Subclinical Posttraumatic Stress Disorder Symptoms: Relationships with Blood Pressure, Hostility, and Sleep

McCubbin, James A.; Zinzow, Heidi M.; Hibdon, Melissa A.; Nathan, A W; Morrison, Anastasia V.; Hayden, Gregg W.; Lindberg, Caitlyn; Switzer, Fred S.

doi:10.1155/2016/4720941

Cited by 22 publications

(16 citation statements)

References 50 publications

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“…Social support may be particularly vital in mitigating the effects of cynical hostility on mental health in low-income patients. e detection of an indirect effect of hostility on pain and sleep disturbance via social support and mental health is consistent with previous research [48][49][50][51].…”

Section: Discussionsupporting

confidence: 90%

Psychosocial Underpinnings of Pain and Sleep Disturbance in Safety-Net Primary Care Patients

Griffin

Tan

Perrin

et al. 2020

Pain Research and Management

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Objective. The aim of this study was to uncover possible psychosocial underpinnings of pain and sleep disturbance in a safety-net primary care sample. Methods. Patients (n = 210) awaiting care in a safety-net primary care clinic waiting room completed measures of cynical hostility, social support, mental health, sleep disturbance, and pain. This study was cross-sectional and observational. Results. A structural equation model suggested that higher cynical hostility was associated with lower social support, which in turn was associated with poorer mental health, which then corresponded with higher pain and sleep disturbance. All possible indirect (mediational) effects within this model were statistically significant, suggesting a possible route through which cynical hostility may shape pain and sleep, two common presenting problems in primary care. Conclusions. These findings illustrate the interplay of psychosocial factors with chronic pain and sleep disturbance in a sample of low-income, predominantly African-American patients seeking care at a safety-net primary care clinic. The findings support integrated primary care as a way to target not only behavioral health issues but also the psychosocial factors entangled with physical health.

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Section: Discussionsupporting

confidence: 90%

Psychosocial Underpinnings of Pain and Sleep Disturbance in Safety-Net Primary Care Patients

Griffin

Tan

Perrin

et al. 2020

Pain Research and Management

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“…The PTSD Checklist from the DSM-5 (PCL-5) was used to assess PTSD-like symptoms 52 . This 20-item self-report questionnaire that assesses DSM-5 symptoms of PTSD is suitable to screen individuals for PTSD, but it can also be applied from a dimensional point of view to quantify the severity of symptoms of stress in clinical and subclinical populations 75 . Symptoms of depression were assessed with the short form of the Beck Depression Inventory (BDI-13).…”

Section: Methodsmentioning

confidence: 99%

Home confinement during the COVID-19: day-to-day associations of sleep quality with rumination, psychotic-like experiences and somatic symptoms

Simor¹,

Polner²,

Bathori³

et al. 2020

Preprint

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Due to the COVID-19 pandemic, populations from many countries have been confined at home for extended periods of time in stressful environmental and media conditions. Cross-sectional studies already evidenced deleterious psychological consequences, with poor sleep as a risk factor for impaired mental health. However, limitations of cross-sectional assessments are response bias tendencies, and the inability to track daily fluctuations in specific subjective experiences in extended confinement conditions. In a prospective study conducted across three European countries, we queried participants (N = 166) twice a day through an online interface about their sleep quality and their negative psychological experiences for two consecutive weeks. Focus was set on between-and within-person associations of subjective sleep quality with daytime experiences such as rumination, psychotic-like experiences, and somatic complaints about the typical symptoms of the coronavirus. Results show that daily reports of country-specific COVID-19 deaths predicted increased negative mood, psychotic-like experiences and somatic complaints during the same day, and decreased subjective sleep quality the following night. Disrupted sleep was globally associated with negative psychological outcomes during the study period, and a relatively poorer night of sleep predicted increased rumination, psychotic-like experiences, and somatic complaints the following day. This temporal association was unidirectional since daytime reports of negative mental experiences were not associated with poor sleep quality on the following night. Our findings show that night-to-night changes in sleep quality predict how individuals cope the next day with daily challenges induced by home confinement

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“…Unfortunately, subclinical PTSD remains understudied, poorly characterized and minimally treated (Korte et al., 2016). Subclinical (subthreshold) PTSD has been shown to be associated with increased resting blood pressure and poor sleep quality in young men and women (McCubbin et al., 2016). Trauma exposure alone has been shown to increase CVD risk in women over a 20‐year period, even in the absence of developing overt (full) PTSD (Sumner et al., 2015).…”

Section: Introductionmentioning

confidence: 99%

Sex differences in the association between PTSD symptoms with cardiac autonomic function and subclinical atherosclerotic risk

Holmstrup

Jensen

Glasgow

et al. 2020

Clin Physio Funct Imaging

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Subclinical Posttraumatic Stress Disorder Symptoms: Relationships with Blood Pressure, Hostility, and Sleep

Cited by 22 publications

References 50 publications

Psychosocial Underpinnings of Pain and Sleep Disturbance in Safety-Net Primary Care Patients

Psychosocial Underpinnings of Pain and Sleep Disturbance in Safety-Net Primary Care Patients

Home confinement during the COVID-19: day-to-day associations of sleep quality with rumination, psychotic-like experiences and somatic symptoms

Sex differences in the association between PTSD symptoms with cardiac autonomic function and subclinical atherosclerotic risk

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