Evidence map›Paper›PMID 29781946›Full record

ArticlePsychosomatic medicine2018

Co-Occurrence of Posttraumatic Stress Disorder and Cardiovascular Disease Among Ethnic/Racial Groups in the United States.

Carmen Vidal, Ruth Polo, Kiara Alvarez, Irene Falgas-Bague, Ye Wang, Benjamin Lê Cook, Margarita Alegría

Abstract read
In one paragraph

Article in Psychosomatic medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 16% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
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  11. Article
  12. PTSD and Physical Health.Current psychiatry reports · 2018
    Review
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

7 authors at 2 institutions in 2 countries.

Carmen VidalFrom the Fundación Jiménez Díaz, Avda, Reyes Católicos, Madrid, Spain (Vidal, Polo); Disparities Research Unit, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston (Alvarez, Falgas-Bague, Wang, Alegría); Health Equity Research Lab, Cambridge Health Alliance and Harvard Medical School, Cambridge, Massachusetts (Lê Cook); and Department of Psychiatry, Harvard Medical School (Lê Cook), Departments of Medicine and Psychiatry, Harvard Medical School, Boston, Massachusetts (Alegría).
Ruth Polo
Kiara Alvarez
Irene Falgas-Bague
Ye Wang
Benjamin Lê Cook
Margarita Alegría
Cook Medical (Denmark) · DKPolo d’Innovazione di Genomica · IT

Funding

NLAAS II: Unraveling Differences for Clinical ServicesU01MH062209 · NIMH · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI ALEGRIA, MARGARITA · 2000 to 2008
$10.6M
Effects of Social Context, Culture and Minority Status on Depression and AnxietyR01MH098374 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI ALEGRIA, MARGARITA, CANINO, GLORISA J · 2012 to 2016
$3.3M
International Latino Research Partnership (ILRP)R01DA034952 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI ALEGRIA, MARGARITA · 2013 to 2017
$2.8M
Mechanisms Underlying Racial/Ethnic Disparities in Mental DisordersR01MD009719 · NIMHD · MASSACHUSETTS GENERAL HOSPITAL · PI ALEGRIA, MARGARITA · 2015 to 2019
$1.7M
NIDA NIH HHS R01 DA034952NIMHD NIH HHS R01 MD009719NIMH NIH HHS R01 MH098374NIMH NIH HHS U01 MH062209
6 · The paper itself

Abstract

objectiveTrauma and/or symptoms of posttraumatic stress disorder (PTSD) have been linked to the onset of cardiovascular disease (CVD), but the exact mechanism has not been determined. We examine whether the risk of CVD is different among those who have a history of trauma without PTSD symptoms, those who have experienced trauma and developed any symptoms of PTSD, and those with a PTSD diagnosis. Furthermore, we examine whether this association varies across ethnic/racial groups.

methodsWe used two data sets that form part of the Collaborative Psychiatric Epidemiology Surveys - the National Latino and Asian American Study and the National Comorbidity Survey Replication.

resultsWe found an increased likelihood of cardiovascular events for those with a diagnosis of PTSD (odds ratio [OR] = 2.10, 95% CI = 1.32-3.33) when compared with those who had not experienced trauma. We did not find an increased risk for those who had experienced trauma without symptoms or with subclinical symptoms of PTSD. The higher likelihood of having a cardiovascular event in those with PTSD was significant for non-Latino whites (OR = 1.86, 95% CI = 1.08-3.11), Latinos (OR = 1.94, 95% CI = 1.04-3.62), and non-Latino blacks (OR = 3.73, 95% CI = 1.76-7.91), but not for Asian respondents.

conclusionsThe constellation of symptoms defining PTSD diagnosis reflect adverse reactions to traumatic events and indicate that complex responses to traumatic events may be a risk factor for CVD.

Indexed as

AdultAgedAged, 80 and overAsianBlack or African AmericanCardiovascular DiseasesComorbidityFemaleHealth SurveysHispanic or LatinoHumansMaleMiddle AgedPsychological TraumaStress Disorders, Post-TraumaticUnited States

Identifiers

PMID29781946
PMCPMC6113076
OpenAlexW2804074048

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.