Evidence map›Paper›PMID 22809686›Full record

ArticleJournal of psychiatric research2012

Post-traumatic stress disorder and medication adherence: results from the Mind Your Heart study.

Ian M Kronish, Donald Edmondson, Yongmei Li, Beth E Cohen

Abstract read
In one paragraph

Article in Journal of psychiatric research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
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  8. Trial
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  13. Article
  14. Article
  15. Acta medica Philippina · 2025
    Article
  16. Clinical Education: Addressing Prior Trauma and Its Impacts in Medical Settings.Journal of clinical psychology in medical settings · 2024
    Review
  17. Article
  18. Post-traumatic stress disorder symptoms are frequent among inflammatory bowel disease patients of South Asian descent-A case-control study.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024
    Article
  19. Health insurance, perceived threat, and posttraumatic stress after suspected acute coronary syndrome.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2024
    Observational
  20. Article

8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ian M KronishCenter for Behavioral Cardiovascular Health, Columbia University Medical Center, New York, NY, USA. ik2293@columbia.edu
Donald Edmondson
Yongmei Li
Beth E Cohen

Funding

Innovative Mentoring and MPH Education in Research and Scientific Excellence In CKM1CA156709 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BEGG, MELISSA D, DAVIDSON, KARINA W. · 2010 to 2010
$2.5M
Psychological Stress and Risk of Cardiovascular DiseaseK23HL094765 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI COHEN, BETH · 2009 to 2013
$776k
Uncontrolled hypertension - the role of medication adherence and clinical inertiaK23HL098359 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KRONISH, IAN MATTHEW · 2010 to 2014
$688k
NCI NIH HHS KM1 CA156709NCI NIH HHS KM1CA156709NHLBI NIH HHS K23 HL094765NHLBI NIH HHS K23 HL 094765-0NHLBI NIH HHS K23 HL098359
6 · The paper itself

Abstract

backgroundPatients with post-traumatic stress disorder (PTSD) are at increased risk for adverse outcomes from comorbid medical conditions. Medication non-adherence is a potential mechanism explaining this increased risk.

methodsWe examined the association between PTSD and medication adherence in a cross-sectional study of 724 patients recruited from two Department of Veterans Affairs Medical Centers between 2008 and 2010. PTSD was assessed using the Clinician Administered PTSD Scale. Medication adherence was assessed using a standardized questionnaire. Ordinal logistic regression models were used to calculate the odds ratios (ORs) for medication non-adherence in patients with versus without PTSD, adjusting for potential confounders.

resultsA total of 252 patients (35%) had PTSD. Twelve percent of patients with PTSD reported not taking their medications as prescribed compared to 9% of patients without PTSD (unadjusted OR 1.85, 95% CI 1.37-2.50, P<0.001). Forty-one percent of patients with PTSD compared to 29% of patients without PTSD reported forgetting medications (unadjusted OR 1.90, 95% CI 1.44-2.52, P<0.001). Patients with PTSD were also more likely to report skipping medications (24% versus 13%; unadjusted OR 2.01, 95% CI 1.44-2.82, P<0.001). The association between PTSD and non-adherence remained significant after adjusting for demographics, depression, alcohol use, social support, and medical comorbidities (adjusted OR 1.47, 95% CI 1.03-2.10, P=0.04 for not taking medications as prescribed and 1.95, 95% CI 1.31-2.91, P=0.001 for skipping medications).

conclusionsPTSD was associated with medication non-adherence independent of psychiatric and medical comorbidities. Medication non-adherence may contribute to the increased morbidity and mortality observed in patients with PTSD.

Indexed as

VeteransFemaleHealth SurveysHumansLogistic ModelsMaleMedication AdherenceMiddle AgedPsychiatric Status Rating ScalesStress Disorders, Post-TraumaticSurveys and QuestionnairesUnited StatesUnited States Department of Veterans Affairs

Identifiers

PMID22809686
PMCPMC3485414

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.