Na Peter J, Fischer Ian C, Shear Katherine M, Pietrzak Robert H
VA Connecticut Healthcare System (PJN), West Haven, CT; Department of Psychiatry (PJN, RHP), Yale School of Medicine, New Haven, CT.
Department of Psychiatry (PJN, RHP), Yale School of Medicine, New Haven, CT; National Center for PTSD (ICF, RHP), VA Connecticut Healthcare System, West Haven, CT.
Am J Geriatr Psychiatry. 2023 Jul;31(7):543-548. doi: 10.1016/j.jagp.2023.02.007. Epub 2023 Feb 14.
To examine the point prevalence and correlates of prolonged grief disorder (PGD) in a nationally-representative sample of United States (U.S.) veterans.
Data were analyzed from the National Health and Resilience in Veterans Study, a nationally representative study of 2,441 U.S. veterans.
A total of 158 (weighted 7.3%) veterans screened positive for PGD. The strongest correlates of PGD were adverse childhood experiences, female sex, non-natural causes of death, knowing someone who died from coronavirus disease 2019, and number of close losses. After adjusting for sociodemographic, military, and trauma variables, veterans with PGD were 5-to-9 times more likely to screen positive for post-traumatic stress disorder, major depressive disorder, and generalized anxiety disorder. After additional adjustment for current psychiatric and substance use disorders, they were 2-3 times more likely to endorse suicidal thoughts and behaviors.
Results underscore the importance of targeting PGD as an independent risk factor for psychiatric disorders and suicide risk.
在美国退伍军人的全国代表性样本中，研究持续性悲伤障碍（PGD）的时点患病率及其相关因素。
对退伍军人健康与恢复力全国性研究的数据进行分析，该研究是一项对2441名美国退伍军人的全国代表性研究。
共有158名（加权7.3%）退伍军人PGD筛查呈阳性。PGD的最强相关因素为童年不良经历、女性、非自然死亡原因、认识死于2019冠状病毒病的人以及亲密关系丧失的数量。在对社会人口学、军事和创伤变量进行调整后，患有PGD的退伍军人创伤后应激障碍、重度抑郁症和广泛性焦虑症筛查呈阳性的可能性高出5至9倍。在对当前精神疾病和物质使用障碍进行额外调整后，他们认可自杀想法和行为的可能性高出2至3倍。
结果强调了将PGD作为精神疾病和自杀风险的独立危险因素加以关注的重要性。
