The physical health consequences of PTSD and PTSD symptoms: A meta-analytic review

被引：490
作者：
Pacella, Maria L. [1 ]
Hruska, Bryce [1 ]
Delahanty, Douglas L. [1 ]
机构：
[1] Kent State Univ, Dept Psychol, Kent, OH 44242 USA
来源：
JOURNAL OF ANXIETY DISORDERS | 2013年 / 27卷 / 01期
关键词：
Medical conditions; Meta-analysis; Pain; Physical health; Posttraumatic stress disorder; Posttraumatic stress disorder symptoms; POSTTRAUMATIC-STRESS-DISORDER; SELF-REPORTED HEALTH; QUALITY-OF-LIFE; INTIMATE PARTNER VIOLENCE; PRIMARY-CARE PATIENTS; SEXUAL-HARASSMENT; VIETNAM VETERANS; PERCEIVED HEALTH; COMBAT EXPOSURE; HEART-DISEASE;
D O I：
10.1016/j.janxdis.2012.08.004
中图分类号：
B849 [应用心理学];
学科分类号：
040203 ;
摘要：
The present meta-analysis systematically examined associations between physical health and posttraumatic stress disorder (PTSD)/PTSD symptoms (PTSS), as well as moderators of this relationship. Literature searches yielded 62 studies examining the impact of PTSD/PTSS on physical health-related quality of life (HR-QOL), general health symptoms, general medical conditions, musculoskeletal pain, cardio-respiratory (CR) symptoms, and gastrointestinal (Cl) health. Sample-specific and methodological moderators were also examined. Results revealed significantly greater general health symptoms, general medical conditions, and poorer HR-QOL for PTSD and high PTSS individuals. PTSD/PTSS was also associated with greater frequency and severity of pain, CR, and GI complaints. Results of moderation analyses were mixed. However, consistent relationships emerged regarding PTSD assessment method, such that effect sizes were largest for self-reported PTSD/PTSS and all but one health outcome. Results highlight the need for prospective longitudinal examination of physical health shortly following trauma, and suggest variables to consider in the design of such studies. (C) 2012 Elsevier Ltd. All rights reserved.
引用
收藏
页码：33 / 46
页数：14
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