Invited reply to "PTSD is a risk factor for cardiovascular disease.

Details

• Personal Author:
  Cone, James E. ; Jordan HT ; Miller-Archie SA ; Morabia A ; Stellman SD
• Description:
  We thank Dr. Boscarino for elaborating on the potential biological underpinnings of the association between posttraumatic stress disorder (PTSD) and cardiovascular disease (CVD), and for raising the key question of the clinical applications of our findings. There is mounting evidence of a link between PTSD and CVD. However, to our knowledge, the role of PTSD treatment in CVD prevention has not been evaluated (Dedert et al., 2010). This is an area ripe for investigation. Although it remains uncertain whether effective PTSD treatment prevents CVD, there is ample evidence of the interdependence of physical and mental health problems among persons exposed to the 9/11 disaster (Li et al., 2011, Luft et al., 2011, Niles et al., 2011 and Wisnivesky et al., 2011). Our study (Jordan et al., 2011) adds further support for the integration of physical and mental health care in clinical monitoring and treatment programs for 9/11 survivors. The World Trade Center Health Registry is currently conducting a third round of surveys of its entire cohort. This ongoing survey has an expanded focus on CVD risk factors, as well as on risk factors for PTSD, including traumatic experiences other than the 9/11 disaster. It also includes questions about the use of medications for mental health conditions. Results may provide us with a more nuanced understanding of the complex interplay between PTSD and CVD, which could guide investigation of CVD prevention through PTSD treatment. [Description provided by NIOSH]
• Subjects:
  Cohort Studies Occupational Health Safety
• Keywords:
  Author Keywords: Stress Disorders Cohort Studies Disasters Heart Diseases Post-traumatic Stress Proportional Hazards Models Psychological Cardiovascular Diseases Rescue Work September 11 Terrorist Attacks World Trade Center Attack
• ISSN:
  0091-7435
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  New York ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  54
• Issue:
  5
• NIOSHTIC Number:
  nn:20047479
• Citation:
  Prev Med 2012 May; 54(5):365
• Contact Point Address:
  Hannah T. Jordan, World Trade Center Health Registry, New York City Department of Health and Mental Hygiene, 42-09 28th Street, WS 7-32, Long Island City, NY 11101, United States
• Email:
  hjordan1@health.nyc.gov
• Federal Fiscal Year:
  2012
• Performing Organization:
  New York City Health/Mental Hygiene
• Peer Reviewed:
  False
• Start Date:
  20090430
• Source Full Name:
  Preventive Medicine
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:51605134a20a0a1b89bd1e9fa211361db436fa9845e67e21475b97504bc59c5e5a894411a1acb42ec0edb5b1e2740be1c412def0fb7b338281d6bd41b6121a09
• Download URL:
  https://stacks.cdc.gov/view/cdc/202535/cdc_202535_DS1.pdf
• File Type:
  [PDF - 102.01 KB ]