Health Status, Somatization, and Severity of Posttraumatic Stress Disorder in Vietnam Combat Veterans With Posttraumatic Stress Disorder

Beckham, Jean C.; Moore, Scott D.; Feldman, Michelle E.; Hertzberg, Michael A.; Kirby, Angela C.; Fairbank, John A.

doi:10.1176/ajp.155.11.1565

Cited by 246 publications

(128 citation statements)

References 23 publications

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“…17,18 Chronic disease may increase vulnerability and the likelihood of PTSD, depression, and anxiety. Relationships between psychologic and physical illnesses such as asthma 15,30 or GERD 14 have also been reported.…”

Section: Discussionmentioning

confidence: 99%

“…13 Others have shown relationships between PTSD and physical health ailments, including respiratory diseases, [14][15][16] and reduced health-related quality of life. 17,18 The goal of this study was to examine the relationship between WTC cough syndrome symptoms and symptoms consistent with PTSD, including assessment of delayed onset of symptoms. We also report on the infl uence of cofactors such as the intensity of WTC exposure and pulmonary function.…”

Section: Wtc Cough Syndrome Symptomsmentioning

confidence: 99%

See 1 more Smart Citation

Comorbid Trends in World Trade Center Cough Syndrome and Probable Posttraumatic Stress Disorder in Firefighters

Niles

Webber

Gustave

et al. 2011

Chest

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Section: Discussionmentioning

confidence: 99%

Section: Wtc Cough Syndrome Symptomsmentioning

confidence: 99%

Comorbid Trends in World Trade Center Cough Syndrome and Probable Posttraumatic Stress Disorder in Firefighters

Niles

Webber

Gustave

et al. 2011

Chest

View full text Add to dashboard Cite

“…chest tightness and shortness of breath), making it difficult to distinguish between these two conditions. Correspondingly, male combat veterans with PTSD did not have more commonly physician-diagnosed pulmonary diseases than those without PTSD [21], and the agreement between patients' and physicians' reports of respiratory dysfunction was low in Vietnam veterans independent of their PTSD status [22]. Thirdly, traumatic experiences and PTSD, respectively, have not yet been related to objective measures of lung function.…”

mentioning

confidence: 89%

Association of airflow limitation with trauma exposure and post-traumatic stress disorder

Spitzer¹,

Koch²,

Grabe³

et al. 2010

European Respiratory Journal

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Trauma exposure and post-traumatic stress disorder (PTSD) are associated with self-reported asthma and chronic obstructive pulmonary disease. However, these conditions have not yet been related to objective measures of lung function.1,772 adults from the general population were assessed regarding their medical histories and spirometric lung function. Additionally, they were administered a PTSD interview, and assigned to three groups: no trauma; trauma, but no PTSD; and trauma with PTSD.Adjusting for sociodemographic, clinical and lifestyle factors, subjects with PTSD had significantly higher odds ratios for most asthma-related symptoms than PTSD-negative participants (OR 3.2-8.8). The mean ratio of forced expiratory volume in 1 s (FEV1) to forced vital capacity (FVC) was lowest in the PTSD group and highest in those without trauma exposure. Traumatic stress was independently associated with FEV1 and FEV1/FVC. Participants with PTSD, compared with those without, had a significantly increased risk for airflow limitation independent of its definition .This is the first study relating traumatic stress and PTSD, respectively, to objective parameters of lung function. Our findings suggest an association of trauma exposure and PTSD with airflow limitation, which may be mediated by inflammatory processes.

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“…Smokers report a higher frequency of smoking in response to military memories (19,22); however, stopping smoking is not associated with worsening PTSD or depression (23). Because PTSD is associated with elevated rates of nicotine use, it has an indirect impact on cardiovascular health (24).…”

Section: Behavioral Health Risk Factors and Treatment For Ptsdmentioning

confidence: 99%

A computerized, tailored intervention to address behaviors associated with PTSD in veterans: rationale and design of STR2IVE

Jordan

Evers

Burke

et al. 2011

Behav. Med. Pract. Policy Res.

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Combat exposure among military personnel results in increased risk of posttraumatic stress disorder (PTSD), major depression, substance use, and related health risks. PTSD symptoms require innovative approaches to promote effective coping postdeployment. PTSD's nature and scope requires an approach capable of integrating multiple health risks while reaching large populations. This article provides the rationale and approach to adapt and evaluate a Pro-Change computerized tailored intervention (CTI) targeted at behavioral sequelae (i.e., smoking, stress, and depression) for veterans with or at risk for PTSD. The three-phase approach includes: 1) focus groups to review and, subsequently, adapt content of the existing CTI programs; 2) usability testing; and 3) feasibility testing using a three-month pre-postdesign. Effective, theory-based, real-time, multiple behavior interventions targeting veterans' readiness to quit smoking, manage stress, and depression are warranted to provide potential health impact, opportunities for learning veteran-specific issues, and advance multiple health behavior change knowledge.

show abstract

Health Status, Somatization, and Severity of Posttraumatic Stress Disorder in Vietnam Combat Veterans With Posttraumatic Stress Disorder

Abstract: The presence and severity of PTSD in veterans were associated with greater physical health problems and conditions. Psychological variables (e.g., PTSD status, PTSD severity, somatization) and a behavioral variable (pack-year history) were related to health status.

Cited by 246 publications

References 23 publications

Comorbid Trends in World Trade Center Cough Syndrome and Probable Posttraumatic Stress Disorder in Firefighters

Comorbid Trends in World Trade Center Cough Syndrome and Probable Posttraumatic Stress Disorder in Firefighters

Association of airflow limitation with trauma exposure and post-traumatic stress disorder

A computerized, tailored intervention to address behaviors associated with PTSD in veterans: rationale and design of STR2IVE

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