Treatment-related reductions in PTSD and changes in physical health symptoms in women

被引:17
作者
Shipherd, Jillian C. [1 ,2 ]
Clum, Gretchen [3 ]
Suvak, Michael [1 ,4 ]
Resick, Patricia A. [1 ,2 ]
机构
[1] VA Boston Healthcare Syst, Womens Hlth Sci Div 116B 3, Natl Ctr PTSD, Boston, MA 02130 USA
[2] Boston Univ, Sch Med, Dept Psychiat, Boston, MA 02130 USA
[3] Tulane Univ, Sch Publ Hlth & Trop Med, Dept Global Community Hlth & Behav Sci, New Orleans, LA 70112 USA
[4] Suffolk Univ, Dept Psychol, Boston, MA 02114 USA
关键词
Health; Cognitive behavioral therapy; Health habits; Allostatic load; Posttraumatic stress disorder; POSTTRAUMATIC-STRESS-DISORDER; PROLONGED EXPOSURE THERAPY; INTIMATE PARTNER VIOLENCE; SELF-REPORTED HEALTH; QUALITY-OF-LIFE; CHRONIC PAIN; SEXUAL-HARASSMENT; PERCEIVED HEALTH; ALLOSTATIC LOAD; COMBAT EXPOSURE;
D O I
10.1007/s10865-013-9500-2
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
This study examined the relationship between change in posttraumatic stress disorder (PTSD) symptoms over the course of PTSD treatment and the association with changes in general physical health symptoms. Both positive health habits (e.g., exercise) and negative (e.g., smoking), were examined to determine if they accounted for the association between changes in PTSD severity over time and changes in physical health. Participants were 150 women seeking treatment for PTSD. Latent growth curve modeling indicated a substantial relationship (R (2) = 34 %) between changes in PTSD and changes in physical health that occurred during and shortly following treatment for PTSD. However, there was no evidence to suggest that changes in health behaviors accounted for this relationship. Thus, PTSD treatment can have beneficial effects on self-reported physical health symptoms, even without direct treatment focus on health per se, and is not accounted for by shifts in health behavior.
引用
收藏
页码:423 / 433
页数:11
相关论文
共 64 条
[1]   Immune function in PTSD [J].
Altemus, Margaret ;
Dhabhar, Firdaus S. ;
Yang, Ruirong .
PSYCHOBIOLOGY OF POSTTRAUMATIC STRESS DISORDER: A DECADE OF PROGRESS, 2006, 1071 :167-183
[2]  
American Psychiatric Association, 2013, DIAGNOSTIC STAT MANU, DOI 10.1176/appi.books.9780890425596
[3]   Posttraumatic stress disorder symptoms influence health status of deployed peacekeepers and nondeployed military personnel [J].
Asmundson, GJG ;
Stein, MB ;
McCreary, DR .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 2002, 190 (12) :807-815
[4]   Chronic posttraumatic stress disorder and chronic pain in Vietnam combat veterans [J].
Beckham, JC ;
Crawford, AL ;
Feldman, ME ;
Kirby, AC ;
Hertzberg, MA ;
Davidson, JRT ;
Moore, SD .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 1997, 43 (04) :379-389
[5]   The role of coding time in estimating and interpreting growth curve models [J].
Biesanz, JC ;
Deeb-Sossa, N ;
Papadakis, AA ;
Bollen, KA ;
Curran, PJ .
PSYCHOLOGICAL METHODS, 2004, 9 (01) :30-52
[6]   THE DEVELOPMENT OF A CLINICIAN-ADMINISTERED PTSD SCALE [J].
BLAKE, DD ;
WEATHERS, FW ;
NAGY, LM ;
KALOUPEK, DG ;
GUSMAN, FD ;
CHARNEY, DS ;
KEANE, TM .
JOURNAL OF TRAUMATIC STRESS, 1995, 8 (01) :75-90
[7]   Trauma and posttraumatic stress disorder in the community -: The 1996 Detroit Area Survey of Trauma [J].
Breslau, N ;
Kessler, RC ;
Chilcoat, HD ;
Schultz, LR ;
Davis, GC ;
Andreski, P .
ARCHIVES OF GENERAL PSYCHIATRY, 1998, 55 (07) :626-632
[8]   Health consequences of intimate partner violence [J].
Campbell, JC .
LANCET, 2002, 359 (9314) :1331-1336
[9]   The co-occurrence of childhood sexual abuse, adult sexual assault, intimate partner violence, and sexual harassment: A mediational model of posttraumatic stress disorder and physical health outcomes [J].
Campbell, Rebecca ;
Greeson, Megan R. ;
Bybee, Deborah ;
Raja, Sheela .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2008, 76 (02) :194-207
[10]   Associations among symptoms of depression and posttraumatic stress disorder and self-reported health in sexually assaulted women [J].
Clum, GA ;
Calhoun, KS ;
Kimerling, R .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 2000, 188 (10) :671-678