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Research on Aging
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Late-Life Emergence of Early-Life Trauma

The Phenomenon of Late-Onset Stress Symptomatology Among Aging Combat Veterans

Eve H. Davison

VA Boston Healthcare System, Boston, Massachusetts; National Center for PTSD Boston University School of Medicine, Boston, Massachusetts

Anica P. Pless

VA Boston Healthcare System, Boston, Massachusetts

Marilyn R. Gugliucci

University of New England, Biddeford, Maine; Boston University School of Public Health, Boston, Massachusetts

Lynda A. King

Daniel W. King

VA Boston Healthcare System, Boston, Massachusetts; National Center for PTSD Boston University, Boston, Massachusetts

Dawn M. Salgado

VA Boston Healthcare System, Boston, Massachusetts

Avron Spiro, III

VA Boston Healthcare System, Boston, Massachusetts; VA Medical Center, Bedford, Massachusetts; Boston University School of Public Health, Boston, Massachusetts

Peter Bachrach

VA Boston Healthcare System, Boston, Massachusetts

This study aimed to provide preliminary evidence for, and explore potential antecedents and correlates of, a phenomenon observed in aging combat veterans termed late-onset stress symptomatology (LOSS). LOSS is a hypothesized phenomenon among older veterans who (a) experienced highly stressful combat events in early adulthood; (b) functioned successfully throughout their lives, with no chronic stress-related disorders; but (c) begin to register increased combat-related thoughts, feelings, reminiscences, memories, or symptoms commensurate with the changes and challenges of aging, sometimes decades after their combat experiences. Using a qualitative focus group methodology with 47 World War II, Korean Conflict, and Vietnam War veterans, the authors obtained preliminary evidence for the presence of LOSS as defined, identified some of its features, revealed some normative late-life stressors that may precipitate LOSS, and uncovered potential intrapersonal risk and resilience factors for LOSS. The authors present illustrative quotations from the group discussions and discuss the implications and future directions of this research.

Key Words: aging • combat veterans • combat trauma • life-course effects of trauma • focus group research

Research on Aging, Vol. 28, No. 1, 84-114 (2006)
DOI: 10.1177/0164027505281560
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