Akosile Wole, Young Ross, Lawford Bruce, Voisey Joanne, Colquhoun David
Addiction Psychiatrist and Addiction Medicine Specialist, PhD candidate, Queensland University of Technology, Brisbane, QLD, and; Senior Lecturer, School of Medicine, Griffith University, Brisbane, QLD, and; University of Queensland, Brisbane, QLD, Australia.
Executive Dean, Faculty of Health, Queensland University of Technology, Brisbane, QLD, Australia.
Australas Psychiatry. 2018 Feb;26(1):60-64. doi: 10.1177/1039856217734738. Epub 2017 Oct 10.
Several studies have demonstrated a link between post-traumatic stress disorder and myocardial infarction. We aim to determine what phenotypic features or symptom profile associated with cardiovascular disease may help with early detection and intervention.
This is a cross-sectional study. The study population comprises trauma-exposed Vietnam War veterans.
Variables significantly associated with myocardial infarction from the bivariate analysis were avoidance memories, avoidance reminders and sleep disturbance. These variables were put into a logistic regression with known risk factors for myocardial infarction. Only sleep disturbance retained its effect, with a p-value of 0.015.
It is concluded that sleep disturbance may be a modifiable risk factor in the treatment and prevention of myocardial infarction.
多项研究表明创伤后应激障碍与心肌梗死之间存在联系。我们旨在确定与心血管疾病相关的哪些表型特征或症状概况可能有助于早期检测和干预。
这是一项横断面研究。研究人群包括经历过创伤的越南战争退伍军人。
双变量分析中与心肌梗死显著相关的变量是回避记忆、回避提示和睡眠障碍。将这些变量与已知的心肌梗死危险因素进行逻辑回归分析。只有睡眠障碍仍具有显著影响，p值为0.015。
得出的结论是，睡眠障碍可能是心肌梗死治疗和预防中一个可改变的危险因素。
