Evidence map›Paper›PMID 29689700›Full record

ArticleJournal of affective disorders2018

Physical health conditions associated with full and subthreshold PTSD in U.S. military veterans: Results from the National Health and Resilience in Veterans Study.

Renée El-Gabalawy, Caitlin Blaney, Jack Tsai, Jennifer A Sumner, Robert H Pietrzak

Open access · greenAbstract read
In one paragraph

Article in Journal of affective disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 4 pooled it
9.3field-weighted citation impact, top 2% of its field
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

52 citing papers in PubMed, 4 syntheses or guidelines pooled it, 90 citations in OpenAlex.

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  13. Functioning and disability consequences of comorbid posttraumatic stress disorder and diabetes in Vietnam era men and women veterans.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025
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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

5 authors at 4 institutions in 2 countries.

Renée El-GabalawyDepartment of Anesthesia and Perioperative Medicine, University of Manitoba, Winnipeg, MB, Canada; Department of Clinical Health Psychology, University of Manitoba, Winnipeg, MB, Canada; Department of Psychology, University of Manitoba, Winnipeg, MB, Canada; Department of Psychiatry, University of Manitoba, Winnipeg, MB, Canada. Electronic address: renee.el-gabalawy@umanitoba.ca.
Caitlin BlaneyDepartment of Anesthesia and Perioperative Medicine, University of Manitoba, Winnipeg, MB, Canada; Department of Psychology, University of Manitoba, Winnipeg, MB, Canada.
Jack TsaiDepartment of Psychiatry, Yale University School of Medicine, New Haven, CT, USA; US Department of Veterans Affairs New England Mental Illness Research Education and Clinical Center, USA.
Jennifer A SumnerCenter for Behavioral Cardiovascular Health, Columbia University Medical Center, New York, NY, USA.
Robert H PietrzakDepartment of Psychiatry, Yale University School of Medicine, New Haven, CT, USA; US Department of Veterans Affairs New England Mental Illness Research Education and Clinical Center, USA.
University of Manitoba · CAColumbia University Irving Medical Center · USMental Illness Research, Education and Clinical Centers · USYale University · US

Funding

Posttraumatic Stress and Cardiovascular Risk in Women: Tests of Biological MechanismsK01HL130650 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SUMNER, JENNIFER A · 2016 to 2020
$815k
CIHR 320095-340100-2000NHLBI NIH HHS K01 HL130650
6 · The paper itself

Abstract

backgroundWhile both full and subthreshold posttraumatic stress disorder (PTSD) may be linked to physical conditions, contemporary population-based data on these associations in military veterans are scarce. Further, little is known about how component aspects of PTSD, which is a heterogeneous disorder, may relate to physical conditions in this population.

methodsData were analyzed from a population-based sample of 3157 U.S. military veterans who participated in the 2011 National Health and Resilience in Veterans Study. Multiple logistic regression analyses evaluated associations between full and subthreshold PTSD, and physical conditions.

resultsA total 6.1% of the sample met screening criteria for full PTSD and 9.0% for subthreshold PTSD. Both full and subthreshold PTSD were associated with increased odds of sleep disorder (adjusted odds ratio [AOR] = 3.52 and 2.10, respectively) and respiratory conditions (AOR = 2.60 and 1.87, respectively). Full PTSD was additionally associated with increased odds of osteoporosis or osteopenia (AOR = 2.72) and migraine (AOR = 1.91), while subthreshold PTSD only was associated with increased odds of diabetes (AOR = 1.42). Analyses of PTSD symptom clusters revealed that all of these associations were primarily driven by dysphoric arousal symptoms, which are characterized by sleep difficulties, anger/irritability, and concentration problems. LIMITATIONS: The study used self-report measures for health conditions and DSM-IV diagnostic criteria for PTSD.

conclusionResults of this study provide a characterization of physical conditions associated with full and subthreshold PTSD in U.S. military veterans. They highlight the potential importance of PTSD dysphoric arousal in risk models of certain physical conditions in this population.

Indexed as

Resilience, PsychologicalAdolescentAdultArousalBone Diseases, MetabolicChronic DiseaseComorbidityCorrelation of DataDiabetes MellitusDiagnostic and Statistical Manual of Mental DisordersFemaleHumansMaleMiddle AgedOsteoporosisRespiratory Tract DiseasesDysphoric arousalPhysical healthPTSDVeterans

Identifiers

PMID29689700
PMCPMC6269149
OpenAlexW2769013111

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.