PTSD is negatively associated with physical performance and physical function in older overweight military veterans

Hall, Katherine S.; Beckham, Jean C.; Bosworth, Hayden B.; Sloane, Richard; Pieper, Carl F.; Morey, Miriam C.

doi:10.1682/jrrd.2013.04.0091

Cited by 35 publications

(20 citation statements)

References 45 publications

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“…This finding differs from studies demonstrating that older individuals with PTSD have worse physical health function and more physical health problems than those without PTSD [36][37]. This difference could be related to selection biases affecting our sample.…”

Section: Discussioncontrasting

confidence: 93%

Health status and treatment-seeking stigma in older adults with trauma and posttraumatic stress disorder

Kaiser¹,

Seligowski²,

Spiro³

et al. 2016

J Rehabil Res Dev

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Abstract-This study compared health status across four trauma/posttraumatic stress disorder (PTSD) groups of older adults with depression, anxiety, and/or at-risk drinking who attended primary care appointments (N = 1,199; mean age = 73.5 yr), mostly at Department of Veterans Affairs hospitals. The trauma and PTSD categories were PTSD (n = 81), partial PTSD (n = 127), trauma only (n = 323), and no trauma (n = 668). Physical and mental health-related quality of life (HQL), indices of social and economic impairment and stigma regarding treatment-seeking were compared among groups. Group differences were found for several indicators of functional impairment; the PTSD group had fewer close friends and higher treatment-seeking stigma beliefs related to having a disorder. Linear mixed modeling examined associations between trauma/PTSD group and HQL. After accounting for covariates, the trauma/PTSD groups differed across the Medical Outcome Study Short Form-36 scales and component scores (indicated by significant group by scale interaction). Differences among groups were confined to mental health measures; those with PTSD had worse HQL. Post hoc analyses examined the number of comorbid psychiatric diagnoses by trauma/PTSD group. Overall, findings indicate that mental HQL varies among older adults with trauma and PTSD and that although treatmentrelated stigma does not differ among groups, it does affect HQL.

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Section: Discussioncontrasting

confidence: 93%

Health status and treatment-seeking stigma in older adults with trauma and posttraumatic stress disorder

Kaiser¹,

Seligowski²,

Spiro³

et al. 2016

J Rehabil Res Dev

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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: 86%

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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“…A comparison of participants with and without PTSD on sociodemographic factors and other study variables at baseline was conducted previously (Hall et al, 2014). Those factors which differed significantly by PTSD status are indicated in Table 1.…”

Section: Resultsmentioning

confidence: 99%

“…SD = standard deviation. a Diagnosis in the electronic medical record. b Significant differences PTSD vs. No PTSD, previously reported by Hall et al (2014). …”

Section: Figurementioning

confidence: 90%

“…In addition to emotional pain, PTSD is also associated with a plethora of physical health conditions (e.g., respiratory, metabolic, cardiovascular disorders; (Levine, Levine, & Levine, 2014; Pacella, Hruska, & Delahanty, 2013) and neurocognitive conditions (e.g., dementia; (Yaffe et al, 2010), as well as functional impairment and pain (Hall et al, 2014; Pietrzak, Goldstein, Southwick, & Grant, 2012). In light of the significant comorbid mental health and physical health conditions associated with the disorder, PTSD can truly wreak havoc on the normal aging process.…”

Section: Introductionmentioning

confidence: 99%

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Physical activity counseling promotes physical and psychological resilience in older veterans with posttraumatic stress disorder

Hall

Gregg

Bosworth

et al. 2016

Mental Health and Physical Activity

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Individuals with posttraumatic stress disorder (PTSD) have elevated rates of morbidity, and a sedentary lifestyle can cause and aggravate the physical health needs of adults with PTSD. The primary aim of this paper was to explore the impact of physical activity (PA) counseling (vs. usual care) on physical and psychological outcomes among individuals with PTSD. A secondary aim was to compare these arm effects between those with and without PTSD. Methods Older (>60 years) overweight veterans with impaired glucose tolerance were randomly assigned to an intervention or a usual care control arm. Of the 302 participants who underwent randomization, 67 (22%) had PTSD. Participants in the intervention arm received one in-person activity counseling session followed by regular PA telephone counseling over 12 months. Physical and psychological outcomes were assessed at baseline, 3, and 12 months. Results Primary Aim (intervention vs. usual care among those with PTSD): PA increased on average from 80 minutes/week to 161 minutes/week among participants in the intervention arm (p=0.01). Large, clinically meaningful improvements in six-minute walk test and psychological health were observed over the course of the intervention (p<0.01). Secondary Aim (PTSD/No PTSD, intervention/usual care): participants with PTSD responded equally well to the intervention compared to participants without PTSD, though we observed significantly greater improvements in vitality and six-minute walk compared to participants without PTSD (p<0.05). Conclusions Given the epidemic of comorbid psychological illness and lifestyle-related disease among persons with PTSD, our findings support development and implementation of targeted PA interventions in this high-risk population.

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PTSD is negatively associated with physical performance and physical function in older overweight military veterans

Cited by 35 publications

References 45 publications

Health status and treatment-seeking stigma in older adults with trauma and posttraumatic stress disorder

Health status and treatment-seeking stigma in older adults with trauma and posttraumatic stress disorder

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

Physical activity counseling promotes physical and psychological resilience in older veterans with posttraumatic stress disorder

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