The DOI matches its Crossref record; 56 of the 57 references it cites were found in a registry or an index.
Prevalence of Depression–PTSD Comorbidity: Implications for Clinical Practice Guidelines and Primary Care-based Interventions
Open accessAbstract
Background Compared to those with depression alone, depressed patients with posttraumatic stress disorder (PTSD) experience more severe psychiatric symptomatology and factors that complicate treatment. Objective To estimate PTSD prevalence among depressed military veteran primary care patients and compare demographic/illness characteristics of PTSD screen-positive depressed patients (MDD-PTSD+) to those with depression alone (MDD). Design Cross-sectional comparison of MDD patients versus MDD-PTSD+ patients. Participants Six hundred seventy-seven randomly sampled depressed patients with at least 1 primary care visit in the previous 12 months. Participants composed the baseline sample of a group randomized trial of collaborative care for depression in 10 VA primary care practices in 5 states. Measurements The Patient Health Questionnaire-9 assessed MDD. Probable PTSD was defined as a Primary Care PTSD Screen > or = 3. Regression-based techniques compared MDD and MDD-PTSD+ patients on demographic/illness characteristics. Results Thirty-six percent of depressed patients screened positive for PTSD. Adjusting for sociodemographic differences and physical illness comorbidity, MDD-PTSD+ patients reported more severe depression (P < .001), lower social support (P < .001), more frequent outpatient health care visits (P < .001), and were more likely to report suicidal ideation (P < .001) than MDD patients. No differences were observed in alcohol consumption, self-reported general health, and physical illness comorbidity. Conclusions PTSD is more common among depressed primary care patients than previously thought. Comorbid PTSD among depressed patients is associated with increased illness burden, poorer prognosis, and delayed response to depression treatment. Providers should consider recommending psychotherapeutic interventions for depressed patients with PTSD.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The cited source says what the claim attributes to it.
In the citing paper
“The comorbidity between PTSD and depression is supported by many studies (Bleich et al., 1997; Campbell et al., 2007; O’Donnell et al., 2014), so we assume that depression-related rumination is positively associated with PTSD.”
From Coexistence and different determinants of posttraumatic stress disorder and posttraumatic growth among Chinese survivors after earthquake: role of resilience and rumination (2015) · cites this paper as Campbell et al., 2007
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,845
The PHQ-9: Validity of a brief depression severity measure
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.2001.016009606.x · Cited by 44,910
Diagnostic and Statistical Manual of Mental Disorders
American Psychiatric Association (2022) · doi:10.1176/appi.books.9780890425787 · Cited by 23,476
Posttraumatic Stress Disorder in the National Comorbidity Survey
Kessler, R. C. (1995) · Archives of General Psychiatry · doi:10.1001/archpsyc.1995.03950240066012 · Cited by 10,379
Sherbourne, C. D., & Stewart, A. L. (1991) · Social Science & Medicine · doi:10.1016/0277-9536(91)90150-b · Cited by 6,643
Bush, K. (1998) · Archives of Internal Medicine · doi:10.1001/archinte.158.16.1789 · Cited by 6,196
Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care
Hoge, C. W., Castro, C. A., Messer, S. C., McGurk, D., Cotting, D. I., & Koffman, R. L. (2004) · New England Journal of Medicine · doi:10.1056/nejmoa040603 · Cited by 4,778
Hoge, C. W., Auchterlonie, J. L., & Milliken, C. S. (2006) · JAMA · doi:10.1001/jama.295.9.1023 · Cited by 2,027
A Multidimensional Meta-Analysis of Psychotherapy for PTSD
Bradley, R., Greene, J., Russ, E., Dutra, L., & Westen, D. (2005) · American Journal of Psychiatry · doi:10.1176/appi.ajp.162.2.214 · Cited by 1,938
Norris, F. H. (1992) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.60.3.409 · Cited by 1,527
Research works printed but not linked: 3
- American Psychiatric Association Workgroup on Major Depressive Disorder. Practice guideline for the treatment of patients with major depressive disorder, 2nd edition. Washington: 2000; American Psychiatric Publishing, Inc. Website: http://www.psych.org/psych_pract/treatg/pg/Depression2e.book.cfm .
- Hankin CS, Spiro III A, Miller DR, Kazis L. Mental disorders and mental health treatment among US Department of Veterans Affairs outpatients: the Veterans Health Study. Am J Psychiatry. 1999;156:1924–30. · DOI · Paper page
- Office of Quality and Performance. FY2005 VA Performance Measurement System Technical Manual. Washington, DC: Department of Veterans Affairs, Veterans Health Administration; 2005.
Cited by
Sorted by citations
Items 201–300 of 456
Ramos, Z., Fortuna, L. R., Porche, M. V. M., Wang, Y., Shrout, P. E., Loder, S., McPeck, S., Noyola, N., Toro, M., Carmona, R., et al. (2016) · Journal of Immigrant and Minority Health · doi:10.1007/s10903-016-0426-y · Cited by 22
“8 % in a White middle-class sample being treated for depression, anxiety, and SUD [41], and 36–37 % among depressed veterans [42, 43].”
