Post-traumatic stress disorder in Italy: a comprehensive evaluation of all the ICD comorbidities and gender-related differences

BMC Research Notes

卷:12

Daiana Bezzini¹  Fabio Ferretti²  Anna Coluccia²  Andrea Pozza²  Serena Desantis³  Letizia Bossini³  Miriam Olivola³  Andrea Fagiolini³  Laura Del Matto³  Roberto Gusinu⁴  Giacomo Gualtieri⁴ 

[1] Department of Life Sciences, University of Siena;

[2] Department of Medical Sciences, Surgery and Neurosciences, University of Siena;

[3] Department of Molecular Medicine, University of Siena School of Medicine;

[4] Health Service Management Board, Santa Maria alle Scotte University Hospital of Siena;

关键词: Post-traumatic stress disorder;    Comorbidity;    Medical conditions;    Gender differences;    Diseases of the circulatory system;    Metabolic syndrome;   

DOI  :  10.1186/s13104-019-4792-0

来源: DOAJ

【 摘 要 】

Abstract Objectives The association between post-traumatic stress disorder (PTSD) and medical comorbidities is controversial since most studies focused on specific comorbidity and victim types. In Italy, data on this issue are scarce. A comprehensive evaluation of all the ICD medical categories co-occurring in PTSD may orient assessment and treatment during clinical and forensic practice. This is the first study evaluating all the ICD physical comorbidities and gender-related differences in Italian PTSD patients. Eighty-four PTSD patients (36 females, 48 males) were included. The Clinician-Administered PTSD Scale, Mini International Neuropsychiatric Interview and Davidson Trauma Scale were administered. Results Most patients had a PTSD consequent to an accident and half of them presented extreme symptom severity. No gender differences emerged on symptom severity/duration and age at the event. Metabolic (39.29%), circulatory (20.24%) and musculoskeletal systems/connective tissue diseases (17.86%) were the most frequent comorbidities. Metabolic/circulatory diseases were more frequent among males (p = 0.019 and p = 0.027, respectively) while females more frequently showed neoplasms (p = 0.039). Physical comorbidities represent a serious complication in PTSD patients and are more prevalent than in the Italian population. While gender is not associated with symptom presentation, it seems to play a key role in specific comorbidities including metabolic, circulatory and neoplastic diseases.

【 授权许可】

Unknown