Comorbid anxiety disorders in civilians seeking treatment for posttraumatic stress disorder

Zayfert, Claudia; Becker, Carolyn Black; Unger, Danielle L.; Shearer, Deirdre K.

doi:10.1023/a:1014379127240

Cited by 49 publications

(23 citation statements)

References 23 publications

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“…In the National Comorbidity Survey, Kessler et al [1995] determined that the comorbidity rate for PD and PTSD in a large, nationally-representative community sample was 7.3% (SE¼2.3) for males and 12.6% (SE¼2.3) for females. The rates of PTSD/PD comorbidity range from 8-18% in studies examining clinical samples [McFarlane and Papay, 1992;Zayfert et al, 2002].…”

Section: Introductionmentioning

confidence: 99%

Sleep in post-traumatic stress disorder and panic: Convergence and divergence

Sheikh

Woodward²,

Leskin³

2003

Depress. Anxiety

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Disturbed sleep is a common clinical problem in anxiety disorders, particularly in patients with post-traumatic stress disorder (PTSD) and panic disorder (PD). Several studies have attempted to validate the subjective sleep complaints of these disorders using laboratory polysomnography. These attempts, typically focusing on PTSD or PD independently, have demonstrated inconsistent results. To our knowledge, no such studies have attempted to directly compare and contrast sleep disturbances in PTSD and PD together. Our review of the studies of subjective sleep disturbances, sleep architecture, and sleep-related biologic phenomena suggests that a comparative characterization of sleep disturbances in these two disorders is timely. Such an inference is based on our identification of several areas of convergence and divergence between PTSD and PD found in the published literature, as well as our own preliminary investigations. Specifically, PTSD and PD seem to converge on several sleep-related parameters, namely, sleep quality, presence of episodic parasomnias, and movement time. They also appear to diverge in other important sleep-related areas such as respiratory disturbances and the particular phenomenological nature of episodic parasomnias, namely nightmares or nocturnal panic attacks. Investigations focusing on such overlapping phenomena may provide groundwork for further elucidation of central fear systems underlying these two disorders. Additionally, such sleep studies have the potential to provide important insights into ongoing efforts to develop a cohesive conceptual framework into the patho-physiologies of these disorders.

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Section: Introductionmentioning

confidence: 99%

Sleep in post-traumatic stress disorder and panic: Convergence and divergence

Sheikh

Woodward²,

Leskin³

2003

Depress. Anxiety

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“…Those with PTSD often have comorbid diagnoses of major depressive disorder, dysthymia, general anxiety disorder, or social phobia (Schnurr & Friedman, 1997;Zayfert, Becker, Unger, & Shearer, 2002). In addition, PTSD is associated with a variety of risky health behaviors including alcohol and other substance use and abuse, poor diet, and lack of exercise and preventative health care (Schnurr & Friedman, 1997;Rheingold, Acierno, & Resnick, 2004;Pederson, Van Horn, Wilson, Martorano, Venema, & Kennedy, 2008).…”

mentioning

confidence: 99%

Childhood Emotional Neglect Related to Posttraumatic Stress Disorder Symptoms and Body Mass Index in Adult Women

Pederson

Wilson

2009

Psychol Rep

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The relationships among the severity of childhood abuse and neglect, posttraumatic stress disorder (PTSD), and adult obesity were investigated. 207 women (M age = 26.5 yr., SD = 6.7) completed the Childhood Trauma Questionnaire, Millon Clinician Multiaxial Inventory, and a demographic questionnaire. Analyses of variance indicated that women who reported moderate-to-extreme emotional neglect (n = 71) had significantly higher PTSD scores and increased BMI compared to women who reported low emotional neglect (n = 84). Women who reported severe sexual or emotional abuse also had higher PTSD scores, but no relationship was found with BMI when other factors were controlled. Although PTSD scores and self-reported severity of childhood emotional neglect were strongly correlated (r = .61, p < .001), PTSD was not found to be a mediating factor in obesity in women who reported childhood emotional neglect, although depression was.

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“…Accordingly, a number of previous studies have found high rates of severe psychological trauma (88% in the study of Bandelow and coworkers [34]) or even PTSD (15% in the study by Goisman et al [38]) among patients with SAD, as well as an increased prevalence of SAD among patients with PTSD (ranging from 43 [39,40] to 74% [41]). …”

Section: Discussionmentioning

confidence: 93%

History of trauma and dissociative symptoms among patients with obsessive-compulsive disorder and social anxiety disorder

et al. 2007

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We aimed to compare the history of trauma and the profile and severity of dissociative symptoms of patients with obsessive-compulsive disorder (OCD) to those of patients with social anxiety disorder (SAD). Patients with OCD (n = 34) and patients with SAD (n = 30) were examined with the following instruments: Trauma History Questionnaire (THQ), Dissociative Experience Scale (DES), Obsessive-Compulsive Inventory (OCI), Liebowitz Social Anxiety Scale (LSAS), Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI). Patients with OCD reported significantly lower rates of exposure to traumatic events. Nevertheless, the severity of dissociative symptoms was not significantly different between the groups. Regression analyses showed that, while the OCI scores better predicted the variance on DES scores in the OCD sample, the LSAS and the BAI better predicted the variance on the DES among patients with SAD. Patients with OCD are probably less vulnerable to some types of traumatic experiences. Dissociative symptoms may cut across different anxiety disorders.

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Comorbid anxiety disorders in civilians seeking treatment for posttraumatic stress disorder

Cited by 49 publications

References 23 publications

Sleep in post-traumatic stress disorder and panic: Convergence and divergence

Sleep in post-traumatic stress disorder and panic: Convergence and divergence

Childhood Emotional Neglect Related to Posttraumatic Stress Disorder Symptoms and Body Mass Index in Adult Women

History of trauma and dissociative symptoms among patients with obsessive-compulsive disorder and social anxiety disorder

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