In women with chronic posttraumatic stress disorder (PTSD), poor physical h
ealth may be related to their PTSD symptoms through an underlying negative
affect or distress that accompanies the disorder, through the PTSD symptoms
in general, or specifically through the chronic hyperarousal present in th
e disorder. The current study examined the relative contribution of these f
actors to reported physical symptoms in female victims of sexual assault. S
eventy-six women with chronic PTSD were assessed, using measures of stressf
ul life events, psychological difficulties, and perceived health. Negative
life events, anger, depression, and PTSD severity were all related to self-
reported physical symptoms; however, PTSD severity predicted self-reported
physical symptoms beyond these other variables. Contrary to our hypothesis,
the reexperiencing cluster of PTSD, and not the hyperarousal cluster, was
related to self-reported physical symptoms.