Association of PTSD with COVID-19 testing and infection in the Veterans Health Administration.
Association of PTSD with COVID-19 testing and infection in the Veterans Health Administration.
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DOI：
10.1016/j.jpsychires.2020.11.033
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发表时间：
2021-11
影响因子：
4.8
通讯作者：
Washington DL
中科院分区：
文献类型：
--
作者：
Haderlein TP;Wong MS;Yuan A;Llorente MD;Washington DL
创伤后应激障碍 (PTSD) 与高血压和肥胖等 2019 年冠状病毒病 (COVID-19) 危险因素相关。 PTSD 和 COVID-19 结果之间的关联可能会影响退伍军人健康管理局 (VA) 的服务，因为退伍军人中 PTSD 的发生率高于普通人群。虽然之前的研究已确定 COVID-19 可能导致 PTSD 患病率增加，这是一个公共健康问题，但尚无已知的研究探讨了先前存在的 PTSD 对 COVID-19 求试行为或感染的影响。本研究旨在评估已有的 PTSD 作为 COVID-19 检测和检测阳性的预测因子。该样本由 2018 年 3 月 1 日至 2020 年 2 月 29 日期间寻求 VA 护理的 6,721,407 名退伍军人组成。之前有 PTSD 临床诊断的退伍军人比没有 PTSD 的退伍军人更有可能接受 COVID-19 检测。然而，在那些有可用的 COVID-19 检测结果的人 (n = 168,032) 中，之前有过 PTSD 临床诊断的退伍军人比没有 PTSD 的退伍军人检测呈阳性的可能性更小。患有创伤后应激障碍 (PTSD) 的退伍军人中 COVID-19 检测率的升高可能反映出人们对 COVID-19 健康问题的担忧和/或过度警惕。患有创伤后应激障碍 (PTSD) 的退伍军人中，COVID-19 检测阳性率较低，可能反映出社会孤立程度的增加，或者由于退伍军人事务部服务的整体使用率较高而导致接受检测的人群比例过高。随着 COVID-19 大流行的持续，识别患者层面的检测和检测阳性的精神预测因素可以促进向有需要的个人有针对性地提供医疗和心理健康服务。
Posttraumatic stress disorder (PTSD) is associated with coronavirus disease 2019 (COVID-19) risk factors, such as hypertension and obesity. Associations between PTSD and COVID-19 outcomes may affect Veterans Health Administration (VA) services, as PTSD occurs at higher rates among veterans than the general population. While previous research has identified the potential for increased PTSD prevalence resulting from COVID-19 as a public health concern, no known research examines the effect of pre-existing PTSD on COVID-19 test-seeking behavior or infection. This study aimed to evaluate pre-existing PTSD as a predictor of COVID-19 testing and test positivity. The sample consisted of 6,721,407 veterans who sought VA care between March 1, 2018 and February 29, 2020. Veterans with a previous PTSD clinical diagnosis were more likely to receive COVID-19 testing than veterans without PTSD. However, among those with available COVID-19 test results (n = 168,032), veterans with a previous PTSD clinical diagnosis were less likely to test positive than veterans without PTSD. Elevated COVID-19 testing rates among veterans with PTSD may reflect increased COVID-19 health concerns and/or hypervigilance. Lower rates of COVID-19 test positivity among veterans with PTSD may reflect increased social isolation, or overrepresentation in the tested population due to higher overall use of VA services. As the COVID-19 pandemic continues, the identification of patient-level psychiatric predictors of testing and test positivity can facilitate the targeted provision of medical and mental health services to individuals in need.
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DOI：
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发表时间：
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期刊：
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影响因子：
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