美国参与阿富汗和伊拉克战争的退役军人在基层医疗保健机构就诊时的 PTSD 症状、危险饮酒和健康功能。
PTSD symptoms, hazardous drinking, and health functioning among U.S.OEF and OIF veterans presenting to primary care.
机构信息
Department of Psychology, University of Memphis and Memphis Veterans' Affairs Medical Center, Memphis, TN 38152, USA.
出版信息
J Trauma Stress. 2010 Feb;23(1):108-11. doi: 10.1002/jts.20482.
Abstract
Posttraumatic stress disorder (PTSD) and alcohol abuse both are negatively associated with health, and alcohol misuse may mediate the relationship between PTSD and functional health outcomes. The present study tested for such mediation using self-report measures of PTSD symptoms, hazardous alcohol use, and health functioning in 151 U.S. veterans (136 men and 15 women) of the wars in Iraq and Afghanistan recruited from a Veterans Affairs primary care clinic. Based on established cut scores, 39.1% screened positive for PTSD and 26.5% screened positive for hazardous drinking. PTSD symptoms and hazardous drinking were significantly correlated with each other and with health functioning. Hazardous drinking was found to partially mediate the relationship between PTSD and functional mental health, but not physical health.
摘要
创伤后应激障碍（PTSD）和酗酒均与健康状况呈负相关，而酒精滥用可能在 PTSD 与功能健康结果之间起中介作用。本研究使用 PTSD 症状、危险饮酒和健康功能的自我报告衡量标准，对 151 名来自退伍军人事务部初级保健诊所的伊拉克和阿富汗战争美国退伍军人（136 名男性和 15 名女性）进行了测试，以检验这种中介作用。根据既定的划分标准，有 39.1%的人 PTSD 呈阳性，26.5%的人有危险饮酒行为。PTSD 症状和危险饮酒与彼此以及与健康功能显著相关。发现危险饮酒行为部分中介了 PTSD 与心理健康功能之间的关系，但与身体健康功能无关。
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本文引用的文献
1
Posttraumatic stress disorder and health functioning in a non-treatment-seeking sample of Iraq war veterans: a prospective analysis.
J Rehabil Res Dev. 2008;45(3):347-58. doi: 10.1682/jrrd.2007.05.0077.
2
posttraumatic stress and its relationship to physical health functioning in a sample of Iraq and Afghanistan War veterans seeking postdeployment VA health care.
J Nerv Ment Dis. 2008 May;196(5):425-8. doi: 10.1097/NMD.0b013e31817108ed.
3
Validating the primary care posttraumatic stress disorder screen and the posttraumatic stress disorder checklist with soldiers returning from combat.
J Consult Clin Psychol. 2008 Apr;76(2):272-81. doi: 10.1037/0022-006X.76.2.272.
4
Examining quality issues in alcohol misuse screening.
Subst Abus. 2007;28(3):53-65. doi: 10.1300/J465v28n03_06.
5
Longitudinal assessment of mental health problems among active and reserve component soldiers returning from the Iraq war.
JAMA. 2007 Nov 14;298(18):2141-8. doi: 10.1001/jama.298.18.2141.
6
Partial and full PTSD in Brazilian ambulance workers: prevalence and impact on health and on quality of life.
J Trauma Stress. 2007 Aug;20(4):637-42. doi: 10.1002/jts.20242.
7
Performance characteristics of the posttraumatic stress disorder checklist and SPAN in Veterans Affairs primary care settings.
Gen Hosp Psychiatry. 2007 Jul-Aug;29(4):294-301. doi: 10.1016/j.genhosppsych.2007.03.004.
8
Post-traumatic stress disorder and service utilization in a sample of service members from Iraq and Afghanistan.
Mil Med. 2007 Apr;172(4):359-63. doi: 10.7205/milmed.172.4.359.
9
Association of posttraumatic stress disorder with somatic symptoms, health care visits, and absenteeism among Iraq war veterans.
Am J Psychiatry. 2007 Jan;164(1):150-3. doi: 10.1176/ajp.2007.164.1.150.
10
Associations between psychological trauma and physical illness in primary care.
J Trauma Stress. 2006 Aug;19(4):461-70. doi: 10.1002/jts.20129.
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