ArticlePsychological trauma : theory, research, practice and policy2023
The transition to civilian life: Impact of comorbid PTSD, chronic pain, and sleep disturbance on veterans' social functioning and suicidal ideation.
Article in Psychological trauma : theory, research, practice and policy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Integrating care for chronic pain and PTSD: A qualitative exploration of staff and patient perspectives.Psychological services · 2026Article
- Article
- The COMPASS framework for chronic pain and posttraumatic stress disorder: navigating the transition from threat to safety through yoga.Frontiers in public health · 2026Article
- Sleep, PTSD, and suicide risk in U.S. veterans.Frontiers in sleep · 2026Article
- Lithuanian children's trauma characteristics and correlates: comparison of clinical and non-clinical samples.Frontiers in psychiatry · 2026Article
- Time doesn't heal all: PTSD symptoms exacerbate the relationship between age and pain intensity.Frontiers in psychiatry · 2023Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveTrauma-exposed veterans may be more likely to experience posttraumatic stress disorder (PTSD), chronic pain, and sleep disturbance together rather than in isolation. Although these conditions are independently associated with distress and impairment, how they relate to social functioning and suicidal ideation (SI) when experienced comorbidly is not clear.
methodUsing longitudinal data on 5,461 trauma-exposed U.S. veterans from The Veterans Metrics Initiative study and self-reported disorders, we assessed (a) the extent to which PTSD co-occurs with sleep disturbance and chronic pain (CP); (b) the relationship of PTSD in conjunction with sleep disturbance and chronic pain with later social functioning and SI; and (c) the extent to which social functioning mediates the impact of multimorbidity on SI.
resultsAt approximately 15 months postseparation, 90.5% of veterans with probable PTSD also reported sleep disturbance and/or CP. Relative to veterans without probable PTSD, veterans with all 3 conditions (n = 907) experienced the poorest social functioning (
conclusionsAlthough these findings underscore the impact of PTSD on functioning and SI, they also highlight the complexity of multimorbidity and the importance of bolstering social functioning for veterans. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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