BackgroundNiles, B. L., Mori, D. L., Polizzi, C. P., Kaiser, A. P., Ledoux, A. M., & Wang, C. (2016) · BMJ Open · doi:10.1136/bmjopen-2016-012464 · Cited by 21
Posttraumatic Stress Disorder Symptoms and Problematic Overeating Behaviors in Young Men and Women
Mason, S. M., Frazier, P. A., Austin, S. B., Harlow, B. L., Jackson, B. M., Raymond, N. C., & Rich-Edwards, J. W. (2017) · Annals of Behavioral Medicine · doi:10.1007/s12160-017-9905-1 · Cited by 21
“PTSD is frequently comorbid with depression [18], and it is plausible that the combination of PTSD symptoms and depression symptoms is associated with additional weightrelated risks [19].”
BackgroundPosttraumatic stress symptom change after family involvement in veterans’ mental health care.
Laws, H. B., Glynn, S. M., McCutcheon, S. J., Schmitz, T. M., & Hoff, R. A. (2017) · Psychological Services · doi:10.1037/ser0000200 · Cited by 21
“Comorbid major depressive disorder (MDD) is associated with a more chronic PTSD course, and slower response to treatment (Angelakis & Nixon, 2015; Campbell et al., 2007).”
BackgroundSzafranski, D. D., Grös, D. F., Acierno, R. E., Brady, K. T., Killeen, T. K., & Back, S. E. (2018) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2344 · Cited by 24
Borinca, I., Stathi, S., & Gkinopoulos, T. (2025) · Personality and Social Psychology Bulletin · doi:10.1177/01461672251338559 · Cited by 22
“While some people endure recurrent, distressing memories and intrusive thoughts with significant psychological consequences, others experience less severe recollections with fewer associated difficulties (Brewin et al., 2000; Campbell et al., 2007; Pedersen et al., 2011).”
Vinci, C., Mota, N. P., Berenz, E. C., & Connolly, K. M. (2016) · Military Psychology · doi:10.1037/mil0000100 · Cited by 20
“…of other problems, including substance use disorders (SUD; Bremner, Southwick, Darnell, & Charney, 1996; Jakupcak et al., 2010; McFall, Mackay, & Donovan, 1992), depression (Campbell et al., 2007), and a diminished overall quality of life (Pittman, Goldsmith, Lemmer, Kilmer, & Baker, 2012).”
Benfer, N., Spitzer, E. G., & Bardeen, J. R. (2021) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2021.102360 · Cited by 26
Reported Cases of Serotonin Syndrome in MDMA Users in FAERS Database
Makunts, T., Jerome, L., Abagyan, R. A., & de Boer, A. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.824288 · Cited by 20
Mironova, V. I., Rybnikova, E. A., & Пивина, С. Г. (2013) · Acta Physiologica Hungarica · doi:10.1556/aphysiol.100.2013.4.4 · Cited by 20
Blood transcriptomic markers for major depression: from animal models to clinical settings
Redei, E. E., & Mehta, N. S. (2015) · Annals of the New York Academy of Sciences · doi:10.1111/nyas.12748 · Cited by 20
Rumination and Its Relationship with Thought Suppression in Unipolar Depression and Comorbid PTSD
Rosebrock, L., Hall, K. A. A., Rando, A. A., Pineles, S., & Liverant, G. (2018) · Cognitive Therapy and Research · doi:10.1007/s10608-018-9935-4 · Cited by 16
“Furthermore, individuals with comorbid depression and posttraumatic stress disorder (PTSD) have demonstrated higher symptom severity and greater functional impact (Campbell et al. 2007).”
BackgroundLee, C. J., Chen, Y., Wu, H.-F., Chung, Y.-J., Lee, Y., Li, C., & Lin, H. (2019) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2019.03.015 · Cited by 20
Neigh, G. N., Ritschel, L. A., Kilpela, L. S., Harrell, C. S., & Bourke, C. H. (2012) · Neuroscience · doi:10.1016/j.neuroscience.2012.09.075 · Cited by 18
“, major depression, borderline personality disorder), trauma history and comorbid PTSD is frequently a strong predictor of treatment non-response (Green et al., 2006; Campbell et al., 2007).”
BackgroundHuynh, T. N., Santini, E., Mojica, E. S., Fink, A. E., Hall, B. S., Fetcho, R. N., Grosenick, L., Deisseroth, K. A., LeDoux, J. E., Liston, C. M., et al. (2017) · Molecular Psychiatry · doi:10.1038/mp.2017.99 · Cited by 18
Evans, T. C., Alonso, M. R., Jagger-Rickels, A. C., Rothlein, D., Zuberer, A., Bernstein, J. P. K., Fortier, C. B., Fonda, J. R., Villalon, A., Jorge, R. E., et al. (2022) · NeuroImage Clinical · doi:10.1016/j.nicl.2022.103146 · Cited by 20
Bianchi, M. L. (2011) · Revista de Salud Pública · doi:10.1590/s0124-00642011000400001 · Cited by 18
Nugent, N. R., Gaston, S. A., Perry, J. F., Rung, A. L., Trapido, E. J., & Peters, E. S. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.03.018 · Cited by 18
Ziobrowski, H. N., Leung, L. B., Bossarte, R. M., Bryant, C., Keusch, J. N., Liu, H., Puac‐Polanco, V., Pigeon, W. R., Oslin, D. W., Post, E. P., et al. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.04.033 · Cited by 17
“Psychiatric comorbidity is an important predictor of poor treatment outcomes, and thus a potential treatment target (Campbell et al., 2007; Davis et al., 2010; Warden et al., 2009).”
