The impact of PTSD symptoms on physical and mental health functioning in returning veterans
The impact of PTSD symptoms on physical and mental health functioning in returning veterans
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DOI：
10.1016/j.janxdis.2014.01.005
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发表时间：
2014-04-01
影响因子：
10.3
通讯作者：
Shea, M. Tracie
中科院分区：
文献类型：
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作者：
Asnaani, Anu;Reddy, Madhavi K.;Shea, M. Tracie
这项研究旨在确定创伤后应激障碍症状的独特影响，超越其他经常检查的因素对身体和心理健康功能的样本返回退伍军人。对168名从部署地返回的持久自由行动/伊法组织退伍军人进行了平均六个月的评估，评估内容包括情绪障碍测量和简表（36）健康调查。分层多元回归显示，临床医生管理的PTSD量表（CAPS）评分在模型中的所有其他预测因子中具有显著的独特贡献（人口统计学、创伤暴露的严重程度、身体伤害、药物滥用和抑郁症状），对于身体（8%）和精神（6%）健康总分，沿着对身体健康（4-10%）和心理健康（3-7%）子量表评分的显著预测。唯一的其他重要预测因素是身体健康评分的年龄和心理健康评分的抑郁症状。创伤后应激障碍标准B（再体验）症状唯一地预测了身体健康功能的降低和身体疼痛的更高体验，而标准D（过度觉醒）症状唯一地预测了能量/活力的降低和情绪健康的较差感知。(C)2014爱思唯尔有限公司版权所有。
This study aimed to determine the unique impact of PTSD symptoms, beyond other frequently examined factors on physical and mental health functioning in a sample of returning veterans. Assessments of 168 returning OEF/OIF veterans conducted an average of six months following return from deployment included measures of emotional disorders and the Short Form (36) Health Survey. Hierarchical multiple regressions revealed significant, unique contribution of Clinician-Administered PTSD Scale (CAPS) score above all other predictors in the model (demographics, severity of trauma exposure, physical injury, substance abuse and depressive symptoms), for both the physical (8%) and mental (6%) health aggregate scores, along with significant prediction of physical health (4-10%) and mental health (3-7%) subscale scores. The only other significant predictors were age for physical health scores, and depressive symptoms for mental health scores. PTSD criterion B (re-experiencing) symptoms uniquely predicted reduced physical health functioning and higher experience of bodily pain, while criterion D (hyperarousal) symptoms uniquely predicted lower feelings of energy/vitality and poorer perceptions of emotional health. (C) 2014 Elsevier Ltd. All rights reserved.