Polusny Melissa A, Ries Barry J, Schultz Jessica R, Calhoun Patrick, Clemensen Lisa, Johnsen Ingrid R
Minneapolis Veterans Affairs Medical Center, Minneapolis, MN 55417, USA.
J Trauma Stress. 2008 Feb;21(1):75-82. doi: 10.1002/jts.20281.
This study investigated the influence of exposure to a tornado disaster and disaster-related posttraumatic stress disorder (PTSD) symptomatology on physical health complaints and primary health care utilization among rural medical patients. One-hundred five patients completed self-report measures assessing disaster exposure, PTSD symptoms, and self-reported physical health complaints. Objective rates of health care utilization were gathered by a review of medical records. Tornado disaster exposure and generalized psychological distress were associated with physical health complaints one year following the disaster. After controlling for age, gender, and levels of predisaster health care utilization, PTSD Cluster C (avoidance) symptoms were associated with increased rates of postdisaster health care utilization. Implications of these findings for interventions within the medical system are discussed.
本研究调查了遭受龙卷风灾害及与灾害相关的创伤后应激障碍（PTSD）症状对农村医疗患者身体健康投诉及初级卫生保健利用情况的影响。105名患者完成了自我报告测量，评估灾害暴露情况、PTSD症状及自我报告的身体健康投诉。通过查阅病历收集医疗保健利用的客观数据。龙卷风灾害暴露和广泛性心理困扰与灾害发生一年后的身体健康投诉相关。在控制了年龄、性别及灾前医疗保健利用水平后，PTSD C类（回避）症状与灾后医疗保健利用率增加相关。讨论了这些研究结果对医疗系统内干预措施的启示。