BackgroundLong-Term Consequences of War Captivity in Military Veterans
Jukić, M., Malenica, L., Đuričić, V., Talapko, J., Lukinac, J., Jukić, M., & Škrlec, I. (2023) · Healthcare · doi:10.3390/healthcare11141993 · Cited by 23
“One of the most common comorbid psychiatric disorders is depression, and research emphasizes the importance of recognizing depression and the poorer prognosis and more complicated clinical picture in the case of comorbidity of PTSD and depression [48,49].”
BackgroundPsychiatric Comorbidity and Mortality Among Veterans Hospitalized for Congestive Heart Failure
Banta, J. E., Andersen, R., Young, A. S., Kominski, G. F., & Cunningham, W. E. (2010) · Military Medicine · doi:10.7205/milmed-d-10-00002 · Cited by 17
The double-edged sword: The role of empathy in military veterans’ partners distress.
Dekel, R., Siegel, A., Fridkin, S., & Svetlitzky, V. (2017) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/tra0000265 · Cited by 17
“depression are often comorbid (Campbell et al., 2007), examining”
Background#4645Boricuas: Twitter reactions to the estimates of deaths by Hurricane María in Puerto Rico
García‐Ramírez, G., Bogen, K. W., Rodríguez‐Guzmán, V. M., Nugent, N. R., & Orchowski, L. M. (2020) · Journal of Community Psychology · doi:10.1002/jcop.22295 · Cited by 17
“There is a rich literature suggesting that PTSD and depressed mood frequently co-occur and have shared risk factors (Campbell et al., 2007; Goldstein et al., 2016; Spinhoven, Penninx, van Hemert, de Rooij, & Elzinga, 2014; Wisco et al., 2016).”
BackgroundPsychopathologies des demandeurs d’asile en Europe, traumatisme et fonctionnement défensif
Mazur, V., Chahraoui, K., & Bissler, L. (2014) · L Encéphale · doi:10.1016/j.encep.2013.11.001 · Cited by 17
Wong, E. C., Jaycox, L. H., Ayer, L. A., Batka, C., Harris, R., Naftel, S., & Paddock, S. M. (2015) · Rand health quarterly · doi:10.7249/rhq-05-02-13 · Cited by 16
“, 2007) to 36 percent using a brief PTSD screen (Campbell et al., 2007).”
BackgroundMethodMurkar, A., Kendzerska, T., Shlik, J., Quilty, L. C., Saad, M., & Robillard, R. (2022) · BMC Psychiatry · doi:10.1186/s12888-022-04185-7 · Cited by 18
“depression symptoms (based on retrospective estimates), suggesting that depression symptoms are an important factor associated with cannabis intake in PTSD during a global crisis (an observation that is particularly relevant given the high comorbidity of PTSD and depression [69, 70]).”
BackgroundPsychiatric comorbidities in older adults with posttraumatic stress disorder: A systematic review
Baltjes, F., Cook, J. M., van Kordenoordt, M., & Sobczak, S. (2023) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.5947 · Cited by 16
Schurz, M., Berenz, J.-P., Maerz, J., Perla, R., Buchheim, A., & Labek, K. (2024) · Brain Sciences · doi:10.3390/brainsci14040395 · Cited by 18
“Neuroimaging studies of BPD often feature samples with marked comorbidity (for an overview, see, e.g., [9,10]), with frequent concurrent diagnoses being, for example, PTSD [121] and depression [122].”
BackgroundTraumatic events and mental health in civilian primary care: implications for training and practice.
Freedy, J. R., Magruder, K. M., Zoller, J. S., Hueston, W. J., Carek, P. J., & Brock, C. D. (2010) · PubMed · Cited by 16
Zhang, H., Xu, H., Huang, L., Wang, Y., Deng, F., Wang, X., Tang, X., Wang, W., Fu, X., Tao, Y., et al. (2021) · BMC Psychiatry · doi:10.1186/s12888-021-03400-1 · Cited by 17
Marfoli, A., Viglia, F., Consiglio, M. D., Merola, S., Sdoia, S., & Couyoumdjian, A. (2021) · Annals of General Psychiatry · doi:10.1186/s12991-021-00373-z · Cited by 16
“Furthermore, the comorbidity of depression with other psychological or medical disorders, such as anxiety disorders or post-traumatic stress disorder (PTSD, [2, 20, 46], or even other chronic illnesses [53], shows how depressive symptomatology can vary.”
BackgroundSteiner, A. J., Boulos, N., Mirocha, J., Wright, S. M., Collison, K. L., & IsHak, W. W. (2016) · Clinical Neuropharmacology · doi:10.1097/wnf.0000000000000190 · Cited by 16
“Unlike MDD, which is characterized by a cyclical course, PTSD is more persistent and unremitting.(16) In addition, positive PTSD screens in patients with MDD have also been associated with an increased prevalence of suicidal ideation(16) and attempts(24) compared with individuals with MDD but no PTSD (MDDnoPTSD).”
