Obstructive Sleep Apnea, Posttraumatic Stress Disorder, and Health in Immigrants
Obstructive Sleep Apnea, Posttraumatic Stress Disorder, and Health in Immigrants
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DOI：
10.1097/psy.0b013e31826bf1ec
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发表时间：
2012-10-01
影响因子：
3.3
通讯作者：
Jamil, Hikmet
中科院分区：
文献类型：
--
作者：
Arnetz, Bengt B.;Templin, Thomas;Jamil, Hikmet
旨在确定阻塞性睡眠呼吸暂停是否介导创伤后应激障碍 (PTSD) 与心身和躯体疾病之间的关系及其对美国伊拉克移民自评健康 (SRH) 的影响。方法：对 1991 年海湾战争之前 (n = 145) 或之后 (n = 205) 离开伊拉克并居住在底特律大都市的移民进行随机抽样，他们接受了结构化访谈，内容涉及社会人口统计学、移民前创伤、性健康和生殖健康、医生诊断和治疗的阻塞性睡眠呼吸暂停、躯体疾病和心身疾病。使用结构方程模型评估迁移前创伤评分与健康之间的关系，并探索 PTSD、阻塞性睡眠呼吸暂停与健康之间的中介途径。结果：海湾战争后移民中阻塞性睡眠呼吸暂停的患病率 (30.2%) 显着高于海湾战争前移民中的阻塞性睡眠呼吸暂停患病率 (0.7%；p
To determine whether obstructive sleep apnea mediates the relationship between posttraumatic stress disorder (PTSD) and psychosomatic and somatic disorders and its implications for self-rated health (SRH) among Iraqi immigrants in the United States. Methods: A random sample of immigrants who had left Iraq before the 1991 Gulf War (n = 145) or after (n = 205) and are residing in metropolitan Detroit responded to a structured interview covering questions on sociodemographics, premigration trauma, SRH, physician-diagnosed and -treated obstructive sleep apnea, somatic disorders, and psychosomatic disorders. Structural equation modeling was used to evaluate the relationship between premigration trauma scores and health, as well as to explore mediating pathways between PTSD, obstructive sleep apnea, and health. Results: The prevalence of obstructive sleep apnea among post-Gulf War immigrants (30.2%) was significantly higher than among pre-Gulf War immigrants (0.7%; p