Ouimette Paige, Cronkite Ruth, Henson Brandy R, Prins Annabel, Gima Kristian, Moos Rudolf H
Washington Institute for Mental Illness Research & Training, Washington State University, Spokane, Washington, USA.
J Trauma Stress. 2004 Feb;17(1):1-9. doi: 10.1023/B:JOTS.0000014670.68240.38.
Posttraumatic stress disorder (PTSD) is associated with objective health problems in specific populations, such as Vietnam veterans. Less is known about PTSD and health among medical samples, especially PTSD patients with different etiologic traumas. This study examined PTSD and health in medical patients within the Department of Veterans Affairs healthcare system. A total of 134 patients completed an interview and questionnaires. Data on physician-diagnosed illnesses were gathered from medical records. PTSD diagnosis and symptoms were associated with a higher likelihood of circulatory and musculoskeletal disorders. In addition, PTSD symptoms were associated with more medical conditions. PTSD symptoms and diagnoses were also associated with poorer health related quality of life. Most of these findings remained significant after controlling for comorbid depressive, generalized anxiety disorder, and panic attack symptoms. Overall, gender did not moderate the relationship between PTSD and poorer health.
创伤后应激障碍（PTSD）与特定人群（如越南退伍军人）的客观健康问题相关。对于医疗样本中的PTSD与健康状况，尤其是具有不同病因性创伤的PTSD患者，人们了解较少。本研究调查了退伍军人事务部医疗系统内医疗患者的PTSD与健康状况。共有134名患者完成了访谈和问卷调查。从医疗记录中收集了医生诊断疾病的数据。PTSD诊断和症状与循环系统和肌肉骨骼疾病的较高可能性相关。此外，PTSD症状与更多的医疗状况相关。PTSD症状和诊断也与较差的健康相关生活质量相关。在控制了共病的抑郁、广泛性焦虑障碍和惊恐发作症状后，这些发现大多仍然显著。总体而言，性别并未调节PTSD与较差健康状况之间的关系。
