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Influence of trauma history on panic and posttraumatic stress disorder in returning veterans.
Psychol Serv. 2013 May; 10(2):168-76.PS

Abstract

The current study examined the role of predeployment sexual and physical abuse, combat exposure, and postdeployment social support in predicting panic disorder and PTSD diagnoses in a large sample of returning veterans. A chart review was conducted for 1740 OEF/OIF veterans who received mental health screenings at a large VA hospital between May 24, 2004 and March 26, 2008. Assessments included psychosocial evaluations conducted by psychiatrists, psychologists, and social workers in addition to self-report measures. Results suggested that the prevalence of panic disorder (6.1%) and PTSD (28.7%) are elevated among OEF/OIF veterans. Veterans reporting higher levels of combat experience were likely to be diagnosed with PTSD (odds ration [OR], 1.17; 95% confidence interval [CI], 1.10-1.25; p < .001) or comorbid panic disorder and PTSD (OR, 1.18; 95% CI, 1.04-1.33; p < .001). Veterans endorsing predeployment sexual abuse were likely to be diagnosed with comorbid panic disorder and PTSD (OR, 3.05; 95% CI, 1.15-8.08; p < .05), as were veterans endorsing predeployment physical abuse (OR, 0.47; 95% CI, 0.22-1.00; p < .05). Panic disorder was also found to be associated with greater risk for suicide attempts than PTSD (χ² = 16.38, p = .001). These findings indicate a high prevalence of panic disorder among returning veterans and highlight the importance for clinicians to assess returning veterans routinely for panic disorder in addition to PTSD.

Authors+Show Affiliations

Michael E. DeBakey VA Medical Center, Houston, Texas 77030, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

23730962

Citation

Barrera, Terri L., et al. "Influence of Trauma History On Panic and Posttraumatic Stress Disorder in Returning Veterans." Psychological Services, vol. 10, no. 2, 2013, pp. 168-76.
Barrera TL, Graham DP, Dunn NJ, et al. Influence of trauma history on panic and posttraumatic stress disorder in returning veterans. Psychol Serv. 2013;10(2):168-76.
Barrera, T. L., Graham, D. P., Dunn, N. J., & Teng, E. J. (2013). Influence of trauma history on panic and posttraumatic stress disorder in returning veterans. Psychological Services, 10(2), 168-76. https://doi.org/10.1037/a0031178
Barrera TL, et al. Influence of Trauma History On Panic and Posttraumatic Stress Disorder in Returning Veterans. Psychol Serv. 2013;10(2):168-76. PubMed PMID: 23730962.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Influence of trauma history on panic and posttraumatic stress disorder in returning veterans. AU - Barrera,Terri L, AU - Graham,David P, AU - Dunn,Nancy Jo, AU - Teng,Ellen J, PY - 2013/6/5/entrez PY - 2013/6/5/pubmed PY - 2014/1/15/medline SP - 168 EP - 76 JF - Psychological services JO - Psychol Serv VL - 10 IS - 2 N2 - The current study examined the role of predeployment sexual and physical abuse, combat exposure, and postdeployment social support in predicting panic disorder and PTSD diagnoses in a large sample of returning veterans. A chart review was conducted for 1740 OEF/OIF veterans who received mental health screenings at a large VA hospital between May 24, 2004 and March 26, 2008. Assessments included psychosocial evaluations conducted by psychiatrists, psychologists, and social workers in addition to self-report measures. Results suggested that the prevalence of panic disorder (6.1%) and PTSD (28.7%) are elevated among OEF/OIF veterans. Veterans reporting higher levels of combat experience were likely to be diagnosed with PTSD (odds ration [OR], 1.17; 95% confidence interval [CI], 1.10-1.25; p < .001) or comorbid panic disorder and PTSD (OR, 1.18; 95% CI, 1.04-1.33; p < .001). Veterans endorsing predeployment sexual abuse were likely to be diagnosed with comorbid panic disorder and PTSD (OR, 3.05; 95% CI, 1.15-8.08; p < .05), as were veterans endorsing predeployment physical abuse (OR, 0.47; 95% CI, 0.22-1.00; p < .05). Panic disorder was also found to be associated with greater risk for suicide attempts than PTSD (χ² = 16.38, p = .001). These findings indicate a high prevalence of panic disorder among returning veterans and highlight the importance for clinicians to assess returning veterans routinely for panic disorder in addition to PTSD. SN - 1939-148X UR - https://www.unboundmedicine.com/medline/citation/23730962/Influence_of_trauma_history_on_panic_and_posttraumatic_stress_disorder_in_returning_veterans_ L2 - http://content.apa.org/journals/ser/10/2/168 DB - PRIME DP - Unbound Medicine ER -