Exposure to Trauma and Posttraumatic Stress Disorder Symptoms in Older Veterans Attending Primary Care: Comorbid Conditions and Self-Rated Health Status
Exposure to Trauma and Posttraumatic Stress Disorder Symptoms in Older Veterans Attending Primary Care: Comorbid Conditions and Self-Rated Health Status
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DOI：
10.1111/j.1532-5415.2011.03407.x
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发表时间：
2011-06-01
影响因子：
6.3
通讯作者：
Levkoff, Sue E.
中科院分区：
文献类型：
--
作者：
Durai, U. Nalla B.;Chopra, Mohit P.;Levkoff, Sue E.
目的：评估创伤后应激障碍（PTSD）的患病率及其与老年初级保健人群健康特征的相关性。设计：在治疗抑郁症、焦虑症和高危饮酒的多地点试验中进行横断面筛选评估。地点：美国退伍军人事务部（VA）的初级保健诊所。参与者：17，205名65岁及以上的退伍军人。测量：社会人口信息、一般健康问卷（GHQ-12）、有关死亡愿望和自杀想法的问题、饮酒的数量和频率、吸烟、接触创伤事件和创伤后应激障碍症状群。结果：12%（2，041/17，205）的参与者接受了PTSD症状的筛查。与没有创伤史或有创伤但没有症状的退伍军人相比，有部分（部分PTSD）或每个（PTSD所有集群）症状集群的PTSD症状的退伍军人更有可能报告总体健康状况不佳，目前吸烟，离婚，报告很少或没有社会支持，并且精神困扰，死亡愿望和自杀意念的患病率更高。群体差异在精神痛苦方面最明显，在危险饮酒方面最少。PTSD所有集群的存在与所有上述健康特征的不良结果比部分PTSD.CONCLUSION：PTSD症状是常见的，在初级保健中的老年退伍军人的一个相当少的，仔细询问这些症状是重要的综合评估在老年人群。J Am Geriatr Soc 59：1087-1092，2011.
OBJECTIVES: Assess the prevalence of posttraumatic stress disorder (PTSD) symptomatology and its association with health characteristics in a geriatric primary care population.DESIGN: Cross-sectional screening assessments during a multisite trial for the treatment of depression, anxiety, and at-risk drinking.SETTING: Department of Veterans Affairs (VA)-based primary care clinics across the United States.PARTICIPANTS: Seventeen thousand two hundred five veterans aged 65 and older.MEASUREMENTS: Sociodemographic information, the General Health Questionnaire (GHQ-12), questions about death wishes and suicidal ideation, quantity and frequency of alcohol use, smoking, exposure to traumatic events, and PTSD symptom clusters.RESULTS: Twelve percent (2,041/17,205) of participants screened endorsed PTSD symptoms. Veterans with PTSD symptoms from some (partial PTSD) or each (PTSD all clusters) of the symptom clusters were significantly more likely to report poor general health, currently smoke, be divorced, report little or no social support, and have a higher prevalence of mental distress, death wishes, and suicidal ideation than those with no trauma history or those with trauma but no symptoms. Group differences were most pronounced for mental distress and least for at-risk drinking. Presence of PTSD all clusters was associated with poorer outcomes on all of the above-mentioned health characteristics than partial PTSD.CONCLUSION: PTSD symptoms are common in a substantial minority of older veterans in primary care, and careful inquiry about these symptoms is important for comprehensive assessment in geriatric populations. J Am Geriatr Soc 59:1087-1092, 2011.