Chronic Posttraumatic Stress Disorder and Comorbid Cognitive and Physical Impairments in World Trade Center Responders.
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| Title: | Chronic Posttraumatic Stress Disorder and Comorbid Cognitive and Physical Impairments in World Trade Center Responders. |
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| Authors: | Diminich, Erica D. (AUTHOR), Clouston, Sean A. P. (AUTHOR), Kranidis, Alexandra (AUTHOR), Kritikos, Minos (AUTHOR), Kotov, Roman (AUTHOR), Kuan, Peifen (AUTHOR), Carr, Melissa (AUTHOR), Bromet, Evelyn J. (AUTHOR), Luft, Benjamin J. (AUTHOR) |
| Source: | Journal of Traumatic Stress. Jun2021, Vol. 34 Issue 3, p616-627. 12p. 3 Charts. |
| Subjects: | World Trade Center (New York, N.Y. : 1970-2001), Cognition disorders, Psychological stress, Montreal Cognitive Assessment, Post-traumatic stress disorder, Physical mobility, Symptoms |
| Abstract: | Posttraumatic stress disorder (PTSD) has been linked to increased prevalence and incidence of cognitive and physical impairment. When comorbid, these conditions may be associated with poor long‐term outcomes. We examined associations between chronic PTSD and symptom domains with cognitive and physical functioning in World Trade Center (WTC) responders nearly 20 years after the September 11, 2001, terrorist attacks. Participants included a cross‐sectional sample of 4,815 responders who attended a monitoring program in 2015–2018. Montreal Cognitive Assessment scores less than 23 indicated cognitive impairment (CogI); Short Physical Performance Battery scores 9 or lower on a hand‐grip test indicated physical impairment (PhysI). Comorbid cognitive/physical impairment (Cog/PhysI) was defined as having cognitive impairment with at least one objective PhysI indicator. Clinical chart review provided PTSD diagnoses; symptom domains were assessed using the PTSD Checklist. Participants were on average 53.05 years (SD = 8.01); 13.44% had PTSD, 7.8% had CogI, 24.8% had PhysI, and 5.92% had comorbid Cog/PhysI. Multivariable‐adjusted multinomial logistic regression demonstrated that Responders with PTSD have more than three times the risk of Cog/PhysI (adjusted RR = 3.29, 95% CI 2.44‐ 4.44). Domain‐specific analyses revealed that emotional numbing symptoms predicted an increased risk of PhysI (adjusted RR = 1.57, 95% CI 1.08‐2.28), whereas reexperiencing symptoms were associated with comorbid Cog/PhysI (adjusted RR = 3.96, 95% CI, 2.33‐6.74). These results suggest that responders with chronic PTSD may have increased risk of deficits beyond age‐expected impairment characterized by the emergence of comorbid Cog/PhysI at midlife. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Traumatic Stress is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 150944798 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Chronic Posttraumatic Stress Disorder and Comorbid Cognitive and Physical Impairments in World Trade Center Responders. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Diminich%2C+Erica+D%2E%22">Diminich, Erica D.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Clouston%2C+Sean+A%2E+P%2E%22">Clouston, Sean A. P.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kranidis%2C+Alexandra%22">Kranidis, Alexandra</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kritikos%2C+Minos%22">Kritikos, Minos</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kotov%2C+Roman%22">Kotov, Roman</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kuan%2C+Peifen%22">Kuan, Peifen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Carr%2C+Melissa%22">Carr, Melissa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bromet%2C+Evelyn+J%2E%22">Bromet, Evelyn J.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Luft%2C+Benjamin+J%2E%22">Luft, Benjamin J.</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Journal+of+Traumatic+Stress%22">Journal of Traumatic Stress</searchLink>. Jun2021, Vol. 34 Issue 3, p616-627. 12p. 3 Charts. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22World+Trade+Center+%28New+York%2C+N%2EY%2E+%3A+1970-2001%29%22">World Trade Center (New York, N.Y. : 1970-2001)</searchLink><br /><searchLink fieldCode="DE" term="%22Cognition+disorders%22">Cognition disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+stress%22">Psychological stress</searchLink><br /><searchLink fieldCode="DE" term="%22Montreal+Cognitive+Assessment%22">Montreal Cognitive Assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Post-traumatic+stress+disorder%22">Post-traumatic stress disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Physical+mobility%22">Physical mobility</searchLink><br /><searchLink fieldCode="DE" term="%22Symptoms%22">Symptoms</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Posttraumatic stress disorder (PTSD) has been linked to increased prevalence and incidence of cognitive and physical impairment. When comorbid, these conditions may be associated with poor long‐term outcomes. We examined associations between chronic PTSD and symptom domains with cognitive and physical functioning in World Trade Center (WTC) responders nearly 20 years after the September 11, 2001, terrorist attacks. Participants included a cross‐sectional sample of 4,815 responders who attended a monitoring program in 2015–2018. Montreal Cognitive Assessment scores less than 23 indicated cognitive impairment (CogI); Short Physical Performance Battery scores 9 or lower on a hand‐grip test indicated physical impairment (PhysI). Comorbid cognitive/physical impairment (Cog/PhysI) was defined as having cognitive impairment with at least one objective PhysI indicator. Clinical chart review provided PTSD diagnoses; symptom domains were assessed using the PTSD Checklist. Participants were on average 53.05 years (SD = 8.01); 13.44% had PTSD, 7.8% had CogI, 24.8% had PhysI, and 5.92% had comorbid Cog/PhysI. Multivariable‐adjusted multinomial logistic regression demonstrated that Responders with PTSD have more than three times the risk of Cog/PhysI (adjusted RR = 3.29, 95% CI 2.44‐ 4.44). Domain‐specific analyses revealed that emotional numbing symptoms predicted an increased risk of PhysI (adjusted RR = 1.57, 95% CI 1.08‐2.28), whereas reexperiencing symptoms were associated with comorbid Cog/PhysI (adjusted RR = 3.96, 95% CI, 2.33‐6.74). These results suggest that responders with chronic PTSD may have increased risk of deficits beyond age‐expected impairment characterized by the emergence of comorbid Cog/PhysI at midlife. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Journal of Traumatic Stress is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1002/jts.22631 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 12 StartPage: 616 Subjects: – SubjectFull: World Trade Center (New York, N.Y. : 1970-2001) Type: general – SubjectFull: Cognition disorders Type: general – SubjectFull: Psychological stress Type: general – SubjectFull: Montreal Cognitive Assessment Type: general – SubjectFull: Post-traumatic stress disorder Type: general – SubjectFull: Physical mobility Type: general – SubjectFull: Symptoms Type: general Titles: – TitleFull: Chronic Posttraumatic Stress Disorder and Comorbid Cognitive and Physical Impairments in World Trade Center Responders. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Diminich, Erica D. – PersonEntity: Name: NameFull: Clouston, Sean A. P. – PersonEntity: Name: NameFull: Kranidis, Alexandra – PersonEntity: Name: NameFull: Kritikos, Minos – PersonEntity: Name: NameFull: Kotov, Roman – PersonEntity: Name: NameFull: Kuan, Peifen – PersonEntity: Name: NameFull: Carr, Melissa – PersonEntity: Name: NameFull: Bromet, Evelyn J. – PersonEntity: Name: NameFull: Luft, Benjamin J. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 06 Text: Jun2021 Type: published Y: 2021 Identifiers: – Type: issn-print Value: 08949867 Numbering: – Type: volume Value: 34 – Type: issue Value: 3 Titles: – TitleFull: Journal of Traumatic Stress Type: main |
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