Post-Traumatic Stress Disorder in Italy: a comprehensive evaluation of all the ICD comorbidities and gender-related differences

Autor: Daiana Bezzini, Serena Desantis, Laura Del Matto, Anna Coluccia, Miriam Olivola, Andrea Pozza, Giacomo Gualtieri, Fabio Ferretti, Andrea Fagiolini, Roberto Gusinu, Letizia Bossini
Rok vydání: 2019
Předmět:
Male
Poison control
lcsh:Medicine
Comorbidity
Severity of Illness Index
Occupational safety and health
Stress Disorders
Post-Traumatic
0302 clinical medicine
Neoplasms
Diseases of the circulatory system
Prevalence
Gender differences
Musculoskeletal Diseases
Connective Tissue Diseases
lcsh:QH301-705.5
post traumatic stress disorder
Traumatic stress
Human factors and ergonomics
General Medicine
Middle Aged
Metabolic syndrome
Research Note
Italy
Cardiovascular Diseases
Female
Adult
Medical conditions
medicine.medical_specialty
General Biochemistry
Genetics and Molecular Biology
03 medical and health sciences
Sex Factors
Metabolic Diseases
International Classification of Diseases
Internal medicine
Injury prevention
mental disorders
medicine
Humans
lcsh:Science (General)
Aged
Mini-international neuropsychiatric interview
Psychiatric Status Rating Scales
Post-traumatic stress disorder
business.industry
ICD
post traumatic stress disorder
comorbidity
medical conditions
gender differences
lcsh:R
medicine.disease
030227 psychiatry
lcsh:Biology (General)
business
030217 neurology & neurosurgery
lcsh:Q1-390
Zdroj: BMC Research Notes, Vol 12, Iss 1, Pp 1-6 (2019)
BMC Research Notes
DOI: 10.21203/rs.2.14393/v2
Popis: 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.
Databáze: OpenAIRE
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