BackgroundMoody, R. L., Collazo, E. N., Gurung, S., Rendina, H. J., & Parsons, J. T. (2020) · Substance Use & Misuse · doi:10.1080/10826084.2020.1790007 · Cited by 16
“…experience higher rates of the same diagnoses compared to civilian populations (Hoerster et al., 2012; Magruder & Yeager, 2009), and these conditions have high levels of comorbidity among military personnel (Campbell et al., 2007; Ginzburg et al., 2010; Kozaric-Kovacic & Kocijan-Hercigonja, 2001).”
Dennis, E. L., Disner, S. G., Fani, N., Salminen, L. E., Logue, M. W., Clarke‐Rubright, E. K., Haswell, C. C., Averill, C. L., Baugh, L. A., Bomyea, J. A., et al. (2019) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/677153 · Cited by 16
Neuroticism and Its Associated Brain Activation in Women With PTSD
Brown, N. B., Wojtalik, J. A., Turkel, M., Vuper, T. C., Strasshofer, D. R., Sheline, Y. I., & Bruce, S. E. (2016) · Journal of Interpersonal Violence · doi:10.1177/0886260516682519 · Cited by 15
“Given the transdiagnostic nature of neuroticism, as well as the high comorbidity between PTSD and depression, it is likely that neuroimaging research on neuroticism in depressed individuals provides a basis for examining neuroticism in women with PTSD (Campbell et al., 2007).”
BackgroundForchuk, C. A., Nazarov, A., Hunt, R., Davis, B. D., Cyr, K. S., & Richardson, J. A. (2020) · European Journal of Psychotraumatology · doi:10.1080/20008198.2020.1748460 · Cited by 15
“ranging between 36-70% within military samples) (Campbell et al., 2007; Kehle et al., 2010; Zamorski et al., 2016), it is imperative to develop a nuanced understanding”
BackgroundInfluentialKirk, M., Taha, B., Dang, K., McCague, H., Hatzinakos, D., Katz, J. D., & Ritvo, P. (2021) · JMIR Mental Health · doi:10.2196/26479 · Cited by 23
“Severe symptoms are often comorbid with depression and chronic pain [6-8].”
Bedford, L. A., Dietch, J. R., Taylor, D. J., Boals, A., & Zayfert, C. (2017) · Behavior Therapy · doi:10.1016/j.beth.2017.11.010 · Cited by 15
Kaup, A. R., Toomey, R., Bangen, K. J., Delano‐Wood, L., Yaffe, K. S., Panizzon, M. S., Lyons, M. J., Franz, C. E., & Kremen, W. S. (2018) · Journal of Neurotrauma · doi:10.1089/neu.2018.5695 · Cited by 15
Corcoran, K. A., Leaderbrand, K., Jovasevic, V., Guedea, A. L., Kassam, F., & Radulović, J. (2015) · Translational Psychiatry · doi:10.1038/tp.2015.150 · Cited by 15
Angstman, K. B., Marcelin, A., González, C. A., Kaufman, T. K., Maxson, J. A., & Williams, M. D. (2016) · Journal of Primary Care & Community Health · doi:10.1177/2150131916638329 · Cited by 15
“Posttraumatic stress disorder has various rates of remission but overall tends to have poor outcomes over time.(7) A study by Chapman et al(8) stated that most patients with PTSD remit but a significant minority report symptoms decades after onset.”
BackgroundQuiñones, A. R., Thielke, S. M., Clark, M. E., Phillips, K. M., Elnitsky, C., & Andresen, E. M. (2016) · SAGE Open Medicine · doi:10.1177/2050312116643906 · Cited by 15
Ovrebo, E., Brown, E. L., Emery, H. E., Stenersen, M. R., Schimmel‐Bristow, A., & Steinruck, R. E. (2018) · Journal of Bisexuality · doi:10.1080/15299716.2018.1458682 · Cited by 16
“Individuals may experience aspects of PTSD symptomology without meeting the full criteria for the diagnosis, and researchers have found that PTSD symptomology is often similarly debilitating and frequently associated with the same additional life stressors as full PTSD, including substance abuse, low self-confidence,…”
BackgroundDigital Interventions for PTSD Symptoms in the General Population: a Review
Stefanopoulou, E., Lewis, D., Mughal, A., & Larkin, J. (2020) · Psychiatric Quarterly · doi:10.1007/s11126-020-09745-2 · Cited by 16
Assessing Triggers of Posttrauma Nightmares
Youngren, W. A., Hamilton, N. A., & Preacher, K. J. (2020) · Journal of Traumatic Stress · doi:10.1002/jts.22532 · Cited by 19
Collado, A., Long, K., MacPherson, L., & Lejuez, C. W. (2014) · Trials · doi:10.1186/1745-6215-15-231 · Cited by 15
“Although we believe that this fosters external validity of our results in the context of an RCT, it may also result in decreased overall treatment gains [69].”
