PTSD and depression as predictors of physical health-related quality of life in tobacco-dependent veterans

被引：26

作者：

Aversa, Laura H. ^{[1
,2
]}

Stoddard, Jill A. ^{[2
]}

Doran, Neal M. ^{[3
]}

Au, Selwyn ^{[4
]}

Chow, Bruce ^{[4
]}

McFall, Miles ^{[5
,6
]}

Saxon, Andrew ^{[5
,6
]}

Baker, Dewleen G. ^{[1
,3
,7
]}

机构：

[1] VA San Diego Healthcare Syst, San Diego, CA 92161 USA

[2] Alliant Int Univ, Calif Sch Profess Psychol, San Diego, CA USA

[3] Univ Calif San Diego, Dept Psychiat, San Diego, CA 92103 USA

[4] Vet Affairs Palo Alto Hlth Care Syst, Cooperat Studies Program, Mountain View, CA USA

[5] Vet Affairs Puget Sound Hlth Care Syst, Seattle, WA USA

[6] Univ Washington, Dept Psychiat & Behav Sci, Seattle, WA 98195 USA

[7] Vet Affairs Ctr Excellence Stress & Mental Hlth, San Diego, CA USA

来源：

JOURNAL OF PSYCHOSOMATIC RESEARCH | 2012年 / 73卷 / 03期

关键词：

Health-related quality of life; PTSD; Depression; Smoking; Tobacco; SF-36; POSTTRAUMATIC-STRESS-DISORDER; COMORBID ANXIETY DISORDERS; EXPOSURE THERAPY; PSYCHIATRIC-DISORDERS; SMOKING-CESSATION; PRIMARY-CARE; PSYCHOMETRIC PROPERTIES; RISK-FACTOR; PRIME-MD; MORTALITY;

D O I：

10.1016/j.jpsychores.2012.06.010

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Objective: Smoking, depression and PTSD are related to poor physical health outcomes and health-related quality of life (HRQoL). Previous studies examining the effects of quitting smoking on HRQoL have been mixed. This study aimed to examine the effects of PTSD, depressive symptoms and smoking cessation on HRQoL in a sample receiving treatment for PTSD. Method: This study utilized archival interview and self-report data from a clinical trial (VA Cooperative Study 519) that recruited tobacco dependent veterans with chronic FTSD (N=943). Results: Analyses were conducted using hierarchical linear modeling and indicated that PTSD and depressive symptoms differentially affected the various physical health status domains. Additionally, quitting smoking was associated with better self-perceived health status and social functioning. Conclusion: Our findings further explain the interrelationships of PTSD, depression, and smoking in the prediction of physical HRQoL and advocate the importance of integrated care. (C) 2012 Elsevier Inc. All rights reserved.

引用

页码：185 / 190

页数：6

共 82 条

[1]

American Lung Association, 2010, TRENDS TOB US

[2]

[Anonymous], 2008, NAT HLTH INT SURV

[3]

[Anonymous], 2005, SF 36 HLTH SURVEY MA

[4]

Asmundson GJG, 2008, SER ANXIETY RELAT DI, P207, DOI 10.1007/978-0-387-74753-8_9

[5] UNDERSTANDING THE CO-OCCURRENCE OF ANXIETY DISORDERS AND CHRONIC PAIN: STATE-OF-THE-ART [J].

Asmundson, Gordon J. G. ;

Katz, Joel .

DEPRESSION AND ANXIETY, 2009, 26 (10) :888-901

[6] Understanding pain and posttraumatic stress disorder comorbidity: Do pathological responses to trauma alter the perception of pain? [J].

Astnundson, Gordon J. G. ;

Katz, Joel .

PAIN, 2008, 138 (02) :247-249

[7] Exposure therapy in the treatment of PTSD among cocaine-dependent individuals: description of procedures [J].

Back, SE ;

Dansky, BS ;

Carroll, KM ;

Foa, EB ;

Brady, KT .

JOURNAL OF SUBSTANCE ABUSE TREATMENT, 2001, 21 (01) :35-45

[8] Prolonged Exposure Therapy for Posttraumatic Stress Disorder Among Individuals in a Residential Substance Use Treatment Program: A Case Series [J].

Berenz, Erin C. ;

Rowe, Lauren ;

Schumacher, Julie A. ;

Stasiewicz, Paul R. ;

Coffey, Scott F. .

PROFESSIONAL PSYCHOLOGY-RESEARCH AND PRACTICE, 2012, 43 (02) :154-161

[9]

BLAKE DD, 1995, J TRAUMA STRESS, V8, P75, DOI 10.1002/jts.2490080106

[10] Psychometric properties of the PTSD checklist (PCL) [J].

Blanchard, EB ;

JonesAlexander, J ;

Buckley, TC ;

Forneris, CA .

BEHAVIOUR RESEARCH AND THERAPY, 1996, 34 (08) :669-673

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