Hoge Charles W, Terhakopian Artin, Castro Carl A, Messer Stephen C, Engel Charles C
Department of Psychiatry and Behavioral Sciences, Division of Psychiatry and Neuroscience, Walter Reed Army Institute of Research, 503 Robert Grant Ave., Silver Spring, MD 20910, USA.
Am J Psychiatry. 2007 Jan;164(1):150-3. doi: 10.1176/ajp.2007.164.1.150.
OBJECTIVE: Studies of soldiers from prior wars conducted many years after combat have shown associations between combat-related posttraumatic stress disorder (PTSD) and physical health problems. The current Iraq war has posed a considerable PTSD risk, but the association with physical health has not been well studied. METHOD: The authors studied 2,863 soldiers using standardized self-administered screening instruments 1 year after their return from combat duty in Iraq. RESULTS: Among all participants, 16.6% met screening criteria for PTSD. PTSD was significantly associated with lower ratings of general health, more sick call visits, more missed workdays, more physical symptoms, and high somatic symptom severity. These results remained significant after control for being wounded or injured. CONCLUSIONS: The high prevalence of PTSD and its strong association with physical health problems among Iraq war veterans have important implications for delivery of medical services. The medical burden of PTSD includes physical health problems; combat veterans with serious somatic concerns should be evaluated for PTSD.
目的：对战后多年的退伍军人进行的研究表明，与战斗相关的创伤后应激障碍（PTSD）与身体健康问题之间存在关联。当前的伊拉克战争带来了相当大的患创伤后应激障碍风险，但与身体健康的关联尚未得到充分研究。 方法：作者使用标准化的自我管理筛查工具，对2863名从伊拉克战斗任务回国一年后的士兵进行了研究。 结果：在所有参与者中，16.6%符合创伤后应激障碍的筛查标准。创伤后应激障碍与总体健康评分较低、更多次就医、更多工作日缺勤、更多身体症状以及高躯体症状严重程度显著相关。在控制受伤或负伤因素后，这些结果仍然显著。 结论：伊拉克战争退伍军人中创伤后应激障碍的高患病率及其与身体健康问题的强烈关联对医疗服务的提供具有重要意义。创伤后应激障碍的医疗负担包括身体健康问题；对有严重躯体问题的退伍军人应评估是否患有创伤后应激障碍。
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