Skip to main content
Log in

Long-term coping with combat stress

  • Published:
Journal of Traumatic Stress

Abstract

The present report examined ongoing patterns of coping in Vietnam combat veterans from community, outreach, and treatment samples. After reviewing various schemas for conceptualizing coping which exist in the literature, seven coping strategies empirically derived from the Horowitz Coping Inventory were described. Results indicated that the modes of coping most associated with combat intensity were the same as those associated with more symptomatology and a clinical diagnosis of PTSD in the present: event processing, time out for reflection, religion, and denial. Veterans who improved in short-term therapy for PTSD, on the other hand, used emotional expression and sublimation strategies. The findings were discussed in terms of the disorder of PTSD, the recovery process, and conceptual models of adaptation to stress.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Byrne, D. (1964). Repression-sensitization as a dimension of personality. In Maher, B. A. (ed.),Progress in Experimental Personality Research Vol. 1, pp. 169–220, Academic Press, New York.

    Google Scholar 

  • Derogatis, L. R. (1977).SCL-90 R Version: Manual I Johns Hopkins University Press, Baltimore.

    Google Scholar 

  • Endicott, J., and Spitzer, R. L. (1978) A diagnostic interview: The Schedule for Affective Disorders and Schizophrenia.Arch. Gen. Psychiatry. 35: 837–844.

    Google Scholar 

  • Folkman, S., and Lazarus, R. S. (1980). An analysis of coping in a middle-aged community sample,J. Health Soc. Beh. 21: 219–239.

    Google Scholar 

  • Folkman, S., Lazarus, R. S., Dunkel-Schetter, C., DeLongis, A., and Gruen, R. J. (1986a). Dynamics of a stressful encounter: Cognitive appraisal, coping, and encounter outcomes.J. Person. Soc. Psychol. 50: 992–1003.

    Google Scholar 

  • Folkman, S., Lazarus, R. S., Gruen, R. J., and DeLongis, A. (1986b). Appraisal, coping, health status, and psychological symptoms.J. Person. Soc. Psychol. 50: 571–579.

    Google Scholar 

  • Green, B. L., Grace, M. C., and Gleser, G. C. (1985a). Identifying survivors at risk: Long-term impairment following the Beverly Hills Supper Club fire.J. Consult Clin. Psychol. 53: 672–678.

    Google Scholar 

  • Green, B. L., Lindy, J. D., Grace, M. C., and Gleser, G. C. (in press). Multiple diagnosis in post-traumatic stress disorder: The role of war stressors.J. Nerv. Ment. Dis.

  • Green, B. L., Wilson, J., and Lindy, J. D. (1985b). Conceptualizing PTSD: A psychosocial framework. In Figley, C. (ed.),Trauma and Its Wake Brunner/Mazel, New York.

    Google Scholar 

  • Haan, N. (1969). A tripartite model of ego functioning.J. Nerv. Ment. Dis. 148: 14–30.

    Google Scholar 

  • Horowitz, M. J. (1986).Stress Response Syndromes (Second Edition), Jason Aronson. Inc., Northvale, New Jersey.

    Google Scholar 

  • Horowitz, M. J., and Wilner, N. (1980). Life events, stress, and coping. In Poon, L. (ed.),Aging in the 1980's American Psychiatric Association, Washington, D.C.

    Google Scholar 

  • Horowitz, M., Wilner, N., and Alvarez, W. (1979). Impact of Event Scale: A measure of subjective stress.Psychosom. Med. 41: 209–218.

    Google Scholar 

  • Lazarus, R. S. (1981). The stress and coping paradigm. In Eisendorfer, C., Eisdorfer, C., Cohen, D., Kleinman, A., and Maxim, P. (eds.),Models for clinical psychopathology SP Medical and Scientific Books, New York.

    Google Scholar 

  • Lifton, R. J. (1967).Death in Life: Survivors of Hiroshima Random House, New York.

    Google Scholar 

  • Lindy, J. D. In collaboration with Green, B. L., Grace, M. C., MacLeod, J., and Spitz, L. (1988).Vietnam: A Casebook Brunner/Mazel, New York.

    Google Scholar 

  • Menaghan, E. G. (1983). Individual coping efforts. In Kaplan, H. B. (ed.),Psychosocial Stress: Trends in Theory and Research Academic Press, New York.

    Google Scholar 

  • Roth, S., and Cohen, L. J. (1986). Approach, avoidance, and coping with stress.Amer. Psychol. 41: 813–819.

    Google Scholar 

  • Taylor, S. E. (1983). Adjustment to threatening events: A theory of cognitive adaptation.Amer. Psychol. 38: 1161–1173.

    Google Scholar 

  • Tobin, D. L., Holroyd, L. A., Reynolds, R. V., and Wigal, J. K. (in press). The hierarchical factor structure of the Coping Strategies Inventory.Cognit. Ther. Res.

Download references

Author information

Authors and Affiliations

Authors

About this article

Cite this article

Green, B.L., Lindy, J.D. & Grace, M.C. Long-term coping with combat stress. J Trauma Stress 1, 399–412 (1988). https://doi.org/10.1007/BF00980363

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00980363

Key words

Navigation