Physical and mental comorbidity, disability, and suicidal behavior associated with posttraumatic stress disorder in a large community sample

被引:369
作者
Sareen, Jitender
Cox, Brian J.
Stein, Murray B.
Afifi, Tracie O.
Fleet, Claire
Asmundson, Gordon J. G.
机构
[1] Univ Manitoba, Dept Psychiat, Winnipeg, MB R3T 2N2, Canada
[2] Univ Calif San Diego, Dept Psychiat, San Diego, CA 92103 USA
[3] Univ Calif San Diego, Dept Family & Prevent Med, San Diego, CA 92103 USA
[4] Univ Manitoba, Dept Community Hlth Sci, Winnipeg, MB R3T 2N2, Canada
[5] Univ Regina, Anxiety & Illness Behav Lab, Regina, SK S4S 0A2, Canada
来源
PSYCHOSOMATIC MEDICINE | 2007年 / 69卷 / 03期
关键词
posttraumatic stress disorder; comorbidity; suicidal behavior; physical health problems; epidemiology; quality of life; ANXIETY DISORDERS; MYOCARDIAL-INFARCTION; MEDICAL UTILIZATION; HEALTH-SERVICES; RISK-FACTORS; PTSD; PREVALENCE; DEPRESSION; ILLNESS; CANCER;
D O I
10.1097/PSY.0b013e31803146d8
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: To assess if posttraumatic stress disorder (PTSD), recognized as a common mental disorder in the general population and veteran samples, has a unique impact on comorbidity, disability, and suicidal behavior (after adjusting for other mental disorders, especially depression). Methods: Data came from the Canadian Community Health Survey Cycle 1.2 (n = 36,984; age >= 15 years; response rate 77%). All respondents were asked if they had been given a diagnosis of PTSD by a healthcare professional. A select number of mental disorders were assessed by the Composite International Diagnostic Interview. Chronic physical health conditions, measures of quality of life, disability, and suicidal behavior were also assessed. Results: The prevalence of PTSD as diagnosed by health professionals was 1.0% (95% CI = 0.90-1.15). After adjusting for sociodemographic factors and other mental disorders, PTSD remained significantly associated-with several physical health problems including cardiovascular diseases, respiratory diseases, chronic pain conditions, gastrointestinal illnesses, and cancer. After adjusting for sociodemographic factors, mental disorders, and severity of physical disorders, PTSD was associated with suicide attempts, poor quality of life, and short- and long-term disability. Conclusions: PTSD was uniquely associated with several physical disorders, disability, and suicidal behavior. Increased early recognition and treatment of PTSD are warranted.
引用
收藏
页码:242 / 248
页数:7
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