Depression and PTSD Co-Morbidity: What are We Missing?

Background: Posttraumatic stress disorder (PTSD) and depression comorbidity is highly common. Many hypotheses concerning this relation have been raised but the pertinent issues, including the wide clinical picture of this comorbidity, are still not clear. The current study aims to bridge these gaps....

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Main Authors: Itzhaky, Liat, Levin, Yafit, Fingerhut, Henry Alan, Solomon, Zahava
Format: Article
Language:en_US
Published: Journal of Depression and Anxiety 2016
Online Access:http://hdl.handle.net/1721.1/102547
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author Itzhaky, Liat
Levin, Yafit
Fingerhut, Henry Alan
Solomon, Zahava
author_facet Itzhaky, Liat
Levin, Yafit
Fingerhut, Henry Alan
Solomon, Zahava
author_sort Itzhaky, Liat
collection MIT
description Background: Posttraumatic stress disorder (PTSD) and depression comorbidity is highly common. Many hypotheses concerning this relation have been raised but the pertinent issues, including the wide clinical picture of this comorbidity, are still not clear. The current study aims to bridge these gaps. Method: We assessed PTSD, depression and comorbid indicators including dissociation, somatization, self- destructive behavior and suicidality among Israeli Yom Kippur war veterans at three time points (N = 349, 287, 301). Results: Dissociation, somatization, self-destructive behavior and suicidality were predicted separately by group (PTSD, depression and comorbidity) and time of measurement using ANOVA and Chi squared analyses. The ‘comorbidity’ group expressed significantly higher dissociation, somatization, self-destructive behavior and suicidality, revealing high vulnerability of this group. Somatization presented a curvilinear-like development, increasing between T1 and T2 and slightly declining at T3, especially among the ‘comorbidity’ group. Suicidality showed a constant increase along the three measurements, especially among the comorbidity group. Conclusions: A PTSD/depression comorbidity is both highly prevalent and long lasting and is often expressed concurrently with other related symptomatology, which causes further suffering and makes it more complicated for treatment. Implications for policy makers are briefly discussed.
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spelling mit-1721.1/1025472019-04-11T07:52:08Z Depression and PTSD Co-Morbidity: What are We Missing? Itzhaky, Liat Levin, Yafit Fingerhut, Henry Alan Solomon, Zahava Background: Posttraumatic stress disorder (PTSD) and depression comorbidity is highly common. Many hypotheses concerning this relation have been raised but the pertinent issues, including the wide clinical picture of this comorbidity, are still not clear. The current study aims to bridge these gaps. Method: We assessed PTSD, depression and comorbid indicators including dissociation, somatization, self- destructive behavior and suicidality among Israeli Yom Kippur war veterans at three time points (N = 349, 287, 301). Results: Dissociation, somatization, self-destructive behavior and suicidality were predicted separately by group (PTSD, depression and comorbidity) and time of measurement using ANOVA and Chi squared analyses. The ‘comorbidity’ group expressed significantly higher dissociation, somatization, self-destructive behavior and suicidality, revealing high vulnerability of this group. Somatization presented a curvilinear-like development, increasing between T1 and T2 and slightly declining at T3, especially among the ‘comorbidity’ group. Suicidality showed a constant increase along the three measurements, especially among the comorbidity group. Conclusions: A PTSD/depression comorbidity is both highly prevalent and long lasting and is often expressed concurrently with other related symptomatology, which causes further suffering and makes it more complicated for treatment. Implications for policy makers are briefly discussed. 2016-05-18T20:28:03Z 2016-05-18T20:28:03Z 2014 Article http://hdl.handle.net/1721.1/102547 Itzhaky, L., Y. Levin, H. Fingerhut, and Z. Solomon. (2014) Depression and PTSD Co-Morbidity: What are We Missing? Journal of Depression and Anxiety, 03(04), 1-6 en_US CC0 1.0 Universal http://creativecommons.org/publicdomain/zero/1.0/ application/pdf Journal of Depression and Anxiety
spellingShingle Itzhaky, Liat
Levin, Yafit
Fingerhut, Henry Alan
Solomon, Zahava
Depression and PTSD Co-Morbidity: What are We Missing?
title Depression and PTSD Co-Morbidity: What are We Missing?
title_full Depression and PTSD Co-Morbidity: What are We Missing?
title_fullStr Depression and PTSD Co-Morbidity: What are We Missing?
title_full_unstemmed Depression and PTSD Co-Morbidity: What are We Missing?
title_short Depression and PTSD Co-Morbidity: What are We Missing?
title_sort depression and ptsd co morbidity what are we missing
url http://hdl.handle.net/1721.1/102547
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