Associations between lifetime potentially traumatic events and chronic physical conditions in the South African Stress and Health Survey: a cross-sectional study

Simple item page
dc.contributor.authorAtwoli, Lukoye
dc.contributor.authorPlatt, Jonathan M
dc.contributor.authorBasu, Archana
dc.contributor.authorWilliams, David R
dc.contributor.authorStein, Dan J
dc.contributor.authorKoenen, Karestan C
dc.date.accessioned2021-10-08T06:54:46Z
dc.date.available2021-10-08T06:54:46Z
dc.date.issued2016
dc.description.abstractAbstract Background This study examined the association between the type, and cumulative number of lifetime potentially traumatic events (PTEs), and chronic physical conditions, in a South African sample. PTE exposures have been associated with an increased risk for a wide range of chronic physical conditions, but it is unclear whether psychiatric disorders mediate this association. Given the established differences in trauma occurrence, and the epidemiology of posttraumatic stress disorder (PTSD) in South Africa relative to other countries, examining associations between PTEs and chronic physical conditions, particularly while accounting for psychiatric comorbidity is important. Methods Data were drawn from the South African Stress and Health Study, a cross-sectional population-representative study of psychological and physical health of South African adults. Twenty-seven PTEs, based on the World Health Organization Composite International Diagnostic Interview Version 3.0, DSM-IV PTSD module were grouped into seven PTE types (war events, physical violence, sexual violence, accidents, unexpected death of a loved one, network events, and witnessing PTEs). Five clusters of physical conditions (cardiovascular, arthritis, respiratory, chronic pain, and other health conditions) were examined. Logistic regressions assessed the odds of reporting a physical condition in relation to type and cumulative number of PTEs. Cochran-Armitage test for trend was used to examine dose-response effect of cumulative PTEs on physical conditions. Results After adjusting for sociodemographic variables and psychiatric disorders, respondents with any PTE had increased odds of all assessed physical conditions, ranging between 1.48 (95 % CI: 1.06–2.07) for arthritis and 2.07 (95 % CI: 1.57–2.73) for respiratory conditions, compared to those without PTE exposure. Sexual violence, physical violence, unexpected death of a loved one, and network PTEs significantly increased the odds of all or nearly all the physical conditions assessed. There was a dose-response relationship between number of PTEs and increased odds of all physical conditions. Conclusions Results from this study, the first in an African general population, are consistent with other population-based studies; PTEs confer a broad-spectrum risk for chronic physical conditions, independent of psychiatric disorders. These risks increase with each cumulative PTE exposure. Clinically, comprehensive evaluations for risk of mental and physical health morbidities should be considered among PTE survivors.
dc.identifier.apacitationAtwoli, L., Platt, J. M., Basu, A., Williams, D. R., Stein, D. J., & Koenen, K. C. (2016). Associations between lifetime potentially traumatic events and chronic physical conditions in the South African Stress and Health Survey: a cross-sectional study. <i>BMC Psychiatry</i>, 16(1), 174 - 177. http://hdl.handle.net/11427/34335en_ZA
dc.identifier.chicagocitationAtwoli, Lukoye, Jonathan M Platt, Archana Basu, David R Williams, Dan J Stein, and Karestan C Koenen "Associations between lifetime potentially traumatic events and chronic physical conditions in the South African Stress and Health Survey: a cross-sectional study." <i>BMC Psychiatry</i> 16, 1. (2016): 174 - 177. http://hdl.handle.net/11427/34335en_ZA
dc.identifier.citationAtwoli, L., Platt, J.M., Basu, A., Williams, D.R., Stein, D.J. & Koenen, K.C. 2016. Associations between lifetime potentially traumatic events and chronic physical conditions in the South African Stress and Health Survey: a cross-sectional study. <i>BMC Psychiatry.</i> 16(1):174 - 177. http://hdl.handle.net/11427/34335en_ZA
dc.identifier.issn1471-244X
