Common health problems in safety-net primary care: Modeling the roles of trauma history and mental health.
Adult
Adverse Childhood Experiences
/ statistics & numerical data
Anxiety Disorders
/ epidemiology
Cross-Sectional Studies
Depressive Disorder
/ epidemiology
Female
Health Status
Humans
Male
Middle Aged
Poverty
/ statistics & numerical data
Primary Health Care
/ statistics & numerical data
Psychological Trauma
/ epidemiology
Safety-net Providers
/ statistics & numerical data
Self Report
United States
/ epidemiology
primary care psychology
safety net
trauma
Journal
Journal of clinical psychology
ISSN: 1097-4679
Titre abrégé: J Clin Psychol
Pays: United States
ID NLM: 0217132
Informations de publication
Date de publication:
01 2019
01 2019
Historique:
received:
22
11
2017
revised:
16
06
2018
accepted:
13
07
2018
pubmed:
7
10
2018
medline:
12
3
2020
entrez:
7
10
2018
Statut:
ppublish
Résumé
This study described trauma exposure and investigated mediational effects of mental health on the relationships between trauma and pain, sleep, smoking, and general health. Participants were 210 low-income primary care patients. The study used a crosssectional, self-report survey design. Eighty-five percent of the sample reported adult trauma and 54% reported four or more childhood traumas. Moderate or higher depression and anxiety levels were present in 59% and 48% of participants, respectively. Structural equation model fit was good for sleep, pain, and general health, showing that trauma indirectly affected health variables via mental health. Participants endorsed substantial adult and childhood trauma, which likely had cascading effects on mental health and common primary care presenting health issues.
Types de publication
Journal Article
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
146-164Informations de copyright
© 2018 Wiley Periodicals, Inc.