在有或没有创伤后应激障碍的老年人中同时出现的精神和身体健康状况:一项案例对照研究
Malvina O Pietrzykowski1,2, Colleen E Jackson3, Charles E Gaudet4,5
1Mental Health Service, VA Boston Healthcare System, Boston, MA, USA.
Journal of geriatric psychiatry and neurology
|September 27, 2024
概括
患有创伤后应激障碍 (PTSD) 的老年人表现出更高的同时出现的精神和身体健康状况. 创伤性脑损伤 (TBI) 的病史在患有创伤后应激障碍 (PTSD) 的人群中尤为常见.
科学领域:
- 老年学是一门学科.
- 精神病学是一个精神病学.
- 神经学 神经学
背景情况:
- 创伤后应激障碍 (PTSD) 影响0.4%-4.5%的老年人.
- 在这个人口群体中,PTSD和其他健康状况之间的关联是不太了解的.
- 这项研究调查了患有PTSD和没有PTSD的老年人同时出现的疾病的患病率.
研究的目的:
- 确定老年人身体和精神健康状况的基准率,有或没有PTSD史.
- 确定这些群体之间的社会人口结构,身体健康,心理健康和物质使用史上的差异.
主要方法:
- 使用国家阿尔茨海默氏症协调中心统一数据集的病例控制设计.
- 根据PTSD病史 (存在或不存在) 匹配的65岁以上的参与者 (N=472,236对).
- 检查了自我报告的社会人口统计和健康史.
主要成果:
- 患有PTSD病史的参与者更有可能是西班牙裔,非白人,未婚和功能独立.
- 在PTSD组中发现了显著更高的抑郁,焦虑,药物滥用,帕金森病,发作,失眠和TBI的比率.
- 创伤性脑损伤 (TBI) 史由41.1%的PTSD患者报告,而没有PTSD的人为14.7%.
结论:
- 患有PTSD的老年人表现出较差的身体和心理健康结果.
- 在患有PTSD的老年人中,TBI史显著更为普遍.
- 建议在老年人中对PTSD进行常规评估,特别是那些有TBI病史的人.
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