Department of Psychiatry, Yale University School of Medicine, New Haven, CT, United States; U.S. Department of Veterans Affairs New England Mental Illness Research and Education Clinical Center (MIRECC), West Haven, CT, United States.
Department of Psychiatry, Yale University School of Medicine, New Haven, CT, United States; Department of Neuroscience and Child Study Center, Yale University School of Medicine, New Haven, CT, United States; Connecticut Council on Problem Gambling, Wethersfield, CT, United States; Connecticut Mental Health Center, New Haven, CT, United States.
Psychiatry Res. 2020 Sep;291:113242. doi: 10.1016/j.psychres.2020.113242. Epub 2020 Jun 18.
Post-traumatic stress disorder (PTSD) and obesity are prevalent among U.S. military veterans, though less is known about the mental and physical health burden and suicidality of co-occurring PTSD and obesity in this population. A nationally representative sample of the U.S. veterans was used to assess PTSD and obesity prevalence, co-occurrence and relationships with mental and physical health measures. A total of 16.4% of veterans screened positive for current PTSD, 32.7% for obesity, and 5.8% for co-occurring PTSD and obesity. Relative to obesity-only veterans, veterans with co-occurring PTSD and obesity had elevated likelihoods of mental and physical health concerns (most notably major depressive and generalized anxiety disorders), suicidality, and migraine headaches, and higher body mass indices. Relative to veterans with PTSD alone, individuals with comorbid PTSD and obesity had elevated likelihoods of suicidal ideation, nicotine dependence, mental health treatment, migraine headaches, diabetes, hypertension, and insomnia. A significant minority of U.S. veterans has co-occurring PTSD and obesity, which is associated with substantial mental and physical health burden, including elevated suicidality. Results underscore the importance of integrative assessment, monitoring, and treatment approaches for PTSD and obesity in this population.
创伤后应激障碍（PTSD）和肥胖在美国退伍军人中很常见，但对于这一人群中同时存在 PTSD 和肥胖的心理健康和身体健康负担以及自杀风险知之甚少。本研究使用具有全国代表性的美国退伍军人样本，评估 PTSD 和肥胖的流行率、共病情况以及与心理健康和身体健康测量指标的关系。共有 16.4%的退伍军人当前患有 PTSD，32.7%患有肥胖症，5.8%同时患有 PTSD 和肥胖症。与仅患有肥胖症的退伍军人相比，同时患有 PTSD 和肥胖症的退伍军人更有可能出现心理健康和身体健康问题（尤其是重度抑郁和广泛性焦虑障碍）、自杀意念、偏头痛，以及更高的体重指数。与单独患有 PTSD 的退伍军人相比，同时患有 PTSD 和肥胖症的个体更有可能出现自杀意念、尼古丁依赖、心理健康治疗、偏头痛、糖尿病、高血压和失眠。相当一部分美国退伍军人同时患有 PTSD 和肥胖症，这与相当大的心理健康和身体健康负担有关，包括自杀意念风险增加。研究结果强调了在这一人群中对 PTSD 和肥胖症进行综合评估、监测和治疗方法的重要性。
