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Related Experiment Videos

Chest pain among combat veterans: a conceptual framework.

Natalie Matson Alcaras1, Janice M Roper

  • 1Department of Veterans Affairs, Greater Los Angeles Healthcare System, Sepulveda Ambulatory Care Center, Sepulveda, CA 91343, USA.

Military Medicine
|July 1, 2006
PubMed
Summary

Combat veterans with PTSD and panic disorder face unique challenges seeking chest pain treatment. Military self-reliance training impacts their decisions, influenced by motivating and restraining forces.

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Area of Science:

  • Medical Sociology
  • Psychotraumatology
  • Health Services Research

Background:

  • Combat veterans with post-traumatic stress disorder (PTSD) and panic disorder often experience chest pain.
  • Understanding their decision-making process for seeking medical care is crucial for effective intervention.

Purpose of the Study:

  • To explore the prehospital decision-making processes of combat veterans with PTSD and panic disorder when experiencing chest pain.
  • To identify factors influencing their seeking of medical treatment.

Main Methods:

  • Qualitative study utilizing semistructured, audiotaped interviews.
  • Inclusion criteria: combat veterans with PTSD, panic disorder, and chest pain leading to coronary care unit admission.
  • Standardized tools were employed to assess prehospital experiences.

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Main Results:

  • Seeking medical treatment was determined by a balance of internal/external motivating and restraining forces.
  • Military training, emphasizing self-reliance, significantly influenced veterans' responses.
  • A conceptual model illustrating these influences and restraints emerged from the data.

Conclusions:

  • The decision to seek treatment for chest pain in this population is complex.
  • Interventions should consider the impact of military background and the interplay of motivational and deterrent factors.