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东日本大地震后心血管疾病患者创伤后应激障碍的预测因素及预后影响

Predictors and prognostic impact of post-traumatic stress disorder after the great East Japan earthquake in patients with cardiovascular disease.

作者信息

Onose Takeo, Nochioka Kotaro, Sakata Yasuhiko, Miura Masanobu, Tadaki Soichiro, Ushigome Ryoichi, Yamauchi Takeshi, Sato Kenjiro, Tsuji Kanako, Abe Ruri, Miyata Satoshi, Takahashi Jun, Shimokawa Hiroaki

机构信息

Departments of Cardiovascular Medicine and Evidence-based Cardiovascular Medicine, Tohoku University Graduate School of Medicine.

出版信息

Circ J. 2015;79(3):664-7. doi: 10.1253/circj.CJ-14-1403. Epub 2015 Feb 13.

DOI:10.1253/circj.CJ-14-1403
PMID:25746552
Abstract

BACKGROUND

We examined the prevalence, predictors and prognostic impact of post-traumatic stress disorder (PTSD) after the Great East Japan Earthquake in patients with cardiovascular disease (CVD) in the CHART-2 study. METHODS AND RESULTS: The prevalence of PTSD was 14.7% at 6 months after the Earthquake. Female sex, experiencing the Tsunami, property loss, poverty, and insomnia medication use were associated with PTSD. The patients with PTSD more frequently experienced a composite of death, acute myocardial infarction, stroke and heart failure (18.5% vs. 15.0%, P=0.035).

CONCLUSIONS

PTSD was frequent in CVD patients after the Earthquake and had an adverse prognostic impact.

摘要

背景

在CHART - 2研究中,我们调查了东日本大地震后心血管疾病(CVD)患者创伤后应激障碍(PTSD)的患病率、预测因素及预后影响。

方法与结果

地震后6个月时,PTSD的患病率为14.7%。女性、经历海啸、财产损失、贫困及使用失眠药物与PTSD相关。患有PTSD的患者更频繁地经历死亡、急性心肌梗死、中风和心力衰竭的综合情况(18.5%对15.0%,P = 0.035)。

结论

地震后CVD患者中PTSD很常见,且对预后有不良影响。

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