Self-reported physical health associations of traumatic events in medical and dental outpatients: a cross-sectional study.
The purpose of this cross-sectional study was to understand the prevalence and severity of health-related sequelae of traumatic exposure in a nonpsychiatric, outpatient sample.Self-report surveys were completed by patients seeking outpatient medical (n = 123) and dental care (n = 125) at a large, urban academic medical center.Results suggested that trauma exposure was associated with a decrease in perceptions of overall health and an increase in pain interference at work. Contrary to prediction, a history of interpersonal trauma was associated with less physical and emotional interference with social activities. A history of trauma exposure was associated with an increase in time elapsed since last medical visit. Depression and anxiety did not mediate the relationship between trauma history and medical care.Based on these results, clinical and research implications in relation to the health effects of trauma are discussed. The results suggest that routine screening for traumatic events may be important, particularly when providers have long-term relationships with patients.
From the Department of Pediatric Dentistry, College of Dentistry, University of Illinois at Chicago (SR); Department of Psychology, Northern Illinois University (SMH, DB, HO); University of Illinois at Chicago (JH); Office on Women's Health, Region V, U.S. Department of Health and Human Services (MH); and Department of Family Medicine, University of Illinois at Chicago, Illinois, USA (MH).
Sheela
S
Raja
Susan M
SM
Hannan
Derrecka
D
Boykin
Holly
H
Orcutt
Judy
J
Hamad
Michelle
M
Hoersch
Memoona
M
Hasnain
D000046:Academic Medical Centers; D000328:Adult; D019548:Crime Victims / Q000523:psychology*; D003430:Cross-Sectional Studies; D003710:Demography; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D010045:Outpatients; D015995:Prevalence; D057566:Self Report; D011795:Surveys and Questionnaires; D017741:Survivors / Q000523:psychology*; D014947:Wounds and Injuries / Q000209:etiology* / Q000523:psychology*