Posttraumatic stress disorder and cardiometabolic disease.
Identifieur interne : 004059 ( PubMed/Curation ); précédent : 004058; suivant : 004060Posttraumatic stress disorder and cardiometabolic disease.
Auteurs : Arlene Bradley Levine [États-Unis] ; Lionel M. Levine ; T Barry LevineSource :
- Cardiology [ 1421-9751 ] ; 2014.
Descripteurs français
- KwdFr :
- Agents neuromédiateurs (physiologie), Complications du diabète (psychologie), Dyslipidémies (psychologie), Facteurs de risque, Guérison mentale, Humains, Inflammation (physiopathologie), Insulinorésistance (physiologie), Maladie coronarienne (psychologie), Maladies du système nerveux autonome (psychologie), Mortalité prématurée, Neuropeptide Y (physiologie), Obésité (psychologie), Prise de poids (physiologie), Santé mentale, Stress du réticulum endoplasmique (physiologie), Suicide (psychologie), Syndrome métabolique X (mortalité), Syndrome métabolique X (psychologie), Système neuroendocrinien (physiologie), Troubles de l'hémostase et de la coagulation (psychologie), Troubles de la veille et du sommeil (psychologie), Troubles de stress post-traumatique (), Troubles de stress post-traumatique (mortalité), État de santé, Éveil (physiologie).
- MESH :
- mortalité : Syndrome métabolique X, Troubles de stress post-traumatique.
- physiologie : Agents neuromédiateurs, Insulinorésistance, Neuropeptide Y, Prise de poids, Stress du réticulum endoplasmique, Système neuroendocrinien, Éveil.
- physiopathologie : Inflammation.
- psychologie : Complications du diabète, Dyslipidémies, Maladie coronarienne, Maladies du système nerveux autonome, Obésité, Suicide, Syndrome métabolique X, Troubles de l'hémostase et de la coagulation, Troubles de la veille et du sommeil.
- Facteurs de risque, Guérison mentale, Humains, Mortalité prématurée, Santé mentale, Troubles de stress post-traumatique, État de santé.
English descriptors
- KwdEn :
- Arousal (physiology), Autonomic Nervous System Diseases (psychology), Blood Coagulation Disorders (psychology), Coronary Disease (psychology), Diabetes Complications (psychology), Dyslipidemias (psychology), Endoplasmic Reticulum Stress (physiology), Health Status, Humans, Inflammation (physiopathology), Insulin Resistance (physiology), Mental Healing, Mental Health, Metabolic Syndrome X (mortality), Metabolic Syndrome X (psychology), Mortality, Premature, Neuropeptide Y (physiology), Neurosecretory Systems (physiology), Neurotransmitter Agents (physiology), Obesity (psychology), Risk Factors, Sleep Wake Disorders (psychology), Stress Disorders, Post-Traumatic (complications), Stress Disorders, Post-Traumatic (mortality), Stress Disorders, Post-Traumatic (therapy), Suicide (psychology), Weight Gain (physiology).
- MESH :
- chemical , physiology : Neuropeptide Y, Neurotransmitter Agents.
- complications : Stress Disorders, Post-Traumatic.
- mortality : Metabolic Syndrome X, Stress Disorders, Post-Traumatic.
- physiology : Arousal, Endoplasmic Reticulum Stress, Insulin Resistance, Neurosecretory Systems, Weight Gain.
- physiopathology : Inflammation.
- psychology : Autonomic Nervous System Diseases, Blood Coagulation Disorders, Coronary Disease, Diabetes Complications, Dyslipidemias, Metabolic Syndrome X, Obesity, Sleep Wake Disorders, Suicide.
- therapy : Stress Disorders, Post-Traumatic.
- Health Status, Humans, Mental Healing, Mental Health, Mortality, Premature, Risk Factors.
Abstract
The need for addressing posttraumatic stress disorder (PTSD) among combat veterans returning from Afghanistan and Iraq is a growing public health concern. Current PTSD management addresses psychiatric parameters of this condition. However, PTSD is not simply a psychiatric disorder. Traumatic stress increases the risk for inflammation-related somatic diseases and early mortality. The metabolic syndrome reflects the increased health risk associated with combat stress and PTSD. Obesity, dyslipidemia, hypertension, diabetes mellitus, and cardiovascular disease are prevalent among PTSD patients. However, there has been little appreciation for the need to address these somatic PTSD comorbidities. Medical professionals treating this vulnerable population should screen patients for cardiometabolic risk factors and avail themselves of existing preventive diet, exercise, and pharmacologic modalities that will reduce such risk factors and improve overall long-term health outcomes and quality of life. There is the promise that cardiometabolic preventive therapy complementing psychiatric intervention may, in turn, help improve the posttraumatic stress system dysregulation and favorably impact psychiatric and neurologic function. © 2013 S. Karger AG, Basel.
DOI: 10.1159/000354910
PubMed: 24157651
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<front><div type="abstract" xml:lang="en">The need for addressing posttraumatic stress disorder (PTSD) among combat veterans returning from Afghanistan and Iraq is a growing public health concern. Current PTSD management addresses psychiatric parameters of this condition. However, PTSD is not simply a psychiatric disorder. Traumatic stress increases the risk for inflammation-related somatic diseases and early mortality. The metabolic syndrome reflects the increased health risk associated with combat stress and PTSD. Obesity, dyslipidemia, hypertension, diabetes mellitus, and cardiovascular disease are prevalent among PTSD patients. However, there has been little appreciation for the need to address these somatic PTSD comorbidities. Medical professionals treating this vulnerable population should screen patients for cardiometabolic risk factors and avail themselves of existing preventive diet, exercise, and pharmacologic modalities that will reduce such risk factors and improve overall long-term health outcomes and quality of life. There is the promise that cardiometabolic preventive therapy complementing psychiatric intervention may, in turn, help improve the posttraumatic stress system dysregulation and favorably impact psychiatric and neurologic function. © 2013 S. Karger AG, Basel.</div>
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