创伤后压力和心脏代谢功能障碍的并行过程:创伤后压力的系统性疾病
Shane W Adams1, Maureen A Allwood1
1Department of Psychology, John Jay College of Criminal Justice, City University of New York.
概括
创伤后应激障碍 (PTSD) 的症状,特别是过度兴奋和情绪麻木,预测随着时间的推移心脏代谢状况 (MetC) 的发展. 对PTSD的早期心理治疗可能会减少创伤后的MetC发作.
科学领域:
- 精神病学是一个精神病学.
- 心脏病学 心脏病学
- 公共卫生 公共卫生
背景情况:
- 创伤后应激障碍 (PTSD) 和心脏代谢状况 (MetC) 是严重的公共卫生问题.
- 了解PTSD和MetC之间的纵向关系对于有效的干预至关重要.
研究的目的:
- 为了调查随着时间的推移,PTSD症状和MetC之间的双向关系.
- 为了控制PTSD-MetC协会中的混变量.
主要方法:
- 分析了来自35,788名世界贸易中心9/11幸存者的纵向数据.
- 使用并行过程潜伏生长建模来评估PTSD和MetC之间的相互作用.
- 统计对照包括年龄,性别,种族/民族,先前的创伤,健康行为和心理痛苦.
主要成果:
- 观察到一种单向关系:最初的PTSD症状严重程度预测了随后的MetC发展.
- 创伤后应激障碍的过度兴奋和情绪麻木方面显示,与MetC变化有着最强的关联.
- 与PTSD相关的心理治疗与创伤后早期MetC呈现的减少有关.
结论:
- 创伤后应激障碍症状可以被认为是一种影响心脏代谢健康的全身过程.
- 建议对暴露于创伤的个体采取综合治疗方法.
- 这些发现支持将创伤性压力反应作为系统过程的概念化.
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