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- W3035878275 abstract "•Recall at least 3 psychosocial issues commonly associated with post-traumatic stress disorder.•Describe at least 3 medical conditions commonly associated with post-traumatic stress disorder and describe how this population level study may or may not support an association with those medical conditions. Post-traumatic stress disorder (PTSD) has been linked to specific medical conditions, such as cardiovascular disease and dementia. However, little is known about the intersection of PTSD and serious medical illness. To examine differences in demographics and in medical and psychiatric comorbidities between veterans with and without PTSD, among a cohort of veterans dying with serious medical illness. Descriptive data of 564,262 users of Veterans Affairs, dying between 2012 and 2015 with serious medical illnesses, based on ICD-9 codes and stratified by PTSD, were compared using Student's t-test (continuous data) and chi-square (categorical data). Relative risks were calculated for psychiatric and medical diagnoses, comparing veterans with PTSD to those without PTSD, stratified by age (<60, 60-69, 70-79, ≥80). Of the cohort, 55,804 (9.9%) had a PTSD diagnosis. Veterans with PTSD were more likely to be younger at death (age 71.9 vs 78.7, p<0.001), non-white (17.6% vs 11.7%, p<0.001), of lower socioeconomic status (4.0 vs 4.4, p<0.001) and have a history of homelessness (13.7% vs 5.4%, p<0.001). The relative risks (RRs) for alcohol and drug use disorders in veterans with PTSD were 3.07 (95% CI 3.00-3.15) and 2.35 (95% CI 2.30-2.40), respectively. For medical conditions, the highest RR for veterans with PTSD was for chronic liver disease (2.04, 95% CI 1.99-2.10). The RR for dementia in veterans with PTSD was 0.85 (95% CI 0.84-0.86). However, when stratified by age, dementia RR was highest for those < age 60 (1.42, 95% CI 1.26-1.61) and was >1 across all age subgroups (range 1.22-1.42). Only chronic pulmonary disease had RRs > 1 overall (1.14, 95% CI 1.13-1.15) and across all age subgroups. Cardiac disease risk was more modest, even with age stratification. A combination of social, psychological, and medical challenges may contribute to the experiences of veterans with PTSD and serious medical illness." @default.
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- W3035878275 date "2020-07-01" @default.
- W3035878275 modified "2023-09-27" @default.
- W3035878275 title "Examining Population-Level Differences in Serious Medical Illness Between Veterans with and Without Post-Traumatic Stress Disorder (RP522)" @default.
- W3035878275 doi "https://doi.org/10.1016/j.jpainsymman.2020.04.114" @default.
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