Kovačić Petrović Zrnka, Peraica Tina, Eterović Marija, Anđelinović Maja, Kozarić-Kovačić Dragica
University of Zagreb School of Medicine, University Psychiatric Hospital Vrapce.
Department of Psychiatry, Referral Centre for the Stress Related Disorders of Ministry of Health of Croatia, University Hospital Dubrava.
J Nerv Ment Dis. 2019 Feb;207(2):53-58. doi: 10.1097/NMD.0000000000000928.
A vast number of veterans with posttraumatic stress disorder (PTSD) have chronic somatic comorbidities. However, their relationship with quality of life (QoL) has received little attention. We aimed to compare QoL of veterans with similar intensity of PTSD but different number of chronic somatic disorders. Of 129 veterans, 78% had at least one somatic disorder, and they reported lower QoL across all domains than veterans without somatic comorbidities. The greatest effect size was observed on social relationship (d = 0.65), it was notable on environment (d = 0.4) and psychological health (d = 0.38), and it was not relevant on physical health (d = 0.05). There was a negative correlation between the number of somatic disorders and scores on psychological health (rs = -0.217, p = 0.014), social relationships (rs = -0.248, p = 0.005), and environment (rs = -0.279, p = 0.001). The QoL of war veterans decreases significantly with the number of comorbid somatic conditions, particularly on the nonphysical domains of QoL.
大量患有创伤后应激障碍（PTSD）的退伍军人患有慢性躯体合并症。然而，它们与生活质量（QoL）的关系却很少受到关注。我们旨在比较创伤后应激障碍强度相似但慢性躯体疾病数量不同的退伍军人的生活质量。在129名退伍军人中，78%至少患有一种躯体疾病，他们在所有领域的生活质量报告都低于没有躯体合并症的退伍军人。在社会关系方面观察到最大的效应量（d = 0.65），在环境（d = 0.4）和心理健康（d = 0.38）方面也很显著，而在身体健康方面不显著（d = 0.05）。躯体疾病的数量与心理健康得分（rs = -0.217，p = 0.014）、社会关系得分（rs = -0.248，p = 0.005）和环境得分（rs = -0.279，p = 0.001）之间存在负相关。退伍军人的生活质量随着合并躯体疾病的数量显著下降，尤其是在生活质量的非身体领域。
