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首页> 外文学位 >Does posttraumatic stress disorder severity and presentations impact specific physical health disorders in deployed Canadian Forces personnel?
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Does posttraumatic stress disorder severity and presentations impact specific physical health disorders in deployed Canadian Forces personnel?

机译：创伤后应激障碍的严重程度和表现是否会影响部署的加拿大部队人员中的特定身体健康疾病？

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摘要

Effects of posttraumatic stress disorder (PTSD) on physical health have been well documented (e.g., Rauch et al., 2009); however, much of the past research has not taken into account the complexities of the relationship. In particular, PTSD is often comorbid with other mental disorders which have also been found to influence physical health (e.g., depression; Sareen et al., 2007), calling into question the influence of PTSD beyond such disorders. Also, given that physical health encompasses a wide array of potentially deleterious conditions and experiences, specificity of what constitutes physical health is necessary to properly assess the relationship with PTSD. Accordingly, physical health was separated in the current study into seven specific categories of physical health disorders (circulatory, endocrine, musculoskeletal, neurological, respiratory, gastrointestinal, and other physical health disorders). The aims of the current study were two-fold, first, assess the relationships between PTSD and seven specific physical health disorders within the context of potentially mediating conditions (pain) and disorders (depression and alcohol-use); and second, investigate the likelihood of physical disorder prevalence among three different modalities of PTSD diagnosis (i.e., full PTSD, subsyndromal PTSD, and no PTSD). These aims were examined in a sample of Canadian military peacekeepers with a history of deployment to foreign military operations ( n = 990, 97% men). Results suggest that PTSD has a significant direct positive influence on three (i.e., gastrointestinal, neurological, and other physical health disorders) of the seven models investigated. Also, PTSD was observed to have a significant direct negative influence on endocrine disorders. Models revealed pain significantly and positively mediated the relationship between PTSD and musculoskeletal and neurological disorders.;Additionally, alcohol-use significantly and negatively mediated the influence of PTSD on neurological disorders. PTSD was not observed to have direct or indirect influences on circulatory and respiratory disorders. Multiple stepwise logistic regressions indicated adjusted odds ratios for physical disorder presence were significantly greater among those affected by full PTSD when compared to those without PTSD, except among endocrine disorders. Among four of seven disorder categories (i.e., musculoskeletal, neurological, respiratory, and other physical health disorders), adjusted odds ratios for physical disorder presence were significantly greater among those affected by subsyndromal PTSD compared to those without PTSD. No significant differences in the likelihood of physical disorders were observed between those affected by full and subsyndromal PTSD. In concert, a heterogeneous relationship between PTSD and specific categories of physical health was observed in the current study. Extraneous variables serve to mediate certain relationships and remain nonsignificant in others, which disrupted the clarity of the relationship between PTSD and general physical health. Findings underscore that PTSD affects physical health, but through different avenues depending on the physical disorder examined.
机译：创伤后应激障碍（PTSD）对身体健康的影响已得到充分证明（例如，Rauch等，2009）。但是，过去的许多研究都没有考虑到这种关系的复杂性。特别地，PTSD经常与其他精神障碍并存，这些精神障碍也已经发现会影响身体健康（例如，抑郁； Sareen等人，2007），这引起了PTSD对此类障碍的影响的质疑。同样，鉴于身体健康涵盖了许多潜在的有害状况和经历，因此，对于正确评估与PTSD的关系，必须明确构成身体健康的成分。因此，在本研究中，身体健康分为七个特定类别的身体健康疾病（循环系统，内分泌，肌肉骨骼，神经系统，呼吸系统，胃肠道疾病和其他身体健康疾病）。当前研究的目的是双重的，首先，在潜在的介导性疾病（疼痛）和疾病（抑郁和酗酒）的背景下，评估创伤后应激障碍与七种特定的身体健康疾病之间的关系。其次，研究在PTSD诊断的三种不同方式（即完全PTSD，亚综合征PTSD和无PTSD）中身体疾病患病率的可能性。在具有部署到外国军事行动历史的加拿大军事维和人员样本中检验了这些目标（n = 990，男性为97％）。结果表明PTSD对所研究的七个模型中的三个模型（即胃肠道，神经系统疾病和其他身体健康疾病）具有显着的直接正影响。而且，观察到PTSD对内分泌疾病具有显着的直接负面影响。模型显示疼痛显着并正向介导了PTSD与肌肉骨骼和神经系统疾病之间的关系。此外，饮酒显着且负面地介导了PTSD对神经系统疾病的影响。未发现PTSD对循环系统和呼吸系统疾病有直接或间接影响。多次逐步logistic回归表明，与完全PTSD感染者相比，除了内分泌失调者之外，完全PTSD影响者中身体疾病存在的调整比值比明显更高。在7种疾病类别中的4种（即肌肉骨骼疾病，神经疾病，呼吸疾病和其他身体健康疾病）中，与没有PTSD的那些相比，受到亚综合征PTSD影响的那些人的身体疾病存在的调整比值比明显更高。在完全和亚综合征PTSD患者中，未发现身体不适的显着差异。一致地，在本研究中观察到PTSD与特定类别的身体健康之间存在异质关系。无关的变量用于调解某些关系，而在其他变量中则不重要，这破坏了PTSD与一般身体健康之间关系的清晰性。研究结果强调，创伤后应激障碍会影响身体健康，但会通过不同的途径，取决于所检查的身体疾病。

著录项

  • 作者

    Fetzner, Mathew Greg.;

  • 作者单位

    The University of Regina (Canada).;

  • 授予单位 The University of Regina (Canada).;
  • 学科 Clinical psychology.;Military studies.;Occupational psychology.
  • 学位 M.A.
  • 年度 2011
  • 页码 131 p.
  • 总页数 131
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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