军事社会支持在理解女性退伍军人创伤后应激障碍、身体健康和医疗保健利用之间关系中的作用。

The role of military social support in understanding the relationship between PTSD, physical health, and healthcare utilization in women veterans.

机构信息

VA Puget Sound Health Care System, Seattle, Washington, USA; Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, USA.

出版信息

J Trauma Stress. 2013 Dec;26(6):772-5. doi: 10.1002/jts.21859. Epub 2013 Nov 6.

Abstract

Posttraumatic stress disorder (PTSD) is a significant predictor of both poorer physical health and increased health care utilization, whereas adequate social support is associated with better physical health and less health care utilization. However, research has not previously examined the simultaneous effects of PTSD and social support on health and health care utilization. This study examined both the independent and interactive effects of PTSD and a particular type of social support (postactive-duty social support from military friends) on self-reported physical health and number of Veterans Health Administration (VHA) visits in the last year. These relationships were examined in a representative, national sample of 3,524 women veterans who completed telephone interviews as part of the National Survey of Women Veterans in 2008-2009. Regression analyses were conducted using these cross-sectional data to examine main effects of PTSD and military social support on physical health and VHA utilization and their interaction. Screening positive for PTSD was associated with poorer health (B = -3.19, SE = 1.47) and increased VHA utilization (B = 0.98, SE = 0.16), whereas greater military social support was associated with better health (B = 0.97, SE = 0.44) and less frequent VHA utilization (B = -0.15, SE = 0.05). Neither moderation model was significant, such that military social support behaved in a similar way regardless of PTSD status.

摘要

创伤后应激障碍(PTSD)是身体健康状况较差和医疗保健利用率增加的重要预测因素,而充足的社会支持与身体健康状况较好和医疗保健利用率较低有关。然而,以前的研究并未检验 PTSD 和社会支持对健康和医疗保健利用的同时影响。本研究同时检验了 PTSD 和一种特定类型的社会支持(来自军队朋友的现役后支持)对自我报告的身体健康状况和退伍军人事务部(VHA)在过去一年就诊次数的独立和交互影响。这些关系是在 2008-2009 年作为全国女退伍军人调查的一部分通过电话访谈完成的 3524 名代表性全国女退伍军人样本中进行检验的。使用这些横断面数据进行回归分析,以检验 PTSD 和军事社会支持对身体健康和 VHA 使用的主要影响及其相互作用。 PTSD 筛查阳性与较差的健康状况(B = -3.19,SE = 1.47)和 VHA 利用率增加(B = 0.98,SE = 0.16)相关,而更多的军事社会支持与更好的健康状况(B = 0.97,SE = 0.44)和 VHA 利用频率降低(B = -0.15,SE = 0.05)相关。这两个调节模型都不显著,这表明军事社会支持的行为方式与 PTSD 状况无关。

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