美国退伍军人中PTSD和与健康相关的社会需求之间的关联:使用退伍军人卫生管理局数据进行NLP分析
Feiyun Ouyang1, Wen Hu1, Joel Reisman2
1Miner School of Computer and Information Sciences, University of Massachusetts Lowell, MA, United States.
Journal of affective disorders
|November 12, 2025
概括
创伤后应激障碍 (PTSD) 显著增加了美国退伍军人的与健康相关的社会需求 (HRSN) 风险. 这些风险在诊断后不久就升高,并持续长达10年,影响健康.
科学领域:
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
- 退伍军人健康的医疗服务
背景情况:
- 创伤后应激障碍 (PTSD) 是美国退伍军人的一个重要问题.
- 创伤后应激障碍会加剧与健康相关的社会需求 (HRSN),影响整体幸福感.
- 了解PTSD和HRSN之间的联系对于有针对性的干预至关重要.
研究的目的:
- 调查PTSD诊断与美国退伍军人的各种健康相关社会需求 (HRSN) 之间的短期和长期关联.
- 量化后创伤后应激障碍诊断后发展HRSN的风险.
- 为患有PTSD的退伍军人提供医疗保健策略的信息.
主要方法:
- 使用了国家退伍军人卫生管理局 (VHA) 的电子健康记录 (EHR) 数据.
- 采用双重研究设计:横截面分析和回顾性队列研究.
- 使用VHA数据识别了9个HRSN指标,包括代码和自然语言处理.
主要成果:
- 横截面分析 (N=62,298) 显示PTSD与更高的HRSN患病率有关,包括暴力,社会问题和法律问题.
- 队列研究 (N=11,758) 显示PTSD在第一年内在所有9个指标中强烈预测事件HRSN.
- 这些关联虽然最初最强,但在PTSD诊断后的10年内仍然显著.
结论:
- 被诊断为PTSD的退伍军人面临着对一系列HRSN的短期和长期风险显著增加.
- 持续的脆弱性包括社会,金融,住房和法律问题.
- 综合医疗保健,包括例行查和有针对性的干预措施,对于改善退伍军人的福祉至关重要.
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