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Perhaps, due to the impact of post-traumatic stress disorder (PTSD) on biological markers of cardiovascular such as systolic and diastolic blood pressure, heart rate, body temperature, physiological response to reminders of trauma has become an essential part and hallmark of the diagnostic and statistical manual of mental disorders (Fifth edition-DSM-5, American Psychiatric Association, 2013). Therefore, this study aimed to investigate the biomarkers of cardiovascular responses among thirty-four male war veterans with PTSD. In this cross sectional study, Participants were selected from Iraq imposed war against Iran in the province of Kermanshah in 2014. They were approved by medical committee as patients who suffer from PTSD and chosen by available sampling. The data were collected by the post-traumatic stress disorder Checklist-Military version (PCL- M) and digital Barometer and Thermometer. In additional, with 0.95 confidence level and IBM SPSS22 software was used for data process. Result showed that the mean of age, percentage of injury and the years each individual spent in the front, for all participations was 53.73, 45.72 and 4.07. Mean scores of systolic blood pressure diastolic blood pressure heart rate and body temperature were respectively 123.72, 82.94, 89 and 36.51. With regard to the results of this study can be stated that biological markers of cardiovascular as a risk factor for heart attacks in the war veterans is at a high level. The heart attacks caused by increased blood pressure can lead to PTSD in survivors.

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Introduction: Due to the possible impact of posttraumatic stress disorder (PTSD) on biological markers of cardiovascular responses, it has become an essential part and hallmark of the diagnostic and statistical manual of mental disorders in the Fifth edition-DSM-5. This study aimed to investigate the biomarkers of cardiovascular responses in war veterans with PTSD. Materials and Methods: 34 male war veterans, among veterans with posttraumatic stress disorder in Kermanshah, participated in this cross sectional study on 2014. They were approved by medical committee as patients who suffer from PTSD. The data were collected by PTSD Checklist-Military version (PCL-M). Results: Data indicate that the mean age, the percentage of injury, and the duration that each individual spent in the war were 53.73, 45.72, and 4.07, respectively. The mean scores of systolic blood pressure, diastolic blood pressure, heart rate, and body temperature were 123.72 mm Hg, 82.94 mm Hg, 89, and 36.51°C, respectively. In addition, the Pearson correlation coefficient among the biomarkers of cardiovascular and the total score obtained in the posttraumatic stress disorder checklist was positive and significant. Conclusion: The results indicate the biological markers of cardiovascular responses as a risk factor for cardiovascular diseases in the war veterans with PTSD.

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Various psychotherapies for post-traumatic stress disorder and disturbances associated with it are used. The purpose of this review was to introduce of traditional and modern psychotherapy in the treatment of post-traumatic stress disorder. The data was collected by searching of online databases, English articles selected from Science Direct, PubMed, ProQuest, and Persian articles from Medlib, Magiran and SID databases and Latin books related to the subject between 2003 and 2015. Psychotherapies that were investigated in this review study were: Prolonged exposure (PE), Eye movement desensitization and reprocessing (EMDR), psychological debriefing (PD), 512 psychological intervention model (512 PIM), intranasal oxytocin strategy, accelerated resolution therapy(ART), cognitive processing therapy (CPT) and Schema Therapy (ST) derived from cognitive therapy. Often psychological intervention that their effectiveness by researchers for Post traumatic stress disorder has been examined, accompanied by limitations. For example, psychological debriefing method only short immediately after the trauma could be greater effectiveness and in our culture, especially in men tendency to be low-level debriefing. In Prolonged exposure, whether In vivo exposure or Imaginal exposure, focusing on the use of classical and operant conditioning principles to achieve extinction. But the mediating role of cognitive factors in the continuation of the disorder is overlooked. In addition, in some cases, dealing with situations that can cause trauma is difficult and high levels of anxiety and avoidance may provide. Eye movement desensitization and reprocessing due to the implementation on an individual basis, time-consuming and costly for the group therapy is limited. 512 psychological intervention model, intranasal oxytocin strategy and accelerated resolution therapy in the preliminary stages of investigation. And finally it seems that Cognitive processing therapy has great efficacy and experimental support.