ResultGindt, M., Richez, A., Battista, M., Fabre, R., Thümmler, S., Fernandez, A., & Askenazy-Gittard, F. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.678916 · Cited by 14
“It is also frequently seen in other neuropsychiatric disorders with which depression is commonly comorbid, such as for example obsessive-compulsive disorder (26) or PTSD (27).”
BackgroundOlgiati, P., & Serretti, A. (2021) · International Clinical Psychopharmacology · doi:10.1097/yic.0000000000000380 · Cited by 14
“, 2016), but substantially similar to 33–36% displayed in other clinical samples (Green et al., 2006; Campbell et al., 2007).”
BackgroundResultGiacinto, A. D., Lai, C., Cieri, F., Cinosi, E., Massaro, G., Angelini, V., Pasquini, A., Stuppia, L., & Giannantonio, M. D. (2015) · Journal of Mental Health · doi:10.3109/09638237.2015.1019055 · Cited by 14
“…asso- ciated with the presence of alexithymia (Declercq et al., 2010), psychiatric disorders (Daini et al., 2006; Simeon et al., 2009), depression (Felker et al., 2007; Ginzburg et al., 2010; Goenjian et al., 2011), anxiety (Smid et al., 2011; Zahradnik et al., 2009), suicidal ideation and…”
BackgroundDavis, T. D., Campbell, D. G., Bonner, L. M., Bolkan, C. R., Lanto, A. B., Chaney, E. F., Waltz, T. J., Zivin, K., Yano, E. M., & Rubenstein, L. V. (2016) · Women s Health Issues · doi:10.1016/j.whi.2016.08.001 · Cited by 13
“Estimates suggest, for example, that 36% of veterans with depression also experience PTSD (Campbell et al., 2007).”
Self-citationHiratsuka, V. Y., Moore, L. A., Avey, J. P., Dirks, L. G., Beach, B., Dillard, D. A., & Novins, D. K. (2019) · JMIR Formative Research · doi:10.2196/13682 · Cited by 14
“Given the multitude of medical (eg, chronic pain, irritable bowel syndrome, and autoimmune disorders) [17-19] and behavioral (eg, depression, substance use disorders, eating disorders, somatization disorders, personality disorders, and PTSD) [20-23] health problems that occur following traumatic events, clinicians fac…”
BackgroundLatino Veterans with PTSD: A Systematic Review
Pittman, J. O. E. (2014) · Behavioral Sciences · doi:10.3390/bs4030320 · Cited by 17
Nayback-Beebe, A. M., & Yoder, L. H. (2011) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2011.02.005 · Cited by 14
Context- and subgroup-specific language changes in individuals who develop PTSD after trauma
Todorov, G., Mayilvahanan, K., Cain, C., & Cunha, C. (2020) · Frontiers in Psychology · doi:10.3389/fpsyg.2020.00989 · Cited by 13
Liu, A., Liu, M., Ren, Y., Zhang, L. M., & Peng, Y. (2024) · European Journal of Psychotraumatology · doi:10.1080/20008066.2024.2391656 · Cited by 17
“These encompass a less favourable prognosis (Campbell et al., 2007; Stander et al., 2014) and an augmented propensity for engaging in suicidal behaviour (Campbell et al., 2007; Ramsawh et al., 2014).”
BackgroundPsychometric accuracy of the Dutch Child and Adolescent Trauma Screener
Kooij, L. H., Hein, I. M., Sachser, C., Bouwmeester, S., Bosse, M., & Lindauer, R. (2025) · European Journal of Psychotraumatology · doi:10.1080/20008066.2025.2450985 · Cited by 13
“…between PTSD symptoms and internalizing problems is complex and varies among individuals, but it is common for individuals with PTSD symptoms to experience internalizing symptoms, such as anxiety, sleep disturbances, negative feelings and changes in mood (Campbell et al., 2007; Lecrubier, 2004).”
PTSD in Primary Care—An Update on Evidence-based Management
Sonis, J. H. (2013) · Current Psychiatry Reports · doi:10.1007/s11920-013-0373-4 · Cited by 13
“Like persons who present with PTSD in psychiatric settings, persons with PTSD in primary care are likely to have other psychiatric disorders, including depression [6], substance abuse [7] and other anxiety disorders [8].”
BackgroundFactors Affecting Health Care Utilization in OEF/OIF Veterans: The Impact of PTSD and Pain
Lang, K. P., Morris, K. D. V., Berlin, K. S., & Andrasik, F. (2016) · Military Medicine · doi:10.7205/milmed-d-14-00444 · Cited by 13
McFarland, C. P., Clark, J. B., Lee, L. O., Grande, L. J., Marx, B. P., & Vasterling, J. J. (2015) · Journal of Clinical and Experimental Neuropsychology · doi:10.1080/13803395.2015.1102203 · Cited by 13
“symptoms (Campbell et al., 2007) and have been shown to be associated with PM performance deficits under some conditions.”
BackgroundInfluentialGuo, J., Wang, X., Yuan, J., Zhang, W., Tian, D., & Qu, Z. (2015) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000000310 · Cited by 13
“Our finding is also consistent with a previous study, which found that patients with PTSD and depression reported lower social support after adjusting for sociodemographic differences and physical illness (Campbell et al., 2007).”
