Importance The long-term course of readjustment problems in military personnel has not been evaluated in a nationally representative sample. The National Vietnam Veterans Longitudinal Study (NVVLS) is a congressionally mandated assessment of Vietnam veterans who underwent previous assessment in the National Vietnam Veterans Readjustment Study (NVVRS).
Objective To determine the prevalence, course, and comorbidities of war-zone posttraumatic stress disorder (PTSD) across a 25-year interval.

This article is original in that it addresses post-disaster psychosocial support programs from a qualityimprovement perspective, not from the traditional viewpoint of mental health services. Based on a combination of renowned quality models, a framework is sketched that offers chances to better understand and optimize the quality of post-disaster psychosocial service delivery. The quality is reflected in the program’s structure, process, and outcome. Moreover, quality can be expressed in scores per criterion (i.e.

Abstract

Memory of a traumatic event becomes consolidated within hours. Intrusive memories can then flash back repeatedly
into the mind’s eye and cause distress. We investigated whether reconsolidation—the process during which memories
become malleable when recalled—can be blocked using a cognitive task and whether such an approach can reduce
these unbidden intrusions. We predicted that reconsolidation of a reactivated visual memory of experimental trauma
could be disrupted by engaging in a visuospatial task that would compete for visual working memory resources. We