Abstract:
BACKGROUND:While both full and subthreshold posttraumatic stress disorder (PTSD) may be linked to physical conditions, contemporary population-based data on these associations in military veterans are scarce. Further, little is known about how component aspects of PTSD, which is a heterogeneous disorder, may relate to physical conditions in this population. METHODS:Data were analyzed from a population-based sample of 3157 U.S. military veterans who participated in the 2011 National Health and Resilience in Veterans Study. Multiple logistic regression analyses evaluated associations between full and subthreshold PTSD, and physical conditions. RESULTS:A total 6.1% of the sample met screening criteria for full PTSD and 9.0% for subthreshold PTSD. Both full and subthreshold PTSD were associated with increased odds of sleep disorder (adjusted odds ratio [AOR] = 3.52 and 2.10, respectively) and respiratory conditions (AOR = 2.60 and 1.87, respectively). Full PTSD was additionally associated with increased odds of osteoporosis or osteopenia (AOR = 2.72) and migraine (AOR = 1.91), while subthreshold PTSD only was associated with increased odds of diabetes (AOR = 1.42). Analyses of PTSD symptom clusters revealed that all of these associations were primarily driven by dysphoric arousal symptoms, which are characterized by sleep difficulties, anger/irritability, and concentration problems. LIMITATIONS:The study used self-report measures for health conditions and DSM-IV diagnostic criteria for PTSD. CONCLUSION:Results of this study provide a characterization of physical conditions associated with full and subthreshold PTSD in U.S. military veterans. They highlight the potential importance of PTSD dysphoric arousal in risk models of certain physical conditions in this population.
journal_name
J Affect Disordjournal_title
Journal of affective disordersauthors
El-Gabalawy R,Blaney C,Tsai J,Sumner JA,Pietrzak RHdoi
10.1016/j.jad.2017.11.058subject
Has Abstractpub_date
2018-02-01 00:00:00pages
849-853eissn
0165-0327issn
1573-2517pii
S0165-0327(17)31072-8journal_volume
227pub_type
杂志文章abstract::Epidemiological surveys demonstrate that unipolar depression is more common in females than in males. Gender-specific cultural and social factors may contribute to the female preponderance. This study explores this possibility in a cross-cultural sample of general-practice patients systematically recruited in the WHO ...
journal_title:Journal of affective disorders
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journal_title:Journal of affective disorders
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journal_title:Journal of affective disorders
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journal_title:Journal of affective disorders
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journal_title:Journal of affective disorders
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journal_title:Journal of affective disorders
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journal_title:Journal of affective disorders
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journal_title:Journal of affective disorders
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
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journal_title:Journal of affective disorders
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doi:10.1016/j.jad.2015.01.029
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journal_title:Journal of affective disorders
pub_type: 杂志文章,随机对照试验
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journal_title:Journal of affective disorders
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journal_title:Journal of affective disorders
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doi:10.1016/s0165-0327(00)00281-0
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journal_title:Journal of affective disorders
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doi:10.1016/j.jad.2014.10.006
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,meta分析
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journal_title:Journal of affective disorders
pub_type: 杂志文章
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更新日期:2020-04-01 00:00:00
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