新西兰的多症状疾病 当代退伍军人
David Iain McBride1, Amy Richardson1, Dianne Gardner2
1Department of Preventive and Social Medicine, Te Tari Hauora Tūmatanui, University of Otago, Dunedin, New Zealand.
新西兰退伍军人的多症状疾病 (MSI) 呈现出三种模式:关节神经肌肉,认知和精神生理. 这些模式与创伤后应激障碍 (PTSD) 有关.
科学领域:
- 军人卫生保健 军人卫生保健
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 多重症状疾病 (MSI) 的特点是医学上无法解释的症状.
- 了解退伍军人的MSI模式对于有针对性的医疗保健至关重要.
- 遭受创伤事件的暴露是MSI的潜在贡献因素.
研究的目的:
- 描述新西兰退伍军人的MSI模式.
- 调查MSI和暴露于创伤事件之间的关系.
主要方法:
- 在1819名退伍军人中进行的在线横截面调查.
- 使用CDC症状检查清单用于MSI和PCL-M用于PTSD症状.
- 因子分析确定了MSI症状集群.
主要成果:
- 因子分析揭示了三种MSI模式:关节神经肌肉,认知和心理生理.
- 这些模式解释了86%的数据变化.
- MSI模式在患有PTSD和没有PTSD的退伍军人之间进行了歧视.
结论:
- 包括疼痛,睡眠和认知问题在内的MSI需要在退伍军人身上进行调查.
- 严重的MSI症状可能与创伤后应激障碍 (PTSD) 有关.
- 建议对MSI和PTSD关联进行进一步的研究.
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