Abstract：
:Posttraumatic stress disorder (PTSD) has previously been associated with increased risk for a variety of chronic medical conditions and it is often underdiagnosed in minority civilian populations. The current study examined the effects of resilience on the likelihood of having a diagnosis of PTSD in an inner-city sample of primary care patients (n=767). We measured resilience with the Connor-Davidson Resilience Scale, trauma with the Childhood Trauma Questionnaire and Trauma Events Inventory, and assessed for PTSD with the modified PTSD symptom scale. Multiple logistic regression model with presence/absence of PTSD as the outcome yielded 3 significant factors: childhood abuse, nonchild abuse trauma, and resilience. One type of childhood abuse in moderate to severe range (OR, 2.01; p = .0001), 2 or more types of childhood abuse in moderate to severe range (OR, 4.00; p < or = .0001), and 2 or more types of nonchildhood abuse trauma exposure (OR, 3.33; p < or = .0001), were significantly associated with an increased likelihood of PTSD, while resilience was robustly and significantly associated with a decreased likelihood of PTSD (OR, 0.93; p < or = .0001). By understanding the role of resilience in recovery from adverse experiences, improved treatment and interventional methods may be developed. Furthermore, these results suggest a role for assessing resilience in highly traumatized primary care populations as a way to better characterize risk for PTSD and direct screening/psychiatric referral efforts.
journal_name
J Natl Med Assocjournal_title
Journal of the National Medical Associationauthors
Wrenn GL,Wingo AP,Moore R,Pelletier T,Gutman AR,Bradley B,Ressler KJdoi
10.1016/s0027-9684(15)30381-3subject
Has Abstractpub_date
2011-07-01 00:00:00pages
560-6issue
7eissn
0027-9684issn
1943-4693pii
S0027-9684(15)30381-3journal_volume
103pub_type
杂志文章abstract：:Sickle cell disease (SCD) is a hematological disorder that is manifested primarily by severe pain and chronic organ damage. Little normative data exists on what the usual healthcare utilization is of a population of SCD patients, especially adults. Our study analyzed the office, emergency department (ED) and hospital ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2006-07-01 00:00:00
abstract：:Three open-label studies were conducted in which natural human interferon-alpha (nHuIFN-alpha) was given orally to human immunodeficiency virus (HIV)-infected patients at a daily dosage of 150 IU for 12 months in an attempt to assess the effects of this treatment on their CD4+ cell counts. In the first study, 110 pati...
journal_title：Journal of the National Medical Association
pub_type： 临床试验,杂志文章
doi：
更新日期：1994-04-01 00:00:00
abstract：:A rare case of primary melanoma of the cervix is reported. The patient presented with vaginal bleeding and was thought to have a degenerated cervical fibroid. A radical hysterectomy with pelvic node dissection was performed and followed postoperatively with chemotherapy (phenylalanine mustard). The patient died within...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1981-12-01 00:00:00
abstract：:The case of a 43-year-old female with propylthiouracil-induced hepatitis is reported. The case is unique because the patient's liver function deteriorated 2 weeks after medication was discontinued. ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1991-01-01 00:00:00
abstract：BACKGROUND:Pregnant women with sickle cell disease (SCD) are at increased risk of maternal and fetal complications. There are limited data on the outcome of the treatment of VOCs with opioids in relation to neonatal complications during pregnancy. METHODS:This is a retrospective cohort study of women with SCD from Jan...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/j.jnma.2017.04.002
更新日期：2018-04-01 00:00:00
abstract：:This article reviews the basic concepts and techniques of time management as they relate to a medical lifestyle. Essential tools are described to help the physician reassess and sharpen skills for handling intensifying demands and constraints of juggling patient care, research, teaching, and family responsibilities. T...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：
更新日期：1996-09-01 00:00:00
abstract：:The occurrence of multifocal rhabdomyoma is exceedingly rare with less than half a dozen cases collected in the literature. We present a case of multifocal rhabdomyoma of the head and neck that involves extension of the tumor to the vallecula, the glossoepiglottic fold, and the aeriepiglottic fold. ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1993-02-01 00:00:00
abstract：:A Nigerian school boy with the syndrome of multiple jaw cysts, skeletal anomalies, and basal cell nevi is described and discussed. To the authors' knowledge, this is the first report of this syndrome in a black African. ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1980-03-01 00:00:00
abstract：:Group B streptococci (GBS) have been infrequently recognized as a cause of pharyngitis. We report three cases of GBS pharyngitis in patients with underlying diseases, two of whom were treated with and responded incompletely to oral beta-lactam antibiotics. The susceptibility of 20 clinical isolates of GBS was tested b...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1981-10-01 00:00:00
abstract：PURPOSE:To determine the factors associated with inadequate follow-up for abnormal Pap smears among a cohort of Boston women from urban academic clinics. METHODS:Subjects were women > 18 years with abnormal cervical cytology between February 1999 and April 2000. Inadequate follow-up was defined as lack of subsequent c...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2003-09-01 00:00:00
abstract：:The growing incidence of diabetes mellitus in the world is a widespread concern. While there has been improvement in the epidemiology and management of the disease in the developed world, the same cannot be said in sub-Saharan Africa. The disease is getting less attention as is the funding that it merits compared to c...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/s0027-9684(15)30643-x
更新日期：2010-07-01 00:00:00
abstract：:Most radiologists agree that micronized barium is superior to regular USP barium in demonstrating ulcers of the stomach and duodenum. The authors present the results of a study which shows the differences in reliability of the two substances in demonstrating duodenal ulcers. ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1980-09-01 00:00:00
abstract：:Obesity is on the rise worldwide. An obesity subtype, metabolically healthy obese (MHO), is resilient to unfavorable metabolic and cardiovascular effects. Factors predicting MHO phenotype are not well characterized. We aimed to identify MHO and metabolically unhealthy obese (MUO) children and adolescents with respect ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/j.jnma.2017.02.008
更新日期：2017-10-01 00:00:00
abstract：:To describe the natural history of adult respiratory distress syndrome (ARDS), we compared the clinical course of two groups of postoperative critically ill patients who developed respiratory failure requiring prolonged endotracheal intubation (minimum: 4 days). The two groups with ARDS (Group 1) and without ARDS (Gro...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1993-01-01 00:00:00
abstract：:Primary lymphoma of the central nervous system (CNS) is difficult to diagnose because of the difficulty in differentiating it from multiple sclerosis, sarcoidosis, metastatic disease, chronic granulomatous disease, and cerebral cysticercosis. With the patient presented in this report, no abnormalities were found after...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1987-02-01 00:00:00
abstract：:Four hundred ninety-nine nosocomial infections (with 657 isolates) in 288 Surgical Service patients were monitored from February 1986 to June 1987 (17 months) to determine the influence that pathogen or site of infection had on the length of hospital stay. Patients with upper respiratory and skin infections were more ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1990-04-01 00:00:00
abstract：:African Americans are less likely than European Americans to participate in biomedical research. Researchers often attribute nonparticipation to the "Tuskegee effect." Using critical qualitative analysis of focus group data, we examined the public's use of the Tuskegee Study of Untreated Syphilis (TSUS) to discuss bio...
