Physical Health Consequences . , -emssm Edited by Paula P. Schnurr and Bonnie L. Trauma and Health Physical Health Consequences of Exposure to Extreme Stress Edited by Paula P. Scbnurr and Bonnie L. Green The relationship between stress and physical health has posed many questions for researchers. Most of their queries have focused on stressors such as divorce, bereavement, and job loss. However, more recent work has examined the health effects associated with extreme stressors, including war, sexual victimization, disasters, and serious accidents. This volume continues along that path and summarizes findings on trauma and posttraumatic stress disorder (PTSD) in relation to three domains of outcomes: health status and disease, somatization, and utilization and cost. Contributors examine how trauma and PTSD could lead to poor physical health through correlates such as depression, hostility, and maladaptive coping and health behaviors. They also present findings on the biology of stress and implications for clinical and health policy. This volume provides a comprehensive summary of existing literature and a critical look at current empirical work. It will stimulate research and support clinical practice by providing clinicians with solid information that can inform their work with patients. Trauma and Health: Physical Health Consequences of Exposure to Extreme Stress clearly shows that poor physical health should be recognized, along with mental health problems and impaired psychological functioning, as an outcome of traumatic exposure. DATE DUE DEMCO 38-296 Digitized by the Internet Archive in 2018 with funding from Kahle/Austin Foundation https://archive.org/details/traumahealthphysOOOOunse Trauma and Health Physical Health Consequences of Exposure to Extreme Stress Trauma and Health Physical Health Consequences of Exposure to Extreme Stress Edited by Paula P. Schnurr and Bonnie L. Green American Psychological Association • Washington, DC Copyright © 2004 by the American Psychological Association. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the publisher. Chapters 1, 7, 8, and 10 were authored or coauthored by an employee of the United States government as part of official duty and are considered to be in the public domain. Published by American Psychological Association 750 First Street, NE Washington, DC 20002 www.apa.org To order APA Order Department P.O. Box 92984 Washington, DC 20090-2984 Tel: (800) 374-2721 Direct: (202) 336-5510 Fax: (202) 336-5502 TDD/TTY: (202) 336-6123 Online: www.apa.org/books/ E-mail:
[email protected] In the U.K., Europe, Africa, and the Middle East, copies may be ordered from American Psychological Association 3 Henrietta Street Covent Garden, London WC2E 8LU England Typeset in Goudy by World Composition Services, Inc., Sterling, VA Printer: Port City Press, Baltimore, MD Cover Designer: Naylor Design, Washington, DC Technical/Production Editor: Kristen S. Boye The opinions and statements published are the responsibility of the authors, and such opinions and statements do not necessarily represent the policies of the American Psychological Association. Any views expressed in chapters 1, 7, 8, and 10 do not necessarily represent the views of the United States government, and the author’s participation in the work is not meant to serve as an official endorsement. Library of Congress Cataloging-in-Publicatio