Functioning and disability consequences of comorbid posttraumatic stress disorder and diabetes in Vietnam era men and women veterans.

IF 3.2 2区心理学 Q1 PSYCHOLOGY

Health Psychology Pub Date : 2025-06-12 DOI:10.1037/hea0001516

Kelsey N Serier, Hannah M Burns, Kathryn M Magruder, Avron Spiro, Anica Pless Kaiser, Rachel Kimerling, Susan M Frayne, Amy M Kilbourne, Eileen M Stock, Christopher W Forsberg, Nicholas L Smith, Brian N Smith

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引用次数: 0

Abstract

Objective: Diabetes mellitus (DM) negatively impacts functioning and disability, particularly when comorbid with mental health diagnoses. Posttraumatic stress disorder (PTSD) increases the risk of developing DM and may have a particularly deleterious impact on DM-related outcomes. This study aimed to determine the extent to which PTSD and DM comorbidity was associated with poorer functioning and greater disability relative to neither or single diagnoses in older adult veteran men and women.

Method: Data came from two large cross-sectional studies of Vietnam era veteran men (N = 5,367) and women (N = 4,102). Participants completed self-report measures of diagnosed physical health conditions, functioning, and disability. PTSD and other mental health conditions were assessed via a telephone-administered diagnostic interview, and military characteristics were gathered from service records.

Results: In sex-specific weighted linear regression analyses adjusted for relevant covariates, veterans with PTSD only, DM only, and PTSD + DM reported significantly worse mental and physical health functioning and greater disability compared with veterans with neither condition. PTSD + DM comorbidity was associated with worse outcomes than DM only and worse physical health functioning than PTSD only. The pattern of results was similar for men and women.

Conclusions: Older adult veterans with both PTSD and DM may experience worse health functioning and greater disability relative to veterans with neither or single diagnoses only. Although effects were small to medium, potential clinical implications include assessment of PTSD among veterans with DM and intervention efforts that address the effects of both conditions on health and well-being. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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越战时期男性和女性退伍军人创伤后应激障碍和糖尿病的功能和残疾后果。

目的：糖尿病（DM）对功能和残疾有负面影响，特别是当与精神健康诊断合并症时。创伤后应激障碍（PTSD）增加了患糖尿病的风险，并可能对糖尿病相关结果产生特别有害的影响。本研究旨在确定PTSD和糖尿病合并症在多大程度上与老年退伍军人中较差的功能和更大的残疾相关，而不是单独诊断。方法：数据来自越南战争时期的两项大型横断面研究，男性（N = 5367）和女性（N = 4102）。参与者完成了诊断出的身体健康状况、功能和残疾的自我报告。创伤后应激障碍和其他精神健康状况通过电话诊断访谈进行评估，并从服役记录中收集军事特征。结果：在调整相关变量的性别加权线性回归分析中，仅患有PTSD、仅患有DM和PTSD + DM的退伍军人报告的精神和身体健康功能显著差于没有任何疾病的退伍军人，残疾程度更大。PTSD + DM合并症的预后比单纯DM差，身体健康功能比单纯PTSD差。男性和女性的结果模式相似。结论：患有创伤后应激障碍和糖尿病的老年退伍军人可能比没有或只有单一诊断的退伍军人经历更差的健康功能和更大的残疾。虽然影响是小到中等，但潜在的临床意义包括评估糖尿病退伍军人的创伤后应激障碍和干预措施，以解决这两种情况对健康和福祉的影响。（PsycInfo Database Record (c) 2025 APA，版权所有）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Psychology 医学-心理学

CiteScore

4.90

自引率

2.40%

发文量

170

审稿时长

4-8 weeks

期刊介绍： Health Psychology publishes articles on psychological, biobehavioral, social, and environmental factors in physical health and medical illness, and other issues in health psychology.