ResultThe influence of physical and mental health symptoms on Veterans’ functional health status
Sheng, T., Fairchild, J. K., Kong, J. Y., Kinoshita, L. M., Cheng, J. J., Yesavage, J. A., Helmer, D. A., Reinhard, M. J., Ashford, J. W., & Adamson, M. M. (2016) · The Journal of Rehabilitation Research and Development · doi:10.1682/jrrd.2015.07.0146 · Cited by 13
Kennis, M., Rademaker, A. R., van Rooij, S. J. H., Kahn, R. S., & Geuze, E. (2014) · F1000Research · doi:10.12688/f1000research.2-289.v2 · Cited by 13
Multiple types of distress are prospectively associated with increased risk of ovarian cancer
Roberts, A. L., Ratanatharathorn, A. D., Chibnik, L. B., Kubzansky, L. D., & Tworoger, S. S. (2023) · Cancer Medicine · doi:10.1002/cam4.6125 · Cited by 11
Shim, S., Kim, D., & Kim, E. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-06095-2 · Cited by 12
“Depression is thoroughly intertwined with post-traumatic stress disorder (PTSD) (Elhai et al., [12]) and is a common symptom relating to these disorders and behavioral problems, especially PTSD [8].”
BackgroundAnimal models for the discovery of novel drugs for post-traumatic stress disorder
Zoladz, P. R. (2020) · Expert Opinion on Drug Discovery · doi:10.1080/17460441.2020.1820982 · Cited by 12
Ndungu, J., Ramsoomar, L., Willan, S., Washington, L., Ngcobo-Sithole, M. B., & Gibbs, A. (2020) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2020.100022 · Cited by 12
O’Kearney, R., & Parry, L. (2014) · Journal of Abnormal Psychology · doi:10.1037/a0037326 · Cited by 13
Sundin, J., Fear, N. T., Hull, L., Jones, N., Dandeker, C., Hotopf, M. H., Wessely, S. C., & Rona, R. J. (2010) · International Archives of Occupational and Environmental Health · doi:10.1007/s00420-009-0504-8 · Cited by 11
“%) in comparison with studies of the same nature, as young males of low socio-economic background, which are an important component of the UK Armed Forces, are notoriously reluctant to complete questionnaires (Chretien et al. 2007).”
ResultFaruqui, S. H. A., Alaeddini, A., Wang, J., Jaramillo, C. A., & Pugh, M. J. (2021) · IEEE Access · doi:10.1109/access.2021.3122912 · Cited by 11
Moore, T. M., Walker, K. C., Tung, E., Teed, A. R., Hell, F., Kinreich, S., Jung, R., Abdel, F., Hanson, R. W., & Ahmed, S. S. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.04.041 · Cited by 13
Claxton, J., Vibhakar, V., Allen, L. R., Finn, J., Gee, B., & Meiser‐Stedman, R. (2021) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2021.100150 · Cited by 14
Sun, D., Rakesh, G., Clarke‐Rubright, E. K., Haswell, C. C., Logue, M. W., O’Leary, E. N., Cotton, A. S., Xie, H., Dennis, E. L., Jahanshad, N., et al. (2022) · Biological Psychiatry Cognitive Neuroscience and Neuroimaging · doi:10.1016/j.bpsc.2022.02.008 · Cited by 11
“Behaviorally, higher levels of distress (60), impaired neurocognitive function (61), and greater risk for suicide (62) are present in comorbid PTSD and depression compared to PTSD alone.”
BackgroundBraquehais, M. D., & Sher, L. (2009) · Journal of Affective Disorders · doi:10.1016/j.jad.2009.08.008 · Cited by 11
Metregiste, D., Boucaud-Maitre, D., Aubert, L., Noubou, L., & Jehel, L. (2020) · PLoS ONE · doi:10.1371/journal.pone.0229246 · Cited by 11
“On a personal level, this could lead to an increased risk of addictive behaviors [30], suicide attempts [31], psychiatric comorbidities [32] and organic pathologies such as coronary heart disease [33,34].”
BackgroundAbnormality of the Corpus Callosum in Coalmine Gas Explosion-Related Posttraumatic Stress Disorder
Zhang, Y., Li, H., Lang, X., Zhuo, C., Qin, W., & Zhang, Q. (2015) · PLoS ONE · doi:10.1371/journal.pone.0121095 · Cited by 10
“There is a high level of comorbidity between PTSD and depression [35], and attempts to control for the comorbidity may risk removing effects that are actually those of interest [36].”
BackgroundRisk Factors for Posttraumatic Stress Disorder in Haitian Students
Silvestre, G., Anacréon, P., Théodore, M., Silvestre, E., & Garcia-Dubus, E. (2014) · Psychology · doi:10.4236/psych.2014.58096 · Cited by 20
“As to the relationship between family and personal history of mental illness and the development of PTSD symptoms our findings are in tune with those reported previously (Brewin et al., 2000; Campbell et al., 2007).”
ResultVera, M. (2013) · Journal of Depression & Anxiety · doi:10.4172/2167-1044.1000124 · Cited by 10
“Findings also show that co-morbid depression and Generalized Anxiety Disorder (GAD) are highly prevalent among patients with PTSD [32,33].”
