Impact of Persistent Combat-Related PTSD on Heart Disease and Chronic Disease Comorbidity in Aging Vietnam Veterans.
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| Názov: | Impact of Persistent Combat-Related PTSD on Heart Disease and Chronic Disease Comorbidity in Aging Vietnam Veterans. |
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| Autori: | Stellman SD; From the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York (S.D.S.); National Center for PTSD Behavioral Science Division, VA Boston Healthcare System, Boston, Massachusetts (A.P.K.); VA New England Geriatric Research Education and Clinical Center, Boston, Massachusetts (A.P.K.); Department of Psychiatry, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts (A.P.K., B.N.S., A.S.); National Center for PTSD Women's Health Sciences Division, VA Boston Healthcare System, Boston, Massachusetts (B.N.S.); Massachusetts Veterans Epidemiology Research and Information Center, VA Boston Healthcare System, Boston, Massachusetts (A.S.); Department of Epidemiology, Boston University School of Public Health, Boston, Massachusetts (A.S.); and Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, New York (J.M.S.)., Pless Kaiser A, Smith BN, Spiro A, Stellman JM |
| Zdroj: | Journal of occupational and environmental medicine [J Occup Environ Med] 2025 May 01; Vol. 67 (5), pp. 299-305. Date of Electronic Publication: 2024 Dec 18. |
| Spôsob vydávania: | Journal Article |
| Jazyk: | English |
| Informácie o časopise: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9504688 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1536-5948 (Electronic) Linking ISSN: 10762752 NLM ISO Abbreviation: J Occup Environ Med Subsets: MEDLINE |
| Imprint Name(s): | Publication: Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: Baltimore, MD : Williams & Wilkins, c1995- |
| Výrazy zo slovníka MeSH: | Stress Disorders, Post-Traumatic*/epidemiology , Stress Disorders, Post-Traumatic*/complications , Veterans*/psychology , Veterans*/statistics & numerical data , Heart Diseases*/epidemiology , Heart Diseases*/psychology , Vietnam Conflict* , Combat Disorders*/epidemiology , Combat Disorders*/complications, Humans ; Male ; Middle Aged ; Chronic Disease/epidemiology ; Comorbidity ; Aged ; Female ; Risk Factors ; United States/epidemiology |
| Abstrakt: | Competing Interests: S.D. Stellman, Kaiser, Smith, Spiro, and J.M. Stellman have no relationships/conditions/circumstances that present potential conflict of interest. Objectives: To assess combat and combat-related posttraumatic stress disorder (PTSD) as risk factors for heart disease and noncardiac chronic disease comorbidity in deployed Vietnam veterans 50 years post-War. Methods: A random sample of 12,400 veterans was surveyed in 1984 & 1998, and a deployed subset (n=729) in 2000. Outcomes included probable PTSD and history of diagnosed chronic illnesses. Results: Twenty-eight percent reported a diagnosed heart condition; combat exposure in Vietnam was a significant predictor (odds ratio = 1.92, 95% confidence interval = 1.13-3.31). Veterans with heart disease reported significantly more comorbid chronic illnesses, including arthritis and respiratory conditions: sleep apnea, emphysema, and asthma. Chronic illnesses were reported more often by men with PTSD. Conclusions: Emerging evidence suggests that 50 years after Vietnam combat and associated PTSD may contribute to heart disease and comorbid conditions. (Copyright © 2024 American College of Occupational and Environmental Medicine.) |
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| Contributed Indexing: | Keywords: PTSD; Vietnam veterans; aging; cardiometabolic conditions; chronic diseases; combat; disability; heart disease; posttraumatic stress disorder; posttraumatic/epidemiology; stress disorders |
| Entry Date(s): | Date Created: 20241219 Date Completed: 20250508 Latest Revision: 20250508 |
| Update Code: | 20250508 |
| DOI: | 10.1097/JOM.0000000000003302 |
| PMID: | 39696828 |
| Databáza: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Competing Interests: S.D. Stellman, Kaiser, Smith, Spiro, and J.M. Stellman have no relationships/conditions/circumstances that present potential conflict of interest.<br />Objectives: To assess combat and combat-related posttraumatic stress disorder (PTSD) as risk factors for heart disease and noncardiac chronic disease comorbidity in deployed Vietnam veterans 50 years post-War.<br />Methods: A random sample of 12,400 veterans was surveyed in 1984 & 1998, and a deployed subset (n=729) in 2000. Outcomes included probable PTSD and history of diagnosed chronic illnesses.<br />Results: Twenty-eight percent reported a diagnosed heart condition; combat exposure in Vietnam was a significant predictor (odds ratio = 1.92, 95% confidence interval = 1.13-3.31). Veterans with heart disease reported significantly more comorbid chronic illnesses, including arthritis and respiratory conditions: sleep apnea, emphysema, and asthma. Chronic illnesses were reported more often by men with PTSD.<br />Conclusions: Emerging evidence suggests that 50 years after Vietnam combat and associated PTSD may contribute to heart disease and comorbid conditions.<br /> (Copyright © 2024 American College of Occupational and Environmental Medicine.) |
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| ISSN: | 1536-5948 |
| DOI: | 10.1097/JOM.0000000000003302 |