■这项研究调查了美国退伍军人胃肠道疾病与创伤后应激障碍之间的关系。根据美国退伍军人管理局的文献和临床实践数据,胃肠道疾病和创伤后应激障碍在退伍军人中被假设为正相关。
■这项研究旨在确定胃肠道疾病和创伤后应激障碍被诊断为合并症的频率,胃肠道疾病的诊断伴随着创伤后应激障碍的诊断,创伤后应激障碍的诊断伴随着胃肠道疾病的诊断。
■方法是回顾性的,使用从美国退伍军人事务部患者数据库收集的数据进行相关设计。
■结果是,创伤后应激障碍与胃食管反流病的胃肠道疾病有双向相关性,消化性溃疡疾病,功能性消化不良,克罗恩病,憩室病,肠易激综合征,以及在战时服役的退伍军人体内便秘和恶心/呕吐的症状。该研究还发现,创伤后应激障碍与退伍军人的溃疡性结肠炎无关。
■结论是,看到创伤后应激障碍表现的临床医生应该筛查胃肠道疾病,虽然治疗胃肠道疾病的初级保健和消化内科提供者应该筛查创伤史,因为诊断率的提高可能会导致治疗的改善。
UNASSIGNED: This study examined the relationship between gastrointestinal disease and post-traumatic stress disorder in U.S. military Veterans. Based on literature and clinical practice data sources from the U.S. Veterans Administration, gastrointestinal disease and post-traumatic stress disorder were hypothesized to be positively correlated in Veterans.
UNASSIGNED: This study aimed to determine the frequency with which gastrointestinal disease and post-traumatic stress disorder are diagnosed comorbidities, a diagnosis of gastrointestinal disease accompanies a diagnosis of post-traumatic stress disorder, and a diagnosis of post-traumatic stress disorder accompanies a diagnosis of a gastrointestinal disease.
UNASSIGNED: The methodology was a retrospective, correlational design using data collected from the U.S. Department of Veterans Affairs patient database.
UNASSIGNED: The results were that post-traumatic stress disorder is bi-directionally correlated with the gastrointestinal diseases of gastroesophageal reflux disease, peptic ulcer disease, functional dyspepsia, Crohn\'s disease, diverticular disease, irritable bowel syndrome, and the symptoms of constipation and nausea/vomiting within Veterans who served during wartime periods. The study also found that post-traumatic stress disorder is not correlated with ulcerative colitis in Veterans.
UNASSIGNED: The conclusions are that clinicians who see a presentation of post-traumatic stress disorder should be screening for gastrointestinal disease, while primary care and gastroenterology providers treating gastrointestinal disease should be screening for a history of trauma, as improved diagnosis rates may lead to improved treatment.