Lamoureux-Lamarche Catherine, Vasiliadis Helen-Maria
Faculty of Medicine and Health Sciences, University of Sherbrooke, 150 Place Charles-Le Moyne, Longueuil, QC, J4K 0A8, Canada.
Research Centre, Charles-Le Moyne Hospital, 150 Place Charles-Le Moyne, Bureau 200, Longueuil, QC, J4K 0A8, Canada.
Qual Life Res. 2017 Oct;26(10):2683-2692. doi: 10.1007/s11136-017-1593-6. Epub 2017 May 22.
The aims were to assess the association between lifetime traumatic events and post-traumatic stress syndrome (PTSS) and health-related quality of life (HRQOL) and satisfaction with life stratified by gender among a community-dwelling sample of older adults.
Data used came from the ESA-Services study (2011-2013) and included a large convenience sample of 1811 older adults. Traumatic events were measured using a list of 14 events. PTSS was measured using the Impact of Event Scale-Revised. HRQOL and life satisfaction were measured with the EQ-5D-3L and the Satisfaction With Life Scale. Multivariate regression analyses were used to assess the association between traumatic events, PTSS, and quality of life.
Respondents had a mean age of 73.90 years (SD: 6.13, range 65-97). Our results showed that exposure to violence (OR 4.88, CI 2.72-8.77), an accident (OR 2.33, CI 1.29-4.22), and sexual abuse (OR 2.26 CI 1.17-4.37) was associated with PTSS only in women. No traumatic event was associated only in men. The interaction between gender and exposure to violence and life-threatening disease of a close one was significant. Experiencing violence (β = -0.04, p < 0.01), a natural disaster (β = -0.04, p = 0.02), a life-threatening disease (β = -0.04, p < 0.01), and sexual abuse (β = -0.04, p < 0.01) were associated with a lower HRQOL only in women. No traumatic event was associated in men. Interactions between event and gender were significant for natural disaster, life-threatening disease of a close one, sexual abuse, and other type of traumatic events. A life-threatening disease (β = -0.90, p < 0.01) was associated with a reduced life satisfaction only in men and the exposure of violence (β = -1.18, p < 0.01) was associated with lower life satisfaction in women.
Our study could help healthcare professionals to identify and monitor traumatic events that are at higher risk to be associated with PTSS and a lower quality of life for older men and women.
本研究旨在评估在社区居住的老年样本中，一生经历的创伤事件与创伤后应激综合征（PTSS）、健康相关生活质量（HRQOL）以及按性别分层的生活满意度之间的关联。
所用数据来自ESA-Services研究（2011 - 2013年），包括1811名老年人的大型便利样本。使用包含14项事件的列表来测量创伤事件。采用事件影响量表修订版测量PTSS。使用EQ-5D-3L和生活满意度量表测量HRQOL和生活满意度。采用多变量回归分析评估创伤事件、PTSS和生活质量之间的关联。
受访者的平均年龄为73.90岁（标准差：6.13，范围65 - 97岁）。我们的结果显示，遭受暴力（比值比4.88，可信区间2.72 - 8.77）、经历事故（比值比2.33，可信区间1.29 - 4.22）和性虐待（比值比2.26，可信区间1.17 - 4.37）仅与女性的PTSS相关。没有创伤事件仅与男性相关。性别与遭受暴力以及亲密者患危及生命疾病之间的交互作用显著。经历暴力（β = -0.04，p < 0.01）、自然灾害（β = -0.04，p = 0.02）、危及生命的疾病（β = -0.04，p < 0.01）和性虐待（β = -0.04，p < 0.01）仅与女性较低的HRQOL相关。没有创伤事件与男性相关。事件与性别之间的交互作用在自然灾害、亲密者患危及生命的疾病、性虐待以及其他类型的创伤事件中显著。危及生命的疾病（β = -0.90，p < 0.01）仅与男性生活满意度降低相关，而遭受暴力（β = -1.18，p < 0.01）与女性较低的生活满意度相关。
我们的研究有助于医疗保健专业人员识别和监测那些更有可能与老年男性和女性的PTSS及较低生活质量相关的创伤事件。
