Military Environmental Exposure Concerns, PTSD, and Somatic Symptoms: Their Interrelation Among Treatment-Seeking Veterans.

Q1 Medicine

International Journal of Occupational and Environmental Medicine Pub Date : 2019-11-15 DOI:10.1097/JOM.0000000000001767

Michael A. LaRocca, J. Ashford, R. Katz, A. Furst

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引用次数: 1

Abstract

OBJECTIVE Research suggests military environmental exposure concerns are associated with negative health outcomes. This study investigated the relationship among exposure concerns, PTSD, and somatic symptoms to enhance post-deployment health care programs for veterans. METHODS We analyzed intake health data from a heterogeneous sample of predominantly Operation Desert Storm/Shield and Operation Enduring Freedom (OEF)/Operation Iraqi Freedom (OIF) veterans (N = 247). RESULTS Individual exposure concerns and somatic symptoms were each associated with higher PTSD symptom severity. Regression modelling demonstrated total exposure concerns and PTSD symptom severity linked with total somatic symptom severity. Mediation modelling revealed PTSD symptom severity to partially explain the relation between exposure concerns and somatic symptoms. CONCLUSIONS These findings illustrate the need for integrative treatment approaches incorporating physiological and exposure-related concerns associated with PTSD among veterans.

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军事环境暴露、创伤后应激障碍和躯体症状:寻求治疗的退伍军人之间的相互关系

目的研究表明，军事环境暴露问题与负面健康结果有关。本研究旨在探讨暴露、创伤后应激障碍和躯体症状之间的关系，以加强退伍军人的部署后医疗保健计划。方法我们分析了主要来自沙漠风暴/盾牌行动和持久自由行动(OEF)/伊拉克自由行动(OIF)退伍军人的异质样本(N = 247)的摄入健康数据。结果个体暴露关注和躯体症状均与较高的PTSD症状严重程度相关。回归模型显示总的暴露问题和创伤后应激障碍症状严重程度与总的躯体症状严重程度有关。中介模型揭示创伤后应激障碍症状严重程度部分解释暴露关注与躯体症状之间的关系。结论:这些研究结果表明，需要采取综合治疗方法，将与退伍军人创伤后应激障碍相关的生理和暴露相关问题纳入治疗方案。

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