Obstructive Sleep Apnea and Posttraumatic Stress Disorder among OEF/OIF/OND Veterans
Obstructive Sleep Apnea and Posttraumatic Stress Disorder among OEF/OIF/OND Veterans
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DOI：
10.5664/jcsm.4692
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发表时间：
2015-01-01
影响因子：
4.3
通讯作者：
Norman, Sonya B.
中科院分区：
文献类型：
--
作者：
Colvonen, Peter J.;Masino, Tonya;Norman, Sonya B.
目的：这项研究审查了：（a）在伊拉克和阿富汗的年轻人中，自我报告的创伤后应激障碍症状与阻塞性睡眠呼吸暂停风险之间的关系（OEF/OIF/OND）寻求PTSD治疗的退伍军人样本;和（B）PTSD症状评分与OSA的每个危险因素之间的关系方法：参与者是195名伊拉克和阿富汗退伍军人，他们到VA门诊PTSD诊所进行评估。退伍军人年龄为21 - 59岁（平均33.40，SD 8.35），93.3%为男性（n = 182）。Logistic回归分析，以检查是否有更大的创伤后应激障碍症状严重程度的退伍军人有增加的概率筛选为OSA的高风险，即使在控制已知的风险因素（年龄较大，积极吸烟状态，使用中枢神经系统抑制剂）。PTSD症状严重程度增加OSA筛查阳性的风险。PTSD症状严重程度增加打鼾和疲劳筛查阳性的风险，但不增加高血压/BMI.Conclusions：患有PTSD筛查的OEF/OIF/OND退伍军人的OSA高风险率远高于社区研究中所见，并且可能未显示OSA的所有经典预测因素（即，年龄较大，BMI较高）。这项研究首次表明，柏林可能是一个有用的筛选OSA在一个年轻的OEF/OIF/OND退伍军人PTSD人口。筛查患有创伤后应激障碍的年轻退伍军人的OSA应该是标准的护理，多导睡眠图和OSA干预措施应该随时提供给年轻退伍军人。
Objectives: This study examined: (a) the relationship between self-reported posttraumatic stress disorder (PTSD) symptoms and risk of obstructive sleep apnea (OSA) in a younger, Iraq and Afghanistan (OEF/OIF/OND) veteran sample seeking treatment for PTSD; and (b) the relationships between PTSD symptom scores and each risk factor of OSA (snoring, fatigue, high blood pressure/BMI).Methods: Participants were 195 Iraq and Afghanistan veterans presenting to a VA outpatient PTSD clinic for evaluation. Veterans were 21 to 59 years old (mean 33.40, SD 8.35) and 93.3% male (n = 182). Logistic regressions were run to examine whether veterans with greater PTSD symptom severity had an increased probability of screening as high risk for OSA, even after controlling for known risk factors (older age, positive smoking status, and use of CNS depressants).Results: Of 159 veterans screened, 69.2% were assessed as being at high risk for OSA. PTSD symptom severity increased the risk of screening positive for OSA. PTSD symptom severity increased risk of screening positive for snoring and fatigue, but not high blood pressure/BMI.Conclusions: OEF/OIF/OND veterans with PTSD screen as high risk for OSA at much higher rates than those seen in community studies and may not show all classic predictors of OSA (i.e., older and higher BMI). This study is the first to suggest that the Berlin may be a useful screener for OSA in a younger OEF/OIF/OND veteran population with PTSD. Screening of younger veterans with PTSD for OSA should be standard care, and polysomnography and OSA interventions should be readily available to younger veterans.