{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T21:10:03Z","timestamp":1794085803219,"version":"4.8.0"},"reference-count":63,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,11,28]],"date-time":"2017-11-28T00:00:00Z","timestamp":1511827200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Traumatic Stress"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Several studies have shown the relationship between symptoms of posttraumatic stress disorder (PTSD), somatic symptoms, and the mediating effect of depression and anxiety. The following study was conducted to investigate the relationship between PTSD symptoms and somatic complaints through underlying symptoms of depression and anxiety. The participants of the study were 2,799 veterans who were examined after a 6\u2010month deployment. They were assessed using the PTSD Checklist (PCL\u20105) and Patient Health Questionnaire (PHQ) for depression, anxiety, and somatic complaints. To check the indirect effect of PTSD on somatic complaints through depression and anxiety, mediation model 4 (parallel mediation) of the SPSS PROCESS macro was used. There was a significant total indirect effect of PTSD through depression and anxiety on somatic complaints, <jats:italic>b<\/jats:italic> = 0.14, 95% confidence interval (CI) [0.12, 0.16], from which an indirect effect of PTSD on somatic complaints through depression was <jats:italic>b<\/jats:italic> = 0.08, 95% CI [0.06, 0.10], and through anxiety it equaled <jats:italic>b<\/jats:italic> = 0.06, 95% CI [0.04, 0.07]. The ratio of indirect to total effect was 0.66, 95% CI [0.59, 0.75]. The present study helps us to understand the role of depression and anxiety symptoms when the symptoms of PTSD and somatic complaints are present. These new findings may have implications for the management as well as treatment of PTSD because they recognize the importance of symptoms of anxiety and depression when somatic complaints are present.<\/jats:p>","DOI":"10.1002\/jts.22235","type":"journal-article","created":{"date-parts":[[2017,11,29]],"date-time":"2017-11-29T16:18:44Z","timestamp":1511972324000},"page":"626-634","source":"Crossref","is-referenced-by-count":11,"title":["Posttraumatic Stress Disorder and Somatic Complaints in a Deployed Cohort of Georgian Military Personnel: Mediating Effect of Depression and Anxiety"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8778-122X","authenticated-orcid":false,"given":"Giorgi","family":"Sikharulidze","sequence":"first","affiliation":[{"name":"Department of Psychiatry Leiden University  Leiden The Netherlands"},{"name":"Department of Psychiatry Stress Management and Mental Health Center  Tbilisi Georgia"},{"name":"Department of Psychiatry Georgian American University  Tbilisi Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nan","family":"van Geloven","sequence":"additional","affiliation":[{"name":"Department of Medical Statistics and Bioinformatics Leiden University Medical Center  Leiden The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Estate","family":"Lelashvili","sequence":"additional","affiliation":[{"name":"Social Issues and Psychological Support Department Ministry of Defence of Georgia  Tbilisi Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giorgi","family":"Kalandarishvili","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nino","family":"Gugushvili","sequence":"additional","affiliation":[{"name":"Center for Social Sciences  Tbilisi Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Vermetten","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Leiden University  Leiden The Netherlands"},{"name":"Military Mental Health Research, Ministry of Defense  Utrecht The Netherlands"},{"name":"Arq Psychotrauma Research  Diemen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,11,28]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/070674370204701004"},{"issue":"3","key":"e_1_2_5_4_1","first-page":"154","article-title":"Somatic diseases in patients with posttraumatic stress disorder","volume":"64","author":"Avdibegovic E.","year":"2010","journal-title":"Medicinski Arhiv"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1997.00440390062009"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1758-5872.2012.00215.x"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.EDE.0000103188.18059.21"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22059"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/174728"},{"issue":"11","key":"e_1_2_5_10_1","first-page":"0","article-title":"Psychometric properties of the PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders\u2013Fifth Edition (PCL\u20105) in veterans","volume":"5","author":"Bovin M. 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