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地震暴露后躯体症状与 PTSD 和性别有关吗?意大利青年幸存者的横断面研究。

Do somatic symptoms relate to PTSD and gender after earthquake exposure? A cross-sectional study on young adult survivors in Italy.

机构信息

Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.

Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.

出版信息

CNS Spectr. 2021 Jun;26(3):268-274. doi: 10.1017/S1092852920000097. Epub 2020 Apr 6.

Abstract

OBJECTIVE

Increasing evidence confirms a strict relationship between mental disorders and physical health. Particularly, stressful life events and post-traumatic stress disorder (PTSD) have been closely correlated with various physical disorders and somatic symptoms, such as chronic pain, gastrointestinal disorders, and headaches. The aim of this study was to investigate the emergence of somatic symptoms in a sample of young adult survivors 21 months after exposure to the L'Aquila 2009 earthquake, with particular attention to PTSD and gender impact.

METHODS

Four hundred and fifty high-school senior students (253 male and 197 female) exposed to the 2009 L'Aquila earthquake, 21 months earlier, were enrolled and evaluated by the Trauma and Loss Spectrum Self-Report (TALS-SR), for symptomatological PTSD, and the Mood Spectrum Self-Report-Lifetime Version (MOODS-SR) "rhythmicity and vegetative functions" domain, for somatic symptoms.

RESULTS

Significantly higher rates of endorsement of the MOODS-SR somatic symptoms emerged in survivors with PTSD compared to those without. Females reported higher rates of endorsement of at least one MOODS-SR somatic symptom compared to males; however, a Decision Tree model and a two-way analysis of variance model confirmed a significant effect of PTSD only. A multivariate logistical regression showed a significant association between the presence of at least one MOOD-SR somatic symptom and re-experiencing and maladaptive coping TALS-SR domains.

CONCLUSION

This study corroborates a relevant impact of symptomatological PTSD, across both the genders, on somatic symptoms occurring in young adults after months from exposure to a massive earthquake.

摘要

目的

越来越多的证据证实,精神障碍与身体健康之间存在严格的关系。特别是,生活应激事件和创伤后应激障碍(PTSD)与各种身体障碍和躯体症状密切相关,如慢性疼痛、胃肠道疾病和头痛。本研究旨在调查经历拉奎拉 2009 年地震 21 个月后,年轻成年幸存者出现躯体症状的情况,特别关注 PTSD 和性别影响。

方法

450 名高中高年级学生(253 名男性和 197 名女性)在经历 2009 年拉奎拉地震 21 个月后被纳入研究,并使用创伤和丧失频谱自我报告(TALS-SR)评估 PTSD 症状,使用心境频谱自我报告-终身版(MOODS-SR)评估躯体症状。

结果

与无 PTSD 幸存者相比,有 PTSD 的幸存者出现 MOODS-SR 躯体症状的比例明显更高。与男性相比,女性报告至少有一种 MOODS-SR 躯体症状的比例更高;然而,决策树模型和双向方差分析模型证实,只有 PTSD 有显著影响。多变量逻辑回归显示,至少有一种 MOOD-SR 躯体症状的存在与 TALS-SR 再体验和适应不良应对领域显著相关。

结论

本研究证实,在经历大规模地震数月后,无论性别如何,症状性 PTSD 都会对年轻成年人出现的躯体症状产生重大影响。

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