46% of those su
rveyed responded. The major finding of the study was that 6.8% of the
respondents who served in the combat theater had elevated M-PTSD score
s. This was a statistically significant finding compared with the 1.7%
of those surveyed who had elevated M-PTSD scores having served at hom
e (chi(2) = 6.25, df = 1, p = .01). These elevated M-PTSD scores were
found despite low levels of traditional combat stressors and strong le
vels of perceived public support. SCL-90-R scores were also higher in
deployed versus nondeployed respondents. Although the clinical presenc
e of PTSD was not established by this study, the preliminary finding o
f elevated M-PTSD scores in the deployed group is suggestive of the po
ssibility of clinical PTSD. This finding supports the need for further
PTSD research among reservists who are exposed to nontraditional. com
bat stressors. Elevated SCL-90-R scores in the deployed group also sug
gest that other forms of psychological distress may have developed in
a significant number of combat veterans of the Persian Gulf War.