journal_title：Journal of the National Medical Association
pub_type： 历史文章,杂志文章
doi：
更新日期：2004-08-01 00:00:00
abstract：:Students of African ancestry often share an experience of being a racialized minority in the context of the educational institution. Late Professor of Anthropology John Ogbu's Cultural-ecological Theory of Academic Disengagement is employed to describe the negative responses encountered by peers in the name of academi...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：10.1016/j.jnma.2016.12.001
更新日期：2017-04-01 00:00:00
abstract：:Despite pernicious racism, most black health professionals achieve professional success and most have stable marriages. A 19-item questionnaire was designed to assess this hypothesis following a lecture on the strengths and weaknesses of black health professional families to physicians, dentists, and their spouses (n ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1992-01-01 00:00:00
abstract：:A day-long seminar was held at Wake Forest University School of Medicine to address barriers among ethnic minorities in cancer clinical trials and explore ways that individuals who design and conduct clinical trials could increase minority representation. Speakers addressed implications of under-representation of mino...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章,评审
doi：
更新日期：2002-01-01 00:00:00
abstract：:African Americans have higher rates of hypertension and poorer health status than their white counterparts. This study assessed the relationship between health status, cardiovascular risk factors, and measured blood pressure. Free blood pressure screenings were performed at businesses and organizations located in west...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1998-11-01 00:00:00
abstract：:Meager information exists regarding the morbidity of cancer surgery in obese patients, and it is generally assumed that surgery in the obese patient is attended with increased complications over those found in nonobese patients. A retrospective evaluation was undertaken at the Louisiana State University Medical Center...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1988-04-01 00:00:00
abstract：:The surgical approach to liver injury depends on a clear and concise characterization of the wound. Blunt trauma can produce devastating wounds that disrupt hepatic venous drainage. Atrial caval shunting remains a useful technique for Grade V liver wounds. Liver packing may be necessary if diffuse lobar injury, acidos...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1994-01-01 00:00:00
abstract：:This study examined the clinical characteristics and outcome of pulmonary tuberculosis in African Americans hospitalized in a teaching hospital in south-central Los Angeles from May 1992 through April 1994. The charts of 41 African Americans with culture-positive Mycobacterium tuberculosis were reviewed. Predisposing ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1998-02-01 00:00:00
abstract：:Increased QT dispersion (QTd) is a noninvasive marker of an electrophysiologic abnormality associated with high mortality in coronary artery disease. The purposes of this study were to measure changes in QTd and ST-segment changes immediately before, during and after intracoronary balloon inflation and to determine wh...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：2007-08-01 00:00:00
abstract：:Comprehensive health care planning can augment the educational programming for children with exceptional health and/or learning needs. The coordination of medical service and education is critically needed to reduce the traditional gulf between these two essential disciplines. Bridging this gulf will enable patients a...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1982-10-01 00:00:00
abstract：:Sixteen cytologic endocervical atypias are reported with corroborative tissue analysis. Maternal diethylstilbestrol (DES) history was positive in three patients, one with clear cell adenocarcinoma, one with colposcopy and biopsy proven benign vaginal adenosis, and one with squamous carcinoma in situ of the cervix. Col...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1978-12-01 00:00:00
abstract：:A review of 313 intraoperative consultations and/or frozen section evaluations of neoplasms of the ovary was conducted. The intraoperative diagnosis of benign or malignant was compared with the diagnosis found at permanent section. Only six cases were deferred to permanent section. The overall accuracy was 93.9%. The ...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1994-02-01 00:00:00
abstract：:The treatment of patients with sickle cell disease and cholelithiasis is controversial. This retrospective study assesses the outcome of preoperative transfusion and timely cholecystectomy in symptomatic sickle cell disease patients. Fourteen patients who had undergone cholecystectomy were determined to have sickle ce...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1992-08-01 00:00:00
abstract：:The possibility that myocardial ischemia may be associated with chest pain during painful crises was evaluated prospectively in 20 patients (11 women and nine men) with sickle cell disease (19 SS, 1 S beta + thalassemia). Sixteen of 20 (80%) had abnormal ECGs, 7 (35%) had transient ST-T wave changes, and 3 (15%) had p...
journal_title：Journal of the National Medical Association
pub_type： 杂志文章
doi：
更新日期：1991-03-01 00:00:00
