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Trauma, posttraumatic stress disorder, and physical illness: findings from the general population.
Psychosom Med. 2009 Nov; 71(9):1012-7.PM

Abstract

OBJECTIVE

To determine in a general population sample the differential impact on physical health of exposure to traumatic experiences and posttraumatic stress disorder (PTSD). Trauma exposure and PTSD have been associated with physical illness in specific populations, such as veterans.

METHODS

Medical histories including cardiovascular, endocrine, pulmonary, and other chronic diseases were obtained from 3171 adults living in the community. They were administered the PTSD module of the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV), and were assigned to three groups: no trauma (n = 1440); trauma, but no PTSD (n = 1669); and trauma with subsequent PTSD (n = 62).

RESULTS

After adjustments for sociodemographic factors, smoking, body mass index, blood pressure, depression, and alcohol use disorders, subjects with trauma history had higher odds ratios (ORs) for angina pectoris and heart failure (OR = 1.2; 95% Confidence Interval [CI] = 1.1-1.3), stroke (OR = 1.2; 95 CI = 1.0-1.5), bronchitis, asthma, renal disease, and polyarthritis (ORs between 1.1 and 1.3) compared with nontraumatized participants. The PTSD positive subsample had increased ORs for angina (OR = 2.4; 95% CI = 1.3-4.5), heart failure (OR = 3.4; 95% CI = 1.9-6.0), bronchitis, asthma, liver, and peripheral arterial disease (ORs, range = 2.5-3.1).

CONCLUSIONS

Our findings suggest a strong association between PTSD and cardiovascular and pulmonary diseases. Particular diagnostic and treatment attention should be paid to physical illness in PTSD positive patients in primary care, medical, and mental health settings.

Authors+Show Affiliations

Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany. c.spitzer@uke.uni-hamburg.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19834051

Citation

Spitzer, Carsten, et al. "Trauma, Posttraumatic Stress Disorder, and Physical Illness: Findings From the General Population." Psychosomatic Medicine, vol. 71, no. 9, 2009, pp. 1012-7.
Spitzer C, Barnow S, Völzke H, et al. Trauma, posttraumatic stress disorder, and physical illness: findings from the general population. Psychosom Med. 2009;71(9):1012-7.
Spitzer, C., Barnow, S., Völzke, H., John, U., Freyberger, H. J., & Grabe, H. J. (2009). Trauma, posttraumatic stress disorder, and physical illness: findings from the general population. Psychosomatic Medicine, 71(9), 1012-7. https://doi.org/10.1097/PSY.0b013e3181bc76b5
Spitzer C, et al. Trauma, Posttraumatic Stress Disorder, and Physical Illness: Findings From the General Population. Psychosom Med. 2009;71(9):1012-7. PubMed PMID: 19834051.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Trauma, posttraumatic stress disorder, and physical illness: findings from the general population. AU - Spitzer,Carsten, AU - Barnow,Sven, AU - Völzke,Henry, AU - John,Ulrich, AU - Freyberger,Harald J, AU - Grabe,Hans Joergen, Y1 - 2009/10/15/ PY - 2009/10/17/entrez PY - 2009/10/17/pubmed PY - 2009/12/16/medline SP - 1012 EP - 7 JF - Psychosomatic medicine JO - Psychosom Med VL - 71 IS - 9 N2 - OBJECTIVE: To determine in a general population sample the differential impact on physical health of exposure to traumatic experiences and posttraumatic stress disorder (PTSD). Trauma exposure and PTSD have been associated with physical illness in specific populations, such as veterans. METHODS: Medical histories including cardiovascular, endocrine, pulmonary, and other chronic diseases were obtained from 3171 adults living in the community. They were administered the PTSD module of the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV), and were assigned to three groups: no trauma (n = 1440); trauma, but no PTSD (n = 1669); and trauma with subsequent PTSD (n = 62). RESULTS: After adjustments for sociodemographic factors, smoking, body mass index, blood pressure, depression, and alcohol use disorders, subjects with trauma history had higher odds ratios (ORs) for angina pectoris and heart failure (OR = 1.2; 95% Confidence Interval [CI] = 1.1-1.3), stroke (OR = 1.2; 95 CI = 1.0-1.5), bronchitis, asthma, renal disease, and polyarthritis (ORs between 1.1 and 1.3) compared with nontraumatized participants. The PTSD positive subsample had increased ORs for angina (OR = 2.4; 95% CI = 1.3-4.5), heart failure (OR = 3.4; 95% CI = 1.9-6.0), bronchitis, asthma, liver, and peripheral arterial disease (ORs, range = 2.5-3.1). CONCLUSIONS: Our findings suggest a strong association between PTSD and cardiovascular and pulmonary diseases. Particular diagnostic and treatment attention should be paid to physical illness in PTSD positive patients in primary care, medical, and mental health settings. SN - 1534-7796 UR - https://www.unboundmedicine.com/medline/citation/19834051/Trauma_posttraumatic_stress_disorder_and_physical_illness:_findings_from_the_general_population_ L2 - https://doi.org/10.1097/PSY.0b013e3181bc76b5 DB - PRIME DP - Unbound Medicine ER -