BackgroundParent Discrepancies in Ratings of Child Behaviors Following Wartime Deployment
Chesmore, A. A., He, Y., Zhang, N., & Gewirtz, A. H. (2018) · Journal of Traumatic Stress · doi:10.1002/jts.22257 · Cited by 11
“Posttraumatic stress disorder is characterized by internalizing symptoms that co-occur with depression more than with any other psychiatric disorder (Campbell et al., 2007).”
BackgroundRepetitive transcranial magnetic stimulation in trauma-related conditions
Namgung, E., Kim, M., & Yoon, S. J. (2019) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s189498 · Cited by 10
Obuobi-Donkor, G., Eboreime, E., Bond, J., Phung, N., Eyben, S., Hayward, J., Zhang, Y., MacMaster, F. P., Clelland, S. R., Greiner, R., et al. (2022) · JMIR Research Protocols · doi:10.2196/30680 · Cited by 10
“The most common co-occurring diagnosis with PTSI is depression, with about 36% to 55% of patients with PTSI experiencing concurrent depression [4,17].”
BackgroundDedert, E. A., Harper, L. A., Calhoun, P. S., Dennis, M. F., & Beckham, J. C. (2012) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-012-9305-4 · Cited by 10
“Several other studies have noted an association between SUD and metabolic disease (Virmani, Binienda, Ali, & Gaetani, 2006).”
MethodInfluentialThe aging of heroes: Posttraumatic stress, resilience and growth among aging decorated veterans
Stein, J. Y., Bachem, R., Lahav, Y., & Solomon, Z. (2020) · The Journal of Positive Psychology · doi:10.1080/17439760.2020.1725606 · Cited by 12
“Accruing additional mental strife, studies find that PTSD among veterans is often comorbid with pathological anxiety and depression (e.g., Campbell et al., 2007; Flory & Yehuda, 2015; Pfeiffer, Ganoczy, Ilgen, Zivin, & Valenstein, 2009).”
BackgroundA symptom-level perspective on irritability, PTSD, and depression in children and adults
Zhan, N., Li, F., Fung, H. W., Zhang, K., Wang, J., & Geng, F. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.08.213 · Cited by 9
Bernstein, J. P. K., Fonda, J. R., Currao, A., Kim, S., Milberg, W., McGlinchey, R. E., & Fortier, C. B. (2022) · Psychiatry Research · doi:10.1016/j.psychres.2022.114589 · Cited by 9
A Paucity of Data on Veterans 65 and Older and Risk of Suicide: A Systematic Review
Sullivan, J. L., Simons, K. V., Mills, W. L., Hilgeman, M. M., Freytes, I. M., Morin, R. T., Bower, E. S., Clark, R., & Byers, A. L. (2022) · American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2022.11.005 · Cited by 9
Jiang, C., Li, Z., Wang, J., Liu, L., Luo, G., & Zheng, X. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.01.096 · Cited by 9
The Influence of Depression and PTSD on Exercise Adherence in Older Veterans
Harada, N. D., Wilkins, S. S., Schneider, B. C., Elrod, M., Hahn, T. J., Kleinman, L., Fang, M. A., & Dhanani, S. (2013) · Military Behavioral Health · doi:10.1080/21635781.2013.829400 · Cited by 10
“Depression-PTSD comorbidity can have a significant influence on health behaviors, health outcomes, and health care utilization (Rauch, Morales, Zubritsky, Knott, & Oslin, 2006; Campbell et al., 2006; Beekman et al., 2000; Ballenger et al., 2004).”
BackgroundCatalá, P., Suso-Ribera, C., Marín, D., & Peñacoba, C. (2020) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-020-05857-z · Cited by 7
“However, PPD and PTSD are distinctive disorders [55], so the existence of unique predictors of each mental health problem in perinatal women is reasonable.”
BackgroundSher, L., Stanley, B., Posner, K., Arendt, M. C. B. B., Grunebaum, M. F., Neria, Y., Mann, J. J., & Oquendo, M. A. (2012) · Psychiatry Research · doi:10.1016/j.psychres.2011.11.010 · Cited by 9
“Our finding is consistent with previous observations suggesting that PTSD-MDD patients report more severe depression, less social support and more frequent outpatient health care visits compared with MDD-only patients (Campbell et al., 2007).”
ResultDepression and PTSD Co-Morbidity: What are We Missing?
Levin, L. I. Y. (2014) · Journal of Depression & Anxiety · doi:10.4172/2167-1044.1000164 · Cited by 9
“The association between self-destructive behavior (measured only at T3) and the four clinical groups using a Chi square analysis revealed a significant between groups difference (Chi square [3] = 21.”
BackgroundMethodResultInfluentialJohnson, B. D., Bormann, J. E., & Glaser, D. N. (2015) · Spirituality in Clinical Practice · doi:10.1037/scp0000052 · Cited by 9
Epidemiology of Major Depressive Disorder Disability in the US Military
Packnett, E., Elmasry, H., Toolin, C. F., Cowan, D. N., & Boivin, M. R. (2017) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000000692 · Cited by 9
“This is in keeping with other studies of civilian and military populations, which suggest that those with MDD are likely to have another mental health disorder, in many cases PTSD (Campbell et al., 2007; Kessler et al., 2003; Lapierre et al., 2007; Lippa et al., 2015; Mustillo et al., 2015).”
