Posttraumatic Stress and Its Relationship to Physical Health Functioning in a Sample of Iraq and Afghanistan War Veterans Seeking Postdeployment VA Health Care

Jakupcak, Matthew; Luterek, Jane A.; Hunt, Stephen C.; Conybeare, Daniel; McFall, Miles

doi:10.1097/nmd.0b013e31817108ed

Cited by 110 publications

(84 citation statements)

References 16 publications

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“…According to the findings of the reviewed articles, the self-care status and ADLs were poor among the veterans who suffered from the PTSD. In all of the studies, the physical functioning (i.e., self-care or ADLS) were lower in the PTSD population in comparison to their non-PTSD counterpart (31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42)(43)(44)(45). Our study is congruent with those demonstrating that the PTSD significantly enhances multiple domains of functional impairment (29,46,47).…”

Section: Discussionsupporting

confidence: 81%

See 1 more Smart Citation

Self-care status of veterans with combat-related post traumatic stress disorder: A review article

Khalili

Nir

Fallahi-Khoshknab

et al. 2017

J Nurs Midwifery Sci

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Background and Purpose: Post-traumatic stress disorder (PTSD) is identified as the risk factor for functional difficulties in most of the survivors. The aim of this study was to investigate the current evidence-based literature on the area of self-care and ADL status in the veterans with combat-related PTSD. Methods:This review was conducted on the studies published within 2005-2015. The search was performed using such databases as SID, Iran Medex, Magiran, Science Direct, ProQuest, and PubMed. The searches were initially carried out using single keywords, and then continued with using OR/AND for combining words such as "self-care activity, instrumental activities of daily living, physical functioning, post-traumatic stress disorder in war veterans, etc". Finally, a total of 783 papers were retrieved, out of which only 15 publications were considered relevant to the subject under discussion and investigated in-depth.Results: According to the findings of the reviewed articles, there is a relationship between the self-care status and PTSD severity; as a result, greater PTSD symptoms are accompanied by poorer self-care practices and ADLs. Furthermore, in all the studies, the physical functioning (self-care or ADLs) was lower in the PTSD population in comparison to the non-PTSD population. Conclusion:As the findings of the retrieved articles indicated, it can be conclude that the self-care practices and ADLs were poor among the veterans suffering from PTSD. Therefore, it is necessary that nurses develop a comprehensive care planning for this population to facilitate their achievement of independence in ADLs.

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Section: Discussionsupporting

confidence: 81%

“…Three studies investigated the relationship between the PTSD symptom severity and physical functioning (31)(32)(33). Furthermore, four studies evaluated the association between PTSD with depression comorbidity and physical functioning (32,(34)(35)(36).…”

Section: Brooks Et Al (45) (2008)mentioning

confidence: 99%

Self-care status of veterans with combat-related post traumatic stress disorder: A review article

Khalili

Nir

Fallahi-Khoshknab

et al. 2017

J Nurs Midwifery Sci

View full text Add to dashboard Cite

show abstract

“…Studies have demonstrated both high levels of PTSD symptom severity among patients with chronic pain [54] and high rates of chronic pain among patients with PTSD [16][17]55]. PTSD symptom severity has been associated with poorer health functioning among OIF/OEF veterans [56][57]. Additionally, PTSD symptom expression has been shown to differ between pain and pain-free populations [58].…”

Section: Discussionmentioning

confidence: 99%

Preliminary analysis of posttraumatic stress disorder screening within specialty clinic setting for OIF/OEF veterans seeking care for neck or back pain

Dunn¹,

Julian²,

Formolo³

et al. 2011

JRRD

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Abstract-Escalating prevalence estimates of posttraumatic stress disorder (PTSD) among recently returning Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) veterans highlight the need for early detection and management for reducing chronic mental illness and disability. Because PTSD and chronic pain are common comorbid conditions among veterans, PTSD screening within specialty clinic settings addressing musculoskeletal pain may be of value. This retrospective study evaluated measures of diagnostic value for the PTSD Checklist (PCL) for a sample (n = 79) of OIF/OEF veterans seeking care for neck or back pain within a Department of Veterans Affairs specialty clinic. Because published accounts of optimal PCL cutoff scores vary considerably, we used receiver operating characteristic curves to identify whether the optimal PCL cutoff score for the sample differed from a conventional cutoff score of 50. A clinical psychologist experienced in diagnosing and managing PTSD confirmed the diagnosis of PTSD for 37 veterans through a review of clinical records. The prevalence of diagnosed PTSD was 46.8%, with an optimal PCL cutoff score of 44. These findings may guide future research and influence clinical practice regarding PTSD screening for recently returning veterans with chronic pain.

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“…Veterans with posttraumatic stress symptoms have been shown to have worse functioning than veterans without posttraumatic stress symptoms across a multitude of outcomes Jakupcak, Luterek, Hunt, Conybeare, & McFall 2008 ;Kashdan, Uswatte, Steger, & Julian, 2006 ;Vasterling, Schumm, Proctor, Gentry, King, & King, 2008 ;Yehuda et al, 1995 ). This has important diagnostic and treatment implications for the veteran population.…”

mentioning

confidence: 99%

Postconcussive Symptoms After Blast and Nonblast-Related Mild Traumatic Brain Injuries in Afghanistan and Iraq War Veterans

Lippa

Pastorek

Benge

et al. 2010

J Int Neuropsychol Soc

111

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Blast injury is common in current warfare, but little is known about the effects of blast-related mild traumatic brain injury (mTBI). Profi le analyses were conducted investigating differences in self-reported postconcussive (PC) symptoms in 339 veteran outpatients with mTBI histories reporting current symptoms based on mechanism of injury (blast only, nonblast only, or both blast and nonblast), number of blast injuries, and distance from the blast. Veterans with any blast-related mTBI history were younger and reported higher posttraumatic stress symptoms than veterans with nonblast-related mTBI histories, with a marginally signifi cant difference in posttraumatic stress symptom report between veterans reporting blast-related mTBI only and those reporting nonblast-related mTBI. The groups did not differ in terms of PC symptom severity or PC symptom cluster profi les. Among veterans with blast-related mTBI histories, PC symptom report did not vary by number of blast-related mTBIs or proximity to blast. Overall, posttraumatic stress symptoms accounted for a substantial portion of variance in PC symptom report. In veteran outpatients with remote mTBI histories who have enduring symptom complaints related to the mTBI, mechanism of injury did not clearly contribute to differential PC symptom severity or PC symptom cluster profi le. Proximal rather than distal factors may be important intervention targets in returning symptomatic veterans with mTBI histories. ( JINS , 2010, 16 , 856-866 .)

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Posttraumatic Stress and Its Relationship to Physical Health Functioning in a Sample of Iraq and Afghanistan War Veterans Seeking Postdeployment VA Health Care

Cited by 110 publications

References 16 publications

Self-care status of veterans with combat-related post traumatic stress disorder: A review article

Self-care status of veterans with combat-related post traumatic stress disorder: A review article

Preliminary analysis of posttraumatic stress disorder screening within specialty clinic setting for OIF/OEF veterans seeking care for neck or back pain

Postconcussive Symptoms After Blast and Nonblast-Related Mild Traumatic Brain Injuries in Afghanistan and Iraq War Veterans

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