加拿大军事人员创伤后应激障碍病程与身体健康状况之间的关联。
Associations between courses of posttraumatic stress disorder and physical health conditions among Canadian military personnel.
机构信息
Department of Anesthesiology, Perioperative and Pain Medicine, University of Manitoba, 671 William Avenue, Winnipeg, Manitoba, R3E 0Z2 Canada; Department of Psychology, University of Manitoba, 190 Dysart Road, Winnipeg, Manitoba, R3T 2N2 Canada.
Department of Clinical Health Psychology, University of Manitoba, 771 Bannatyne Avenue, Winnipeg, Manitoba, R3E 3N4 Canada.
出版信息
J Anxiety Disord. 2022 Apr;87:102543. doi: 10.1016/j.janxdis.2022.102543. Epub 2022 Feb 7.
BACKGROUND
Posttraumatic stress disorder (PTSD) and physical health conditions commonly co-occur and are both prevalent among military personnel. This study examined how courses of PTSD (no PTSD, remitted, new onset, persistent/recurrent) are associated with physical health conditions, among a population-based sample of Canadian military personnel.
METHOD
We analyzed data from the 2002 Canadian Community Health Survey-Mental Health and Well-being-Canadian Forces supplement (CCHS-CF) and the 2018 Canadian Armed Forces Members and Veterans Mental Health Follow-Up Survey (CAFVMHS; N = 2941). Multivariable logistic regressions examined associations between PTSD courses (reference = no PTSD) and physical health conditions.
RESULTS
In general, physical health conditions were more prevalent among symptomatic PTSD courses compared to no PTSD. After adjustment, new onset PTSD was associated with increased odds of all physical health conditions with the exception of ulcers and cancer (AOR range: 1.41-2.31) and remitted PTSD was associated with increased odds of diabetes (AOR = 2.31).
CONCLUSION
Results suggest that new onset PTSD may be most strongly associated with physical health conditions. Findings may inform targeted screening and intervention methods among military personnel with PTSD and physical health conditions.
背景
创伤后应激障碍（PTSD）和身体健康状况通常同时发生，在军人中也很普遍。本研究考察了 PTSD （无 PTSD、缓解、新发、持续/复发性）的病程如何与加拿大军人的基于人群的样本中的身体健康状况相关。
方法
我们分析了来自 2002 年加拿大社区健康调查-心理健康和幸福感-加拿大部队补充调查（CCHS-CF）和 2018 年加拿大武装部队成员和退伍军人心理健康随访调查（CAFVMHS；N=2941）的数据。多变量逻辑回归分析了 PTSD 病程（参考：无 PTSD）与身体健康状况之间的关联。
结果
一般来说，与无 PTSD 相比，有症状的 PTSD 病程中更常见身体健康状况。调整后，新发 PTSD 与所有身体健康状况的几率增加有关，除了溃疡和癌症（AOR 范围：1.41-2.31），缓解性 PTSD 与糖尿病的几率增加有关（AOR=2.31）。
结论
结果表明，新发 PTSD 可能与身体健康状况的关系最为密切。这些发现可能为 PTSD 和身体健康状况的军人提供有针对性的筛查和干预方法。
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