Kaltman, S. I., Watson, M. R., Campoli, M., Serrano, A., Talisman, N. W., Kirkpatrick, L. A., Méte, M., & Green, B. L. (2019) · Cultural Diversity & Ethnic Minority Psychology · doi:10.1037/cdp0000251 · Cited by 9
“Other studies have found the prevalence of PTSD among patients with depression to be closer to one-third (Campbell et al., 2007; Gerrity, Corson, & Dobscha, 2007; Green et al., 2006), much lower than what was observed in this sample.”
BackgroundResultTreatment Attendance Among Veterans With Depression, Substance Use Disorder, and Trauma
Cui, R., Haller, M. M., Skidmore, J. R., Goldsteinholm, K., Norman, S. B., & Tate, S. R. (2016) · Journal of Dual Diagnosis · doi:10.1080/15504263.2016.1146384 · Cited by 9
“PTSD is common in depression treatment settings (36%; Campbell et al., 2007), substance use treatment settings (37%; Bonin, Norton, Asmundson, Dicurzio, & Pidlubney, 2000), and among adult samples with co-occurring depression and substance use disorder (38%; Norman, Tate, Wilkins, CONTACT Ruifeng…”
BackgroundGurak, K. K., Freund, B., & Ironson, G. H. (2016) · Clinical Case Studies · doi:10.1177/1534650116641214 · Cited by 8
Badour, C. L., Grös, D. F., Szafranski, D. D., & Acierno, R. E. (2016) · Psychiatry · doi:10.1080/00332747.2016.1142774 · Cited by 10
“The Journal of Sexual Medicine, 11, 75–83. doi:10.1111/jsm.12201 Campbell, D. G., Felker, B. L., Chuan-Fen, L., Yano, E. M., Kirchner, J. E., Chan, D., & Chaney, E. F. (2007).”
InfluentialSchultz, I. Z., Sepehry, A. A., & Greer, S. C. (2018) · Psychological Injury and Law · doi:10.1007/s12207-018-9322-1 · Cited by 10
Felton, J. W., Hailemariam, M., Richie, F. J., Reddy, M. K., Edukere, S., Zlotnick, C., & Johnson, J. E. (2019) · Psychotherapy Research · doi:10.1080/10503307.2019.1587192 · Cited by 8
“, 2005) and greater functional impairment (Campbell et al., 2007) Considered together, this suggests a critical need for interventions that can be effectively delivered in a prison setting to address PTSD symptoms among depressed individuals.”
BackgroundInfluentialFeinstein, A., Osmann, J., & Pavisian, B. (2019) · Traumatology An International Journal · doi:10.1037/trm0000207 · Cited by 8
Widge, A. S., Ellard, K. K., Paulk, A. C., Basu, I., Yousefi, A., Zorowitz, S., Gilmour, A., Afzal, A., Deckersbach, T., Cash, S. S., et al. (2022) · FOCUS The Journal of Lifelong Learning in Psychiatry · doi:10.1176/appi.focus.20102 · Cited by 7
“, 2013), and the two disorders are often comorbid (Regier et al., 2013; Bleich et al., 1997; Campbell et al., 2007).”
Metadata
- Authors
- Campbell, D. G., Felker, B. L., Liu, C.-F., Yano, E. M., Kirchner, J. E., Chan, D., Rubenstein, L. V., & Chaney, E. F.
- Affiliations
- Health Services Research & Development (US)
- University of Washington (US)
- University of California, Los Angeles (US)
- Central Arkansas Veterans Healthcare System (US)
- RAND Corporation (US)
- Corresponding author
- Campbell, Duncan G.
- ORCID
- Venue
- Journal of General Internal Medicine
- Published
- 2007-01-24
- Volume
- 22
- Issue
- 6
- Pages
- 711-718
- ISSN
- 0884-8734 (ISSN-L)
- 1525-1497
- PMC
- PMC2219856
- OpenAlex
- W2030974975
- Cited by
- 458
- References
- 57
- Citations by year
- 2026: 15 · 2025: 24 · 2024: 14 · 2023: 19 · 2022: 25 · 2021: 29 · 2020: 34 · 2019: 39 · 2018: 34 · 2017: 37 · 2016: 36 · 2015: 31 · 2014: 26 · 2013: 30 · 2012: 14
- FWCI
- 10.57
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of General Internal Medicine (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Veterans Affairs
- Pfizer
- RAND Corporation
- Health Services Research and Development
- University of Washington
- University of Montana
- University of California, Los Angeles
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- depression, post-traumatic stress disorder, PTSD prevalence, comorbidities, military veterans, primary care, collaborative care, suicidal ideation, social support, PHQ-9, PTSD screening, treatment response
- MeSH terms
- Aged, Cross-Sectional Studies, Major Depressive Disorder, Female, Humans, Male, Middle Aged, Primary Health Care, Stress Disorders, Post-Traumatic, Veterans, Comorbidity, Prevalence, Practice Guidelines as Topic
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review