Abstract:
AIM:To examine relationships among combat exposure, posttraumatic stress disorder (PTSD) symptoms, depression, suicidality, nicotine dependence, and religiosity in Croatian veterans. METHODS:This cross-sectional study used Combat Exposure Scale (CES) to quantify the stressor severity, PTSD Checklist 5 (PCL) to quantify PTSD severity, Duke University Religion Index to quantify religiosity, Montgomery Asberg (MADRS) and Hamilton Depression (HAM-D) rating scales to measure depression/suicidality, and Fagerstrom Test for Nicotine Dependence to assess nicotine dependence. Zero-order correlations, cluster analysis, multivariate regression, and mediation models were used for data analysis. RESULTS:Of 69 patients included, 71% met "high religiosity" criteria and 29% had moderate/high nicotine dependence. PTSD was severe (median PCL 71), depression was mild/moderate (median MADRS 19, HAM-D 14), while suicidality was mild. A subset of patients was identified with more severe PTSD/depression/suicidality and nicotine dependence (all P<0.001). Two "chains" of direct and indirect independent associations were detected. Higher CES was associated with higher level of re-experiencing and, through re-experiencing, with higher negativity and hyperarousal. It also showed "downstream" division into two arms, one including a direct and indirect association with higher depression and lower probability of high religiosity, and the other including associations with higher suicidality and lower probability of high nicotine dependence. CONCLUSIONS:Psychopathology, religiosity, and nicotine dependence are intertwined in a complex way not detectable by simple direct associations. Heavy smoking might be a marker of severe PTSD psychopathology, while spirituality might be targeted in attempts of its alleviation. Oxford Centre for Evidence-based Medicine level of evidence: 3.
journal_name
Croat Med Jjournal_title
Croatian medical journalauthors
Šagud M,Petrović B,Vilibić M,Mihaljević-Peleš A,Vuksan-Ćusa B,Radoš I,Greš A,Trkulja Vsubject
Has Abstractpub_date
2018-08-31 00:00:00pages
165-177issue
4eissn
0353-9504issn
1332-8166journal_volume
59pub_type
杂志文章abstract:AIM:To evaluate the results of current reforms in Macedonian health sector. METHOD:Description and situation analysis, covering the period 1991-1997, are focused on demographic and vital indicators, morbidity and mortality data, elements of health care system, legislation, health insurance, health care financing, and ...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:1999-06-01 00:00:00
abstract::Aim .To investigate if there are differences in medical ethics education between different schools of medicine in Spain, specifically between private and public schools and between recently founded schools and older ones. METHOD:The curricula of medical degrees from all Spanish faculties were reviewed for the 2014/20...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2016.57.493
更新日期:2016-10-31 00:00:00
abstract:AIM:To study the association between genetic variants in myocilin and collagen type I alpha 1 genes and high myopia in an isolated island population. METHODS:A total of 944 examinees from the genetic epidemiology study conducted on the island of Korcula, Croatia, were included in the study. We selected 2 short nucleot...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2009.50.17
更新日期:2009-02-01 00:00:00
abstract:AIM:To make a survey of children's health and psychosocial needs after the 1992-1995 war in Sarajevo, Bosnia and Herzegovina. METHODS:Representative samples of school-age children (n=310) from 6 public schools in the Sarajevo Canton, their parents (n=280), and teachers (n=156) were surveyed by means of self-administer...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2002-04-01 00:00:00
abstract::We report on the 10-year follow-up and clinical, cytogenetic, and molecular investigation of a girl admitted for evaluation because of speech delay, learning difficulties, aggressive behavior, and dysmorphic facial features that included high forehead, round face, epicanthic folds, low-set dysplastic ears, flat nasal ...
journal_title:Croatian medical journal
pub_type: 杂志文章
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更新日期:2011-06-01 00:00:00
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journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2004-08-01 00:00:00
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journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2003-12-01 00:00:00
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journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:1998-09-01 00:00:00
abstract:AIM:To evaluate psychosomatic complaints and depressive symptoms among civilians, refugees, and soldiers in the war and post-war period in Croatia. METHOD:The design of the study was longitudinal, including four repeated assessments during the war and post-war period (1993, 1995, 2000, and 2004). The baseline assessme...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2005-04-01 00:00:00
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journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2007-02-01 00:00:00
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journal_title:Croatian medical journal
pub_type: 社论
doi:
更新日期:2002-06-01 00:00:00
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journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2013.54.286
更新日期:2013-06-01 00:00:00
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journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2003-08-01 00:00:00
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journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2004-12-01 00:00:00
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journal_title:Croatian medical journal
pub_type: 杂志文章,随机对照试验
doi:10.3325/cmj.2017.58.270
更新日期:2017-08-31 00:00:00
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journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2014.55.218
更新日期:2014-06-01 00:00:00
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journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2010.51.406
更新日期:2010-10-01 00:00:00
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journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/2010.51.181
更新日期:2010-06-01 00:00:00
abstract:AIM:To quantify the exchange of water between cerebral compartments, specifically blood, tissue, perivascular pathways, and cerebrospinal fluid-filled spaces, on the basis of experimental data and to propose a dynamic global model of water flux through the entire brain to elucidate functionally relevant fluid exchange ...
journal_title:Croatian medical journal
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doi:10.3325/cmj.2017.58.384
更新日期:2017-12-31 00:00:00
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journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:1998-12-01 00:00:00
abstract:AIM:To determine the physical activity level of the Croatian population in different domains of everyday life. METHODS:A random stratified sample of 1032 Croatians aged 15 years and older was interviewed using the official Croatian long version of the International Physical Activity Questionnaire (IPAQ). Total physica...
journal_title:Croatian medical journal
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doi:10.3325/cmj.2009.50.165
更新日期:2009-04-01 00:00:00
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journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2020-07-05 00:00:00
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更新日期:2017-06-14 00:00:00
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pub_type: 杂志文章
doi:
更新日期:2019-04-30 00:00:00
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journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:1998-06-01 00:00:00
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journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2001-12-01 00:00:00
abstract:AIM:Analysis of countertransference problems in the treatment of a heterogeneous group of war veterans. METHOD:The method used in this work was psychodynamic clinical observation and analysis of countertransference phenomena in group therapy. RESULTS:In the beginning of our work, we faced with a regressive group, whi...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:1999-12-01 00:00:00
abstract::Brain death or neurologic death has gradually become recognized as human death over the past decades worldwide. Nevertheless, in Japan, the New York State, and the State of New Jersey, death is declared based not on brain death criteria, but on cardio-pulmonary criteria. In Japan, the 1997 Organ Transplant Law legaliz...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:10.3325/cmj.2013.54.75
更新日期:2013-02-01 00:00:00
abstract:AIM:To evaluate motoric intestinal disturbances during inflammation with Trichinella spiralis in rats as an experimental model. METHODS:We examined the changes in worm-positive (jejunum) and worm-free (ileum) intestinal segments of rats infected with T. spiralis. To investigate the relationship between structural and ...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2006-04-01 00:00:00
abstract:AIM:To evaluate the effectiveness of suture anchors in the reconstruction of chronic collateral ligaments of fingers. METHODS:We treated 8 patients, 6 with chronic instability of the collateral ligament of the thumb and 2 with the instability of the fifth finger, using the Statak suture anchor. A stable joint was achi...
journal_title:Croatian medical journal
pub_type: 杂志文章
doi:
更新日期:2001-10-01 00:00:00