Adult health status of women HMO members with posttraumatic stress disorder symptoms

General Hospital Psychiatry
Paul CiechanowskiWayne Katon

Abstract

Posttraumatic stress disorder (PTSD) is associated with high numbers of self-reported physical symptoms and functional disability in clinical samples, but little is known about the magnitude of these associations in population samples and using actual physician-coded diagnoses. We administered a 22-page survey to 1225 female HMO enrollees randomly selected from the current membership of a large, staff model HMO in Seattle, Washington. Using the PTSD Checklist (internally validated against a subset of clinical interviews) we compared women with low, moderate, and high scores with respect to differences in self-reported physical health status, functional disability (36-item short form health survey), numbers and types of self-reported health risk behaviors, common physical symptoms, and physician-coded ICD-9 diagnoses. Compared to women with low PTSD symptom severity, those with moderate or high severity reported significantly higher functional disability (P<.001), rates of abuse and neglect (P<.01 to P<.001), health risk behavior scores (P<0.05), as well as higher mean numbers of common physical symptoms (P<.05). Compared to women with low PTSD symptom severity those with moderate or high severity had significantly higher adjust...Continue Reading

References

May 1, 1992·The American Journal of Psychiatry·N Breslau, G C Davis
Feb 11, 1991·Medical Care·D M BerwickM C Weinstein
Dec 1, 1995·Archives of General Psychiatry·R C KesslerC B Nelson
Aug 1, 1994·The American Journal of Psychiatry·D P BernsteinJ Ruggiero
Aug 1, 1996·Behaviour Research and Therapy·E B BlanchardC A Forneris
Aug 1, 1997·The American Journal of Psychiatry·M B SteinD R Forde
Feb 19, 1998·Environmental Health Perspectives·J CwikelI I Yevelson
Sep 19, 1998·The Journal of Nervous and Mental Disease·P P SchnurrT A Stukel
Dec 18, 1998·Psychiatric Services : a Journal of the American Psychiatric Association·R P MarshallB I O'Toole
Jan 8, 2000·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·J A Boscarino, J Chang
Apr 13, 2000·Journal of Traumatic Stress·A W WagnerD J Erickson
Sep 5, 2001·The American Journal of Psychiatry·R D MarshallE L Struening
Apr 18, 2002·The Journal of Nervous and Mental Disease·Claudia ZayfertMark T Hegel

❮ Previous
Next ❯

Citations

Dec 21, 2007·Journal of Behavioral Medicine·Debra KaysenPatricia A Resick
Jun 27, 2008·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Jessica M GillJacquelyn C Campbell
Jul 20, 2006·Issues in Mental Health Nursing·Jessica M Gill, Gayle G Page
Dec 19, 2012·Journal of Anxiety Disorders·Maria L PacellaDouglas L Delahanty
Apr 12, 2008·Journal of Traumatic Stress·Rebecca A ShelbyBarbara L Andersen
Jan 31, 2016·Qualitative Health Research·Martin Salzmann-Erikson, Duygu Hiçdurmaz
Dec 1, 2009·Journal of the American Psychiatric Nurses Association·Sandra J WeissBarbara Wolfe
Mar 2, 2013·Journal of Health Psychology·Nina K RytwinskiNorah C Feeny
Dec 12, 2018·Cognitive Behaviour Therapy·Ashley N HowellConstance Guille
May 31, 2012·Intellectual and Developmental Disabilities·Susan L ParishSarah Dababnah
May 28, 2005·Biological Research for Nursing·Jessica M GillGayle G Page

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anxiety Disorders

Discover the latest research on anxiety disorders including agoraphobia, panic disorder, obsessive-compulsive disorder, and post-traumatic stress disorder here.