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战后15年分析:退伍军人创伤后应激障碍(PTSD)的共病情况

Comorbidities with Posttraumatic Stress Disorder (PTSD) among combat veterans: 15 years postwar analysis.

作者信息

Britvić Dolores, Antičević Vesna, Kaliterna Mariano, Lušić Linda, Beg Anđelko, Brajević-Gizdić Igna, Kudrić Mirjana, Stupalo Željana, Krolo Vikica, Pivac Nela

机构信息

University of Split Hospital and School of Medicine, Croatia.

Private Family Practice, Croatia.

出版信息

Int J Clin Health Psychol. 2015 May-Aug;15(2):81-92. doi: 10.1016/j.ijchp.2014.11.002. Epub 2014 Dec 25.

Abstract

The aim of this study was to investigate the differences in the prevalence of somatic diseases among combat veterans and their contemporaries who were not exposed to the traumatic experience at the battlefield, and to determine whether socio-demographic factors, exposure to war-time trauma and/or injury might predict individual somatic diseases. The study included 1,558 subjects living in south Croatia: 501 male combat veterans with Posttraumatic Stress Disorder (PTSD) and the corresponding control group of 825 men who were not exposed to combat experience. Veterans with PTSD, regardless of the length of time spent in war, suffered more often from cardiovascular, dermatological, musculoskeletal, pulmonary and metabolic diseases than corresponding control subjects who were not exposed to combat experience. The predictors of cardiovascular, musculoskeletal and malignant diseases in veterans were age, length of time spent in combat, having been wounded. A longer period in the combat zone was associated with arrhythmias in veterans with PTSD complicated with other psychiatric comorbidities. PTSD as a result of exposure to war trauma increases the possibility of developing somatic diseases.

摘要

本研究的目的是调查参战退伍军人与未经历战场创伤经历的同龄人之间躯体疾病患病率的差异,并确定社会人口学因素、战时创伤和/或损伤暴露是否可能预测个体的躯体疾病。该研究纳入了居住在克罗地亚南部的1558名受试者:501名患有创伤后应激障碍(PTSD)的男性参战退伍军人以及相应的825名未经历战斗经历的男性对照组。患有PTSD的退伍军人,无论在战争中度过的时间长短,比起未经历战斗经历的相应对照组受试者,更常患有心血管、皮肤、肌肉骨骼、肺部和代谢疾病。退伍军人中心血管、肌肉骨骼和恶性疾病的预测因素是年龄、战斗时间长短、是否受过伤。在战斗区域停留较长时间与患有PTSD并伴有其他精神共病的退伍军人的心律失常有关。因战争创伤导致的PTSD增加了患躯体疾病的可能性。

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