Letter to the Editor PTSD and Trauma May 15, 2011

Does Combat Trauma Cause a Majority of PTSD Symptoms in Combat Veterans?

Richard L. Elliott, MD, PhD

J Clin Psychiatry 2011;72(5):724-725

Article Abstract

Letter to the Editor

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Gilbertson et al concluded that "the majority of psychiatric symptoms reported by combat veterans with PTSD [posttraumatic stress disorder] would not have been present were it not for their exposure to traumatic events." This conclusion was based on a comparison between combat-exposed Vietnam veterans and identical male twins who were not exposed to combat trauma. I question whether the results truly support the conclusion that the majority of symptoms would not have been present, as an important factor contributing to reported psychopathology in veterans is compensation status.

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