Jakovljević Miro, Sarić Marija, Nad Sanea, Topić Radmila, Vuksan-Cusa Bjanka
University Psychiatric Clinic Rebro, Clinical Hospital Centre Zagreb, Kispatićeva 12, 10000 Zagreb, Croatia.
Psychiatr Danub. 2006 Dec;18(3-4):169-76.
There has been a growing interest in the effect that co-morbid mental and somatic disorders may have on each other. Post-traumatic stress disorders (PTSD) have been associated with comorbidity of many major somatic and mental disorders as well as with premature mortality.
The objective of this study was to examine the relationship between combat-related PTSD, metabolic syndrome and comorbid psychiatric and somatic diagnoses.
Metabolic syndrome and its components as well as comorbid somatic and mental disorders were analysed in 47 male war veterans with combat PTSD.
Only 4.25% of our patients were without any comorbid somatic and mental disorders, metabolic syndrome or any of its components. Other psychiatric or medical condition was diagnosed in 76.6 % of the PTSD patients. Metabolic syndrome according NCEP: ATP III was found in 31.9% of our PTSD patients.
PTSD is multisystemic mental and somatic disorder. The treatment of war veterans with PTSD should address comorbid other mental and somatic disorders including metabolic syndrome as well as the clinical features of PTSD.
共病的精神和躯体疾病可能对彼此产生的影响已引起越来越多的关注。创伤后应激障碍（PTSD）与许多主要躯体和精神疾病的共病以及过早死亡有关。
本研究的目的是探讨与战斗相关的创伤后应激障碍、代谢综合征以及共病的精神和躯体诊断之间的关系。
对47名患有战斗创伤后应激障碍的男性退伍军人的代谢综合征及其组成部分以及共病的躯体和精神疾病进行了分析。
我们的患者中只有4.25%没有任何共病的躯体和精神疾病、代谢综合征或其任何组成部分。76.6%的创伤后应激障碍患者被诊断出患有其他精神或医学疾病。根据美国国家胆固醇教育计划成人治疗小组第三次报告（NCEP: ATP III）标准，31.9%的创伤后应激障碍患者患有代谢综合征。
创伤后应激障碍是一种多系统的精神和躯体疾病。对战创伤后应激障碍退伍军人的治疗应针对共病的其他精神和躯体疾病，包括代谢综合征以及创伤后应激障碍的临床特征。
