Parallel processes of posttraumatic stress and cardiometabolic dysfunction: A systemic illness of traumatic stress.

IF 3.2 2区心理学 Q1 PSYCHOLOGY Health Psychology Pub Date : 2024-05-01 Epub Date: 2023-12-21 DOI:10.1037/hea0001347

Shane W Adams, Maureen A Allwood

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Abstract

Objective: To determine if and how cardiometabolic conditions (MetC) may be associated with posttraumatic stress disorder (PTSD) symptoms over time when controlling for the influence of potentially confounding variables.

Method: Parallel process latent growth modeling was applied to self-reported longitudinal data collected from 35,788 World Trade Center 9/11 survivors to determine how the development and course of PTSD symptoms and MetC influence each other when controlling for age, sex, race/ethnicity, preexisting traumas, physical health problems, general psychological distress, smoking, and alcohol use.

Results: A unidirectional relationship was found in which the intercept of PTSD symptoms predicted the slope of MetC. Hyperarousal (β = .172) and emotional numbing (β = .171) PTSD symptoms demonstrated the strongest association with MetC changes over and above the effects of control variables and potential confounders. Post hoc analyses indicated that utilization of PTSD-related psychotherapy was associated with decreased early presentations of MetC following trauma, which may have vital implications for the integrated treatment of trauma-exposed individuals.

Conclusions: Findings have strong theoretical and clinical implications for conceptualizing traumatic stress reactions as systemic processes and utilizing integrated treatment practices following psychological trauma. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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创伤后应激和心脏代谢功能障碍的并行过程：创伤应激的系统性疾病。

目的确定在控制潜在混杂变量影响的情况下，心脏代谢状况（MetC）是否以及如何随着时间的推移与创伤后应激障碍（PTSD）症状相关联：方法：对 35,788 名 9/11 世贸中心幸存者的自我报告纵向数据采用平行过程潜增长模型，以确定在控制年龄、性别、种族/民族、之前存在的创伤、身体健康问题、一般心理困扰、吸烟和酗酒等因素的情况下，创伤后应激障碍症状和 MetC 的发展和病程如何相互影响：结果发现，创伤后应激障碍症状的截距与 MetC 的斜率存在单向关系。过度惶恐（β = .172）和情感麻木（β = .171）创伤后应激障碍症状与 MetC 变化的关系最为密切，超过了控制变量和潜在混杂因素的影响。事后分析表明，创伤后应激障碍相关心理治疗的使用与创伤后MetC早期表现的减少有关，这可能对创伤暴露个体的综合治疗具有重要意义：结论：研究结果对于将创伤应激反应概念化为系统过程以及在心理创伤后采用综合治疗方法具有重要的理论和临床意义。(PsycInfo Database Record (c) 2023 APA, all rights reserved）。

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.