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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Trauma, posttraumatic stress disorder, and physical illness: findings from the general population.
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Trauma, posttraumatic stress disorder, and physical illness: findings from the general population.

机译：创伤，创伤后应激障碍和身体疾病：一般人群的发现。

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OBJECTIVE: To determine in a general population sample the differential impact on physical health of exposure to traumatic experiences and posttraumatic stress disorder (PTSD). Trauma exposure and PTSD have been associated with physical illness in specific populations, such as veterans. METHODS: Medical histories including cardiovascular, endocrine, pulmonary, and other chronic diseases were obtained from 3171 adults living in the community. They were administered the PTSD module of the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV), and were assigned to three groups: no trauma (n = 1440); trauma, but no PTSD (n = 1669); and trauma with subsequent PTSD (n = 62). RESULTS: After adjustments for sociodemographic factors, smoking, body mass index, blood pressure, depression, and alcohol use disorders, subjects with trauma history had higher odds ratios (ORs) for angina pectoris and heart failure (OR = 1.2; 95% Confidence Interval [CI] = 1.1-1.3), stroke (OR = 1.2; 95 CI = 1.0-1.5), bronchitis, asthma, renal disease, and polyarthritis (ORs between 1.1 and 1.3) compared with nontraumatized participants. The PTSD positive subsample had increased ORs for angina (OR = 2.4; 95% CI = 1.3-4.5), heart failure (OR = 3.4; 95% CI = 1.9-6.0), bronchitis, asthma, liver, and peripheral arterial disease (ORs, range = 2.5-3.1). CONCLUSIONS: Our findings suggest a strong association between PTSD and cardiovascular and pulmonary diseases. Particular diagnostic and treatment attention should be paid to physical illness in PTSD positive patients in primary care, medical, and mental health settings.
机译：目的：确定普通人群中遭受创伤经历和创伤后应激障碍（PTSD）对身体健康的不同影响。外伤和创伤后应激障碍与特定人群的身体疾病有关，例如退伍军人。方法：从社区中的3171名成年人中获得了包括心血管疾病，内分泌疾病，肺疾病和其他慢性疾病在内的医学史。他们接受了《精神疾病诊断和统计手册结构化临床访谈》（第四版）（DSM-IV）的PTSD模块，并分为三组：无创伤（n = 1440）;无创伤（n = 1440）。创伤，但无创伤后应激障碍（n = 1669）;创伤后创伤后应激障碍（n = 62）。结果：在调整了社会人口统计学因素，吸烟，体重指数，血压，抑郁和饮酒障碍后，有外伤史的人心绞痛和心力衰竭的比值比（OR）较高（OR = 1.2; 95％的置信区间[CI] = 1.1-1.3），中风（OR = 1.2; 95 CI = 1.0-1.5），支气管炎，哮喘，肾脏疾病和多发性关节炎（OR在1.1和1.3之间），与未接受过创伤的参与者相比。 PTSD阳性子样本的心绞痛（OR = 2.4; 95％CI = 1.3-4.5），心力衰竭（OR = 3.4; 95％CI = 1.9-6.0），支气管炎，哮喘，肝和外周动脉疾病的OR升高（ OR，范围= 2.5-3.1）。结论：我们的发现表明PTSD与心血管疾病和肺部疾病之间密切相关。 PTSD阳性患者在初级保健，医疗和精神卫生方面应特别注意身体疾病。

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