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Physical and mental comorbidity, disability, and suicidal behavior associated with posttraumatic stress disorder in a large community sample.
Psychosom Med. 2007 Apr; 69(3):242-8.PM

Abstract

OBJECTIVE

To assess if posttraumatic stress disorder (PTSD), recognized as a common mental disorder in the general population and veteran samples, has a unique impact on comorbidity, disability, and suicidal behavior (after adjusting for other mental disorders, especially depression).

METHODS

Data came from the Canadian Community Health Survey Cycle 1.2 (n = 36,984; age > or = 15 years; response rate 77%). All respondents were asked if they had been given a diagnosis of PTSD by a healthcare professional. A select number of mental disorders were assessed by the Composite International Diagnostic Interview. Chronic physical health conditions, measures of quality of life, disability, and suicidal behavior were also assessed.

RESULTS

The prevalence of PTSD as diagnosed by health professionals was 1.0% (95% CI = 0.90-1.15). After adjusting for sociodemographic factors and other mental disorders, PTSD remained significantly associated with several physical health problems including cardiovascular diseases, respiratory diseases, chronic pain conditions, gastrointestinal illnesses, and cancer. After adjusting for sociodemographic factors, mental disorders, and severity of physical disorders, PTSD was associated with suicide attempts, poor quality of life, and short- and long-term disability.

CONCLUSIONS

PTSD was uniquely associated with several physical disorders, disability, and suicidal behavior. Increased early recognition and treatment of PTSD are warranted.

Authors+Show Affiliations

Department of Psychiatry, University of Manitoba, Winnipeg, Manitoba, Canada. sareen@cc.umanitoba.caNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17401056

Citation

Sareen, Jitender, et al. "Physical and Mental Comorbidity, Disability, and Suicidal Behavior Associated With Posttraumatic Stress Disorder in a Large Community Sample." Psychosomatic Medicine, vol. 69, no. 3, 2007, pp. 242-8.
Sareen J, Cox BJ, Stein MB, et al. Physical and mental comorbidity, disability, and suicidal behavior associated with posttraumatic stress disorder in a large community sample. Psychosom Med. 2007;69(3):242-8.
Sareen, J., Cox, B. J., Stein, M. B., Afifi, T. O., Fleet, C., & Asmundson, G. J. (2007). Physical and mental comorbidity, disability, and suicidal behavior associated with posttraumatic stress disorder in a large community sample. Psychosomatic Medicine, 69(3), 242-8.
Sareen J, et al. Physical and Mental Comorbidity, Disability, and Suicidal Behavior Associated With Posttraumatic Stress Disorder in a Large Community Sample. Psychosom Med. 2007;69(3):242-8. PubMed PMID: 17401056.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Physical and mental comorbidity, disability, and suicidal behavior associated with posttraumatic stress disorder in a large community sample. AU - Sareen,Jitender, AU - Cox,Brian J, AU - Stein,Murray B, AU - Afifi,Tracie O, AU - Fleet,Claire, AU - Asmundson,Gordon J G, Y1 - 2007/03/30/ PY - 2007/4/3/pubmed PY - 2007/6/8/medline PY - 2007/4/3/entrez SP - 242 EP - 8 JF - Psychosomatic medicine JO - Psychosom Med VL - 69 IS - 3 N2 - OBJECTIVE: To assess if posttraumatic stress disorder (PTSD), recognized as a common mental disorder in the general population and veteran samples, has a unique impact on comorbidity, disability, and suicidal behavior (after adjusting for other mental disorders, especially depression). METHODS: Data came from the Canadian Community Health Survey Cycle 1.2 (n = 36,984; age > or = 15 years; response rate 77%). All respondents were asked if they had been given a diagnosis of PTSD by a healthcare professional. A select number of mental disorders were assessed by the Composite International Diagnostic Interview. Chronic physical health conditions, measures of quality of life, disability, and suicidal behavior were also assessed. RESULTS: The prevalence of PTSD as diagnosed by health professionals was 1.0% (95% CI = 0.90-1.15). After adjusting for sociodemographic factors and other mental disorders, PTSD remained significantly associated with several physical health problems including cardiovascular diseases, respiratory diseases, chronic pain conditions, gastrointestinal illnesses, and cancer. After adjusting for sociodemographic factors, mental disorders, and severity of physical disorders, PTSD was associated with suicide attempts, poor quality of life, and short- and long-term disability. CONCLUSIONS: PTSD was uniquely associated with several physical disorders, disability, and suicidal behavior. Increased early recognition and treatment of PTSD are warranted. SN - 1534-7796 UR - https://www.unboundmedicine.com/medline/citation/17401056/Physical_and_mental_comorbidity_disability_and_suicidal_behavior_associated_with_posttraumatic_stress_disorder_in_a_large_community_sample_ L2 - https://doi.org/10.1097/PSY.0b013e31803146d8 DB - PRIME DP - Unbound Medicine ER -