Ambulatory monitoring and physical health report in Vietnam veterans with and without chronic posttraumatic stress disorder
Ambulatory monitoring and physical health report in Vietnam veterans with and without chronic posttraumatic stress disorder
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DOI：
10.1023/a:1024457700599
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发表时间：
2003-08-01
影响因子：
3.3
通讯作者：
Calhoun, PS
中科院分区：
文献类型：
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作者：
Beckham, JC;Taft, CT;Calhoun, PS
本研究调查了117名男性越战退伍军人（61名患有PTSD，56名没有PTSD）的PTSD，动态心血管监测和身体健康自我报告之间的关联。PTSD与健康症状和当前健康状况的数量相关，超出了几个协变量的影响。创伤后应激障碍与收缩压变异性更大，心率和收缩压读数高于基线的百分比升高有关。较高的平均心率和心率高于基线的百分比升高与身体健康症状相关。没有一个动态监测变量介导PTSD和身体健康结果之间的关联。研究结果表明，动态自主神经反应，创伤后应激障碍和身体健康之间的相互关系值得更多的研究关注。
This study investigated the associations among PTSD, ambulatory cardiovascular monitoring, and physical health self-reports in 117 male Vietnam combat veterans (61 with PTSD and 56 without PTSD). PTSD was associated with health symptoms and number of current health conditions beyond the influence of several covariates. PTSD was associated with greater systolic blood pressure variability, and an elevated percentage of heart rate and systolic blood pressure readings above baseline. Higher mean heart rate and an elevated percentage of heart rate above baseline were associated with physical health symptoms. None of the ambulatory monitoring variables mediated the association between PTSD and physical health outcomes. Findings suggest that the interrelationships among ambulatory autonomic responses, PTSD, and physical health deserve more research attention.