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Updated: Jul 10, 2026

Polar Histogram Visualization of Acute Stress Disorder Scale Scores for Comprehensive Clinical Assessment

Polar Histogram Visualization of Acute Stress Disorder Scale Scores for Comprehensive Clinical Assessment

Published on: December 6, 2024

Depression, posttraumatic stress disorder, and mortality.

Leslie S Kinder¹, Katharine A Bradley, Wayne J Katon

¹Health Services Research and Development, Veterans Affairs Puget Sound Health Care System, Seattle, Washington, USA. lskinder@stanfordalumni.org

Psychosomatic Medicine

|November 10, 2007

Summary

A history of depression, but not posttraumatic stress disorder (PTSD), was linked to a higher risk of death in primary care patients. This finding highlights the importance of addressing depression in veteran health outcomes.

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Last Updated: Jul 10, 2026

Polar Histogram Visualization of Acute Stress Disorder Scale Scores for Comprehensive Clinical Assessment

Polar Histogram Visualization of Acute Stress Disorder Scale Scores for Comprehensive Clinical Assessment

Published on: December 6, 2024

Area of Science:

Medical research
Psychiatry
Public health

Background:

Mental health conditions like depression and posttraumatic stress disorder (PTSD) can impact overall health.
Understanding the long-term mortality risks associated with these conditions is crucial for patient care.

Purpose of the Study:

To investigate the association between a history of depression and/or PTSD and all-cause mortality.
To analyze mortality risk in primary care patients over an average 2-year follow-up period.

Main Methods:

A cohort of 35,715 primary care patients from Department of Veterans Affairs medical centers was studied.
Depression and PTSD status were determined via self-report and electronic health records.
Mortality data were obtained from official Veterans Affairs databases.

Main Results:

Patients with a history of depression only (n=6876) showed an increased risk of death (HR=1.17; 95% CI=1.06-1.28) after adjustments.
Patients with PTSD only (n=748) did not have a significantly increased risk of death (HR=0.84; 95% CI=0.63-1.13).
Patients with both depression and PTSD (n=3762) had a borderline increased risk of death after initial adjustments, which was not significant after further adjustments.

Conclusions:

A prior diagnosis of depression, independent of PTSD, is associated with an increased risk of all-cause mortality in primary care patients.
Posttraumatic stress disorder (PTSD) alone was not significantly associated with increased mortality in this cohort.
These findings underscore the importance of managing depression in veteran populations to mitigate mortality risks.