Shipherd Jillian C, Clum Gretchen, Suvak Michael, Resick Patricia A
Women's Health Sciences Division (116B-3), VA Boston Healthcare System, National Center for PTSD, 150 South Huntington Ave., Boston, MA, 02130, USA,
J Behav Med. 2014 Jun;37(3):423-33. doi: 10.1007/s10865-013-9500-2. Epub 2013 Mar 8.
This study examined the relationship between change in posttraumatic stress disorder (PTSD) symptoms over the course of PTSD treatment and the association with changes in general physical health symptoms. Both positive health habits (e.g., exercise) and negative (e.g., smoking), were examined to determine if they accounted for the association between changes in PTSD severity over time and changes in physical health. Participants were 150 women seeking treatment for PTSD. Latent growth curve modeling indicated a substantial relationship (R (2) = 34%) between changes in PTSD and changes in physical health that occurred during and shortly following treatment for PTSD. However, there was no evidence to suggest that changes in health behaviors accounted for this relationship. Thus, PTSD treatment can have beneficial effects on self-reported physical health symptoms, even without direct treatment focus on health per se, and is not accounted for by shifts in health behavior.
本研究考察了创伤后应激障碍(PTSD)治疗过程中PTSD症状的变化与一般身体健康症状变化之间的关系。同时研究了积极的健康习惯(如锻炼)和消极的健康习惯(如吸烟),以确定它们是否能解释PTSD严重程度随时间的变化与身体健康变化之间的关联。研究参与者为150名寻求PTSD治疗的女性。潜在增长曲线模型表明,在PTSD治疗期间及治疗后不久,PTSD的变化与身体健康的变化之间存在显著关系(R(2)= 34%)。然而,没有证据表明健康行为的变化能解释这种关系。因此,PTSD治疗对自我报告的身体健康症状可能具有有益影响,即使没有直接针对健康本身进行治疗,且这种影响并非由健康行为的改变所致。