Posttraumatic Stress Disorder and Mortality Among U.S. Army Veterans 30 Years After Military Service

Boscarino, Joseph A.

doi:10.1016/j.annepidem.2005.03.009

Cited by 374 publications

(280 citation statements)

References 42 publications

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“…6 Third, mental disorders and PTSD may cause biological and behavioral changes that increase the risk of physical disease, leading to greater medical utilization. 28 , 29,[12][13][14][30][31][32][33][34] Finally, there may be an increased likelihood of detection of medical problems in veterans with mental health problems, for example, through symptoms identified by mental health providers. Veterans with comorbid mental and physical problems may also be more likely to enroll in primary care, which could lead to increased utilization of other services, such as preventive screening through laboratory and diagnostic tests.…”

Section: Discussionmentioning

confidence: 99%

“…6,10,11 Studies from OEF/OIF and prior wars have demonstrated that mental disorders, particularly PTSD, are associated with higher rates of physical symptoms, chronic physical illness, and overall mortality. 6,[12][13][14] This increased burden of physical diseases may translate into greater non-mental health medical service utilization, as suggested by a study showing that PTSD was associated greater self-reported primary care visits in 2,863 OIF veterans 6 and by studies examining utilization in veterans of prior wars. 11,[15][16][17][18][19] Yet, mental disorders and their associated stigma and risk for social isolation and cognitive impairment may also act as barriers to medical treatment.…”

Section: Introductionmentioning

confidence: 97%

See 1 more Smart Citation

Mental health diagnoses and utilization of VA non-mental health medical services among returning Iraq and Afghanistan veterans

Cohen¹,

Gima²,

Bertenthal³

et al. 2010

PsycEXTRA Dataset

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

Mental health diagnoses and utilization of VA non-mental health medical services among returning Iraq and Afghanistan veterans

Cohen¹,

Gima²,

Bertenthal³

et al. 2010

PsycEXTRA Dataset

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“…10 Some of the cardiovascular risk of PTSD may relate to poor adherence to cardiac medication, 9,11 and to the clustering of established cardiovascular risk factors [12][13][14][15] and poor life style habits 16,17 in these patients.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and predictors of posttraumatic stress disorder in patients with acute myocardial infarction

et al. 2008

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OBJECTIVE: We estimated the prevalence of posttraumatic stress disorder (PTSD) and identified predictors of self-rated PTSD symptoms in patients post-myocardial infarction (MI). METHODS: We recruited 400 patients (mean age 60 +/-12 years, 79% were men) with a previous acute index MI who were referred to a tertiary cardiology clinic. PTSD was assessed by the Clinician-administered PTSD Scale, and self-rated severity of PTSD symptom levels were assessed by the Posttraumatic Diagnostic Scale. RESULTS: Of the 190 patients who completed the Posttraumatic Diagnostic Scale, 34 met the cutoff for clinically significant PTSD symptomatology and 32 agreed to be interviewed. Among these patients, the Clinician-administered PTSD Scale interview yielded a prevalence of full and subsyndromal PTSD of 9.5% (95% confidence interval 7.4-11.6). Retrospectively rated feelings of helplessness (beta = .47, P < .001) and pain intensity during MI (beta = .15, P = .019) independently predicted PTSD symptom level. CONCLUSIONS: Approximately 10% of patients post-MI had full or subsyndromal PTSD. Subjective perception of MI predicted self-rated PTSD symptom level. PREVALENCE AND PREDICTORS OF POST-TRAUMATIC STRESS DISORDER (PTSD) IN ACUTE MYOCARDIAL INFARCTION PATIENTS Methods:We recruited 400 patients (mean age 60±12 years, 79% men) with a previous acute index MI referred to a tertiary cardiology clinic. PTSD was assessed by the Clinician-administered PTSD Scale (CAPS) and self-rated severity of PTSD symptom levels by the Posttraumatic Diagnostic Scale (PDS). Results:Of the 190 patients who completed the PDS, 34 met the cut-off for clinically significant PTSD symptomatology and 32 agreed to be interviewed. In these, the CAPS interview yielded a prevalence of full and subsyndromal PTSD of 9.5% (95% CI 7.4-11.6).Retrospectively rated feelings of helplessness (β=.47, p<.001) and pain intensity during MI (β=.15, p=.019) independently predicted PTSD symptom level.Conclusions: Almost 10% of post-MI patients had full or subsyndromal PTSD. Subjective perception of MI predicted self-rated PTSD symptom level.2

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“…More telling is an extensive study spanning 30 years of surveys of veterans who had served during the tumultuous Vietnam War era. The study results indicated that veterans who were deployed to Vietnam itself showed increased incidence of PTSD, along with greater mortality from drug-related causes and "unintentional poisoning" than other veterans who served in locations other than Vietnam during the same time period [10] [11].…”

Section: Introductionmentioning

confidence: 95%

Characterization of Veterans’ Poisoning Events in the State of Florida

Johnson¹,

White²,

Younger³

et al. 2015

ODEM

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Increasing numbers of veterans are returning home with chronic pain and mental health disorders. Pharmacological treatments may be effective, but may also be increasing the incidence of poisonings among younger as well as older veterans, requiring greater resource expenditures at Veterans Administration (VA) facilities. Our objective was to characterize patterns of the poisoning among the veterans in Florida, using data obtained from the Florida Poisoning Control Information Network (FPCIN). We evaluated retrospective cohort data from 2005 to 2009 of 601 poisoning cases treated at Florida VA medical facilities with consultations from FPCIN. Intentional (suspected suicide) was the most common reason. Major adverse clinical outcomes were associated with the use of NSAIDs or alcohol. Antidepressants and anti-anxiolytics had the strongest association with intentional self-poisoning. Since medications are the major substances for the poisoning among the veterans, our study suggests that pharmaceutical treatments of veterans should include stronger prescribing guidelines and consideration of alternative therapies.

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Posttraumatic Stress Disorder and Mortality Among U.S. Army Veterans 30 Years After Military Service

Cited by 374 publications

References 42 publications

Mental health diagnoses and utilization of VA non-mental health medical services among returning Iraq and Afghanistan veterans

Mental health diagnoses and utilization of VA non-mental health medical services among returning Iraq and Afghanistan veterans

Prevalence and predictors of posttraumatic stress disorder in patients with acute myocardial infarction

Characterization of Veterans’ Poisoning Events in the State of Florida

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