Chen Yoke Yong, Ghazali Siti Raudzah, Said Asri
BSc (Psychology), MSc (Clinical Psychology), PhD (Health Psychology), Department of Psychological Medicine, Faculty of Medicine and Health Science, Universiti Malaysia Sarawak, Jalan Datuk Mohammad Musa, Kota Samarahan, Sarawak, Malaysia. Email:
BSc (Psychology), MSc (Clinical Psychology), PhD (Clinica sychology), Department of Psychological Medicine, Faculty of Medicine and Health Science, Universiti Malaysia Sarawak, Jalan Datuk Mohammad Musa, Kota Samarahan, Sarawak, Malaysia.
Malays Fam Physician. 2024 Aug 6;19:42. doi: 10.51866/oa.557. eCollection 2024.
Exploring the connections between traumatic experiences and subsequent health outcomes is vital for informing clinical practices and public health policies. The study aimed to investigate the relationship between lifetime trauma exposure and posttraumatic stress disorder (PTSD), depressive and cardiovascular disease (CVD) symptoms.
A total of 171 patients who received treatment in a local heart centre were included in this study. Several questionnaires such as the Life Event Checklist-5, Posttraumatic Stress Disorder Checklist for DSM-5 and Patient Health Questionnaire-9 were used to measure their traumatic experiences and PTSD and depressive symptoms, respectively. Physiological measures were also examined. Data were analysed using SPSS.
The chi-square test showed significant differences in the percentage of reported PTSD symptoms among the patients with CVD (24.0%), patients with kidney disease (4.3%) and patients with other health problems (7.1%). The patients with CVD reported having a significantly higher percentage of PTSD and depressive symptoms than the patients with other medical conditions. The patients with CVD who reported having PTSD symptoms had significant systolic blood pressure (SBP) and heart rate changes compared to the patients who did not. The patients who reported PTSD symptoms had a significantly shorter sleep duration than their counterparts. The SBP and diastolic blood pressure differed significantly between the patients with and without PTSD symptoms.
Earlier detection, prevention and intervention related to trauma exposure and PTSD symptoms are suggested to reduce the CVD risk.
探索创伤经历与后续健康结果之间的联系对于指导临床实践和公共卫生政策至关重要。本研究旨在调查终生创伤暴露与创伤后应激障碍（PTSD）、抑郁和心血管疾病（CVD）症状之间的关系。
本研究纳入了在当地心脏中心接受治疗的171名患者。使用了几份问卷，如生活事件清单-5、DSM-5创伤后应激障碍清单和患者健康问卷-9，分别测量他们的创伤经历、PTSD和抑郁症状。还检查了生理指标。使用SPSS对数据进行分析。
卡方检验显示，患有心血管疾病（24.0%）、肾病（4.3%）和其他健康问题（7.1%）的患者中，报告有PTSD症状的百分比存在显著差异。患有心血管疾病的患者报告的PTSD和抑郁症状百分比显著高于患有其他疾病的患者。与没有PTSD症状的患者相比，报告有PTSD症状的心血管疾病患者的收缩压（SBP）和心率有显著变化。报告有PTSD症状的患者的睡眠时间明显短于没有该症状的患者。有PTSD症状和没有PTSD症状的患者之间的收缩压和舒张压有显著差异。
建议对创伤暴露和PTSD症状进行早期检测、预防和干预，以降低心血管疾病风险。
