• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Association between posttraumatic stress disorder and primary care provider-diagnosed disease among iraq and afghanistan veterans.
【24h】

Association between posttraumatic stress disorder and primary care provider-diagnosed disease among iraq and afghanistan veterans.

机译：伊拉克和阿富汗退伍军人之间创伤后应激障碍与初级保健提供者诊断的疾病之间的关联。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

OBJECTIVE: To determine if a diagnosis of posttraumatic stress disorder (PTSD) was associated with primary care provider-diagnosed physical disease in the first 5 years post deployment. METHODS: An examination of medical records of 4416 veterans of Operations Enduring Freedom and Iraqi Freedom (OEF/OIF) was conducted. Participants were veterans who served between September 11, 2001 and December 31, 2007, without prior combat exposure, and who utilized primary care services within the VA Healthcare Network of Upstate New York. Primary care provider-diagnosed International Statistical Classification of Diseases and Related Health Problems, Revision 9 (ICD-9) physical diseases were examined. RESULTS: Adjusting for demographic characteristics and clinical factors (e.g., age, gender, depression, and substance use), PTSD was significantly associated with an almost two-fold increase of developing nervous system (odds ratio [OR], 1.98), musculoskeletal disease (OR, 1.84), and signs and ill-defined conditions of disease (OR, 1.78). A diagnosis of PTSD was significantly associated with increased odds of developing circulatory (OR, 1.29), hypertensive (OR, 1.38), and digestive system disease (OR, 1.34). Survival analyses showed that veterans with PTSD experienced early onset disease compared with veterans without PTSD; hypertensive (hazard ratio [HR], 1.56; 95% confidence interval [CI], 1.19-2.04), circulatory, (HR, 1.36; 95% CI, 1.11-1.67), digestive (HR, 1.24; 95% CI, 1.08-1.43), nervous (HR, 1.81; 95% CI, 1.59-2.06), musculoskeletal disease (HR, 1.49; 95% CI, 1.32-1.67), and signs and ill-defined disease (HR, 1.70; 95% CI, 1.51-1.92). CONCLUSIONS: PTSD is associated with increased prevalence and onset of physical disease among OEF/OIF veterans within the early years post military service. Rising rates of PTSD may foreshadow an increase in lifespan morbidity and healthcare utilization in the coming years among OEF/OIF veterans.
机译：目的：确定在部署后的前5年中，创伤后应激障碍（PTSD）的诊断是否与初级保健提供者诊断的身体疾病相关。方法：对4416名持久自由和伊拉克自由行动的退伍军人的病历进行了检查。参与者是在2001年9月11日至2007年12月31日期间就职的，没有战斗经历的退伍军人，他们使用了纽约州北部VA Healthcare Network内的初级保健服务。检查了初级保健提供者诊断的疾病和相关健康问题国际统计分类，修订版9（ICD-9）的物理疾病。结果：根据人口统计学特征和临床因素（例如年龄，性别，抑郁和药物使用情况）进行调整后，PTSD与发展中的神经系统几乎增加了两倍（比值比[OR]为1.98），肌肉骨骼疾病（OR，1.84）以及疾病的体征和病情不明确（OR，1.78）。 PTSD的诊断与发展循环系统（OR，1.29），高血压（OR，1.38）和消化系统疾病（OR，1.34）的几率显着相关。生存分析表明，与没有PTSD的退伍军人相比，患有PTSD的退伍军人经历了较早的发病。高血压（危险比[HR]为1.56; 95％置信区间[CI]为1.19-2.04），循环系统（HR为1.36; 95％CI为1.11-1.67），消化系统（HR为1.24; 95％CI为1.08） -1.43），神经（HR，1.81; 95％CI，1.59-2.06），肌肉骨骼疾病（HR，1.49; 95％CI，1.32-1.67）以及体征和疾病（HR，1.70; 95％CI） ，1.51-1.92）。结论：PTSD与服役初期的OEF / OIF退伍军人患病率升高和身体疾病发作有关。 PTSD发病率的上升可能预示了OEF / OIF退伍军人在未来几年的发病率和医疗保健利用率的增加。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号