Department of Psychiatry, St Cyril and Methodius University, Skopje, North Macedonia.
Department of Medicine, Peshawar Medical College, Peshawar, Pakistan.
J Nerv Ment Dis. 2023 Jul 1;211(7):510-513. doi: 10.1097/NMD.0000000000001639. Epub 2023 Apr 11.
Nearly 90% of Americans are exposed to a traumatic event at some point in their lives, and over 8% of those individuals will develop posttraumatic stress disorder (PTSD). Our study examined the demographic differences and psychiatric comorbidities in inpatients with PTSD with and without somatic symptom disorders (SSDs), using data from the Nationwide Inpatient Sample for 2018 and 2019. Our sample included 12,760 adult patients with a primary diagnosis of PTSD, which was further subdivided based on a codiagnosis of SSD. We used a logistic regression model to determine the odds ratio (OR) of association for SSD and identify demographic predictors and comorbid risk factors in inpatients with PTSD. The prevalence of SSD in inpatients with PTSD was 0.43%, and it was more commonly seen in women and Caucasians. Personality disorders (OR, 5.55; p < 0.001) and anxiety disorders (OR, 1.93; p = 0.018) were found to increase the likelihood of codiagnoses of SSD in inpatients with PTSD. These findings support the need for a systematic, modular approach that includes evidence-based interventions to treat at-risk populations.
近 90%的美国人在其一生中的某个时刻会经历创伤性事件，而其中超过 8%的人将患上创伤后应激障碍（PTSD）。我们的研究使用了 2018 年和 2019 年全国住院患者样本的数据，调查了 PTSD 患者中有无躯体症状障碍（SSD）的人口统计学差异和精神共病情况。我们的样本包括 12760 名成年 PTSD 患者，他们的主要诊断进一步分为 SSD 的合并诊断。我们使用逻辑回归模型确定 SSD 的关联比值（OR），并确定 PTSD 住院患者中的人口统计学预测因子和共病风险因素。在 PTSD 住院患者中，SSD 的患病率为 0.43%，且在女性和白种人中更为常见。人格障碍（OR，5.55；p < 0.001）和焦虑障碍（OR，1.93；p = 0.018）被发现增加了 PTSD 患者合并 SSD 的可能性。这些发现支持需要采用一种系统的、模块化的方法，包括针对高危人群的循证干预措施。
