Calhoun Patrick S, Bosworth Hayden B, Stechuchak Karen A, Strauss Jennifer, Butterfield Marian I
VA Mid-Atlantic Mental Illness Research Education and Clinical Center, USA.
J Trauma Stress. 2006 Jun;19(3):393-7. doi: 10.1002/jts.20114.
The present study examined the impact of comorbid posttraumatic stress disorder (PTSD) on health-related quality of life and objective measures of health service utilization in 165 male veterans who have primary schizophrenia. Comorbid PTSD was assessed with the PTSD Checklist. Comorbid PTSD was significantly associated with decreased quality of life and increased medical service utilization, including increased psychiatric hospitalization and increased outpatient physical health visits, even after controlling for other clinical and demographic variables among this sample of patients who had primary schizophrenia. Veterans who have schizophrenia should be screened carefully for exposure to trauma and posttraumatic stress disorder.
本研究调查了165名患有原发性精神分裂症的男性退伍军人中，创伤后应激障碍（PTSD）共病对健康相关生活质量以及卫生服务利用客观指标的影响。使用创伤后应激障碍检查表评估PTSD共病情况。即使在控制了该原发性精神分裂症患者样本中的其他临床和人口统计学变量之后，PTSD共病仍与生活质量下降和医疗服务利用增加显著相关，包括精神科住院次数增加和门诊身体健康就诊次数增加。患有精神分裂症的退伍军人应仔细筛查是否遭受过创伤和患有创伤后应激障碍。
