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Associations between Lifetime Traumatic Events and Subsequent Chronic Physical Conditions: A CrossNational, Cross-Sectional Study

dc.creatorScott, Kate M.
dc.creatorKoenen, Karestan C.
dc.creatorAguilar-Gaxiola, Sergio
dc.creatorAlonso, Jordi
dc.creatorAngermeyer, Matthias C.
dc.creatorBenjet, Corina
dc.creatorBruffaerts, Ronny
dc.creatorCaldas-de-Almeida, Jose Miguel
dc.creatorDe Girolamo, Giovanni
dc.creatorFlorescu, Silvia
dc.creatorIwata, Noboru
dc.creatorLevinson, Daphna
dc.creatorLim, Carmen C. W.
dc.creatorMurphy, Sam
dc.creatorOrmel, Johan
dc.creatorPosada-Villa, Jose
dc.creatorKessler, Ronald C.
dc.date.accessioned2017-06-29T03:42:14Z
dc.date.available2017-06-29T03:42:14Z
dc.date.issued2013es_ES
dc.identifier2566es_ES
dc.identifier.issnes_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/4415
dc.identifier.urihttps://doi.org/10.1371/journal.pone.0080573es_ES
dc.description.abstractes_ES
dc.language.isoenges_ES
dc.publisherPublic Library Science, 1160 Battery Street, STE 100, San Francisco, CA 94111 USA es_ES
dc.relation8(11) 1-11p.es_ES
dc.relationversión del editores_ES
dc.rightsacceso cerradoes_ES
dc.subject.meshAdaptation, Psychological/physiologyes_ES
dc.subject.meshAdolescentes_ES
dc.subject.meshAdultes_ES
dc.subject.meshCross-Sectional Studieses_ES
dc.subject.meshFemalees_ES
dc.subject.meshHumanses_ES
dc.subject.meshLogistic Modelses_ES
dc.subject.meshMalees_ES
dc.subject.meshMental Healthes_ES
dc.subject.meshStress Disorders, Post-Traumatic-Epidemiologyes_ES
dc.subject.meshYoung Adultes_ES
dc.titleAssociations between Lifetime Traumatic Events and Subsequent Chronic Physical Conditions: A CrossNational, Cross-Sectional Studyes_ES
dc.title.alternativees_ES
dc.typeartículoes_ES
dc.contributor.affiliationDepartment of Psychological Medicine, University of Otago, Dunedin, New Zealandes_ES
dc.contributor.emailkate.scott@otago.ac.nzes_ES
dc.relation.jnabreviadoPLOS ONEes_ES
dc.relation.journalPublic Library of Sciencees_ES
dc.identifier.placeEstados Unidoses_ES
dc.date.published2013es_ES
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñizes_ES
dc.identifier.eissn1932-6203es_ES
dc.identifier.doi10.1371/journal.pone.0080573es_ES
dc.description.monthNoves_ES
dc.description.abstractotrodiomaBackground: Associations between lifetime traumatic event (LTE) exposures and subsequent physical ill-health are well established but it has remained unclear whether these are explained by PTSD or other mental disorders. This study examined this question and investigated whether associations varied by type and number of LTEs, across physical condition outcomes, or across countries. Methods: Cross-sectional, face-to-face household surveys of adults (18+) were conducted in 14 countries (n = 38, 051). The Composite International Diagnostic Interview assessed lifetime LTEs and DSM-IV mental disorders. Chronic physical conditions were ascertained by self-report of physician’s diagnosis and year of diagnosis or onset. Survival analyses estimated associations between the number and type of LTEs with the subsequent onset of 11 physical conditions, with and without adjustment for mental disorders. Findings: A dose-response association was found between increasing number of LTEs and odds of any physical condition onset (OR 1.5 [95% CI: 1.4–1.5] for 1 LTE; 2.1 [2.0–2.3] for 5+ LTEs), independent of all mental disorders. Associations did not vary greatly by type of LTE (except for combat and other war experience), nor across countries. A history of 1 LTE was associated with 7/11 of the physical conditions (ORs 1.3 [1.2–1.5] to 1.7 [1.4–2.0]) and a history of 5+ LTEs was associated with 9/11 physical conditions (ORs 1.8 [1.3–2.4] to 3.6 [2.0–6.5]), the exceptions being cancer and stroke. Conclusions: Traumatic events are associated with adverse downstream effects on physical health, independent of PTSD and other mental disorders. Although the associations are modest they have public health implications due to the high prevalence of traumatic events and the range of common physical conditions affected. The effects of traumatic stress are a concern for all medical professionals and researchers, not just mental health specialists.es_ES
dc.subject.meshmes_ES
dc.subject.kwes_ES
dc.subject.koPosttraumatic-stress-disorderes_ES
dc.subject.koChildhood maltreatmentes_ES
dc.subject.koMental-disorderses_ES
dc.subject.koPrimary-carees_ES
dc.subject.koEpidemiologic surveyes_ES
dc.subject.koComorbidity surveyes_ES
dc.subject.koHealth conditionses_ES
dc.subject.koCancer incidencees_ES
dc.subject.koMultiple traumaes_ES
dc.subject.koBreast-canceres_ES


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