Traumatic stress and cardiopulmonary disease burden among low-income, urban heart failure patients.
Traumatic stress and cardiopulmonary disease burden among low-income, urban heart failure patients.
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低收入城市心力衰竭患者的创伤应激和心肺疾病负担。
DOI：
10.1016/j.jad.2015.09.023
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发表时间：
2016
影响因子：
6.6
通讯作者：
Powell,LyndaH
中科院分区：
文献类型：
--
作者：
Taylor-Clift,April;Holmgreen,Lucie;Hobfoll,StevanE;Gerhart,JamesI;Richardson,DeJuran;Calvin,JamesE;Powell,LyndaH
背景创伤事件和创伤后应激障碍（PTSD）与退伍军人、男性和主要是白色人群中心肺疾病（CPD）的风险增加有关。对创伤、创伤后应激障碍和CPD负担的了解较少，低收入、少数民族居民的创伤和创伤后应激障碍风险较高。据推测，创伤性事件和创伤后应激障碍将显着相关的CPD负担低收入，少数民族resident.MethodsWe评估创伤性事件，创伤后应激障碍，抑郁症和CPD负担之间的横截面关系在251低收入，城市，主要是黑人成年人诊断为心力衰竭。数据进行了分析，使用双变量分析，逻辑和线性回归。结果百分之四十三赞同至少有一个创伤性事件。21%的人赞同两个或更多的创伤事件。在逻辑回归分析中，创伤性事件与冠状动脉疾病（校正比值= 1.33，p <0.05）、高血压（校正比值= 1.28，p <0.05）、慢性阻塞性肺病（校正比值= 1.52，p <0.01）和心脏骤停（校正比值= 1.27，p <0.05）的患病率增加相关。PTSD也与慢性阻塞性肺疾病的风险增加有关（调整后的比值= 1.22，p <.05），并与心力衰竭的早期发作有关（β=−.13，p <.05）.LimitationsThe study utilizes the cross-section，self-report data.ConclusionsFindings支持创伤事件、PTSD和CPD负担在低收入，主要是黑人心力衰竭患者中的联系。抑郁症似乎与CPD负担的联系不太密切，尽管在文献中受到了极大的关注。创伤性事件的积累可能会加重城市，低收入，少数民族居民心力衰竭的CPD负担;研究结果强调了PTSD筛查的重要性。
BackgroundTraumatic events and posttraumatic stress disorder (PTSD) are associated with increased risk for cardiopulmonary disease (CPD) in veterans, men, and primarily White populations. Less is known about trauma, PTSD, and CPD burden among low-income, racial minority residents who are at elevated risk for trauma and PTSD. It was hypothesized that traumatic events and PTSD would be significantly associated with CPD burden among low-income, racial minority residents.MethodsWe evaluated cross-sectional relationships between traumatic events, PTSD, depression, and CPD burden in 251 low-income, urban, primarily Black adults diagnosed with heart failure. Data were analyzed using bivariate analyses, logistic and linear regression.ResultsForty-three percent endorsed at least one traumatic event. Twenty-one percent endorsed two or more traumatic events. In logistic regression analyses, traumatic events were associated with increased prevalence of coronary artery disease (adjusted odds=1.33,p<.05), hypertension (adjusted odds=1.28,p<.05), chronic obstructive pulmonary disease (adjusted odds=1.52,p<.01), and cardiac arrest (adjusted odds=1.27,p<.05). PTSD was also related to increased risk for chronic obstructive pulmonary disease (adjusted odds=1.22,p<.05) and was associated with earlier onset of heart failure (β=−.13,p<.05).LimitationsThe study utilizes cross-sectional, self-report data.ConclusionsFindings support the link between traumatic events, PTSD, and CPD burden in low-income, primarily Black patients with heart failure. Depression appears to be less closely linked to CPD burden, despite receiving significant attention in the literature. The accumulation of traumatic events may exacerbate CPD burden among urban, low-income, racial minority residents with heart failure; findings highlight the importance of PTSD screening.
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DOI：
10.1016/j.psc.2007.07.008
发表时间：
2007
期刊：
The Psychiatric clinics of North America
影响因子：
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作者：
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