dc.identifier.ris TY - Journal Article AU - Atwoli, Lukoye AU - Platt, Jonathan M AU - Basu, Archana AU - Williams, David R AU - Stein, Dan J AU - Koenen, Karestan C AB - Abstract Background This study examined the association between the type, and cumulative number of lifetime potentially traumatic events (PTEs), and chronic physical conditions, in a South African sample. PTE exposures have been associated with an increased risk for a wide range of chronic physical conditions, but it is unclear whether psychiatric disorders mediate this association. Given the established differences in trauma occurrence, and the epidemiology of posttraumatic stress disorder (PTSD) in South Africa relative to other countries, examining associations between PTEs and chronic physical conditions, particularly while accounting for psychiatric comorbidity is important. Methods Data were drawn from the South African Stress and Health Study, a cross-sectional population-representative study of psychological and physical health of South African adults. Twenty-seven PTEs, based on the World Health Organization Composite International Diagnostic Interview Version 3.0, DSM-IV PTSD module were grouped into seven PTE types (war events, physical violence, sexual violence, accidents, unexpected death of a loved one, network events, and witnessing PTEs). Five clusters of physical conditions (cardiovascular, arthritis, respiratory, chronic pain, and other health conditions) were examined. Logistic regressions assessed the odds of reporting a physical condition in relation to type and cumulative number of PTEs. Cochran-Armitage test for trend was used to examine dose-response effect of cumulative PTEs on physical conditions. Results After adjusting for sociodemographic variables and psychiatric disorders, respondents with any PTE had increased odds of all assessed physical conditions, ranging between 1.48 (95 % CI: 1.06–2.07) for arthritis and 2.07 (95 % CI: 1.57–2.73) for respiratory conditions, compared to those without PTE exposure. Sexual violence, physical violence, unexpected death of a loved one, and network PTEs significantly increased the odds of all or nearly all the physical conditions assessed. There was a dose-response relationship between number of PTEs and increased odds of all physical conditions. Conclusions Results from this study, the first in an African general population, are consistent with other population-based studies; PTEs confer a broad-spectrum risk for chronic physical conditions, independent of psychiatric disorders. These risks increase with each cumulative PTE exposure. Clinically, comprehensive evaluations for risk of mental and physical health morbidities should be considered among PTE survivors. DA - 2016 DB - OpenUCT DP - University of Cape Town IS - 1 J1 - BMC Psychiatry LK - https://open.uct.ac.za PY - 2016 SM - 1471-244X T1 - Associations between lifetime potentially traumatic events and chronic physical conditions in the South African Stress and Health Survey: a cross-sectional study TI - Associations between lifetime potentially traumatic events and chronic physical conditions in the South African Stress and Health Survey: a cross-sectional study UR - http://hdl.handle.net/11427/34335 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34335
dc.identifier.vancouvercitationAtwoli L, Platt JM, Basu A, Williams DR, Stein DJ, Koenen KC. Associations between lifetime potentially traumatic events and chronic physical conditions in the South African Stress and Health Survey: a cross-sectional study. BMC Psychiatry. 2016;16(1):174 - 177. http://hdl.handle.net/11427/34335.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Psychiatry and Mental Health
dc.publisher.facultyFaculty of Health Sciences
dc.sourceBMC Psychiatry
dc.source.journalissue1
dc.source.journalvolume16
dc.source.pagination174 - 177
dc.source.urihttps://dx.doi.org/10.1186/s12888-016-0929-z
dc.subject.otherPhysical health
dc.subject.otherPosttraumatic stress disorder
dc.subject.otherSouth Africa
dc.subject.otherTrauma
dc.subject.otherAdolescent
dc.subject.otherAdult
dc.subject.otherComorbidity
dc.subject.otherCross-Sectional Studies
dc.subject.otherDiagnostic and Statistical Manual of Mental Disorders
dc.subject.otherFemale
dc.subject.otherHealth Status
dc.subject.otherHealth Surveys
dc.subject.otherHumans
dc.subject.otherLife Change Events
dc.subject.otherMale
dc.subject.otherMiddle Aged
dc.subject.otherSouth Africa
dc.subject.otherYoung Adult
dc.titleAssociations between lifetime potentially traumatic events and chronic physical conditions in the South African Stress and Health Survey: a cross-sectional study
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
AtwoliLukoye_Associations_be_2016.pdf
Size:
468.99 KB
Format:
Adobe Portable Document Format
Description:
Download
Collections
Journal Articles