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Combat Exposure, Posttraumatic Stress Disorder Symptoms, and Health Behaviors as Predictors of Self-Reported Physical Health in Older Veterans

 

作者: PAULA SCHNURR,   AVRON SPIRO,  

 

期刊: The Journal of Nervous and Mental Disease  (OVID Available online 1999)
卷期: Volume 187, issue 6  

页码: 353-359

 

ISSN:0022-3018

 

年代: 1999

 

出版商: OVID

 

数据来源: OVID

 

摘要:

We used path analysis to model the effects of combat exposure, posttraumatic stress disorder (PTSD) symptoms, and health behaviors on physical health. Participants were 921 male military veterans from the Normative Aging Study. Their mean age at time of study was 65. Measures of combat exposure, PTSD symptoms, smoking, and alcohol problems were used to predict subsequent self-reported physical health status. Both combat exposure and PTSD were correlated with poorer health. In path analysis, combat exposure had only an indirect effect on health status, through PTSD, whereas PTSD had a direct effect. Smoking had a small effect on health status but did not mediate the effects of PTSD, and alcohol was unrelated to health status. We conclude that PTSD is an important predictor of physical health and encourage further investigation of health behaviors and other possible mediators of this relationship.

 



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