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Physical injury is prevalent across many types of trauma experiences and can be associated with posttraumatic stress disorder (PTSD) symptoms and physical health effects, including increased medication use. Recent studies suggest that PTSD symptoms may mediate the effects of traumatic injury on health outcomes, but it is unknown whether this finding holds for survivors of different types of traumas. The current study examined cross-sectional relationships between injury, PTSD, and pain and psychiatric medication use in 2 trauma-exposed samples, female survivors of motor vehicle accidents (MVAs; n = 315) and intimate partner violence (IPV; n = 167). Data were obtained from participants at 2 trauma research clinics who underwent a comprehensive assessment of psychopathology following the stressor. Regression with bootstrapping suggested that PTSD symptoms mediate the relationship between injury severity and use of pain medications, R2 = .11, F(2, 452) = 28.37, p < .001, and psychiatric medications, R2 = .06, F(2, 452) = 13.18, p < .001, as hypothesized. Mediation, however, was not moderated by trauma type (ps > .05). Results confirm an association between posttraumatic psychopathology and medication usage and suggest that MVA and IPV survivors alike may benefit from assessment and treatment of emotional distress after physical injury.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題:兩種創傷類別中身體傷害、PTSD症狀和藥物使用的差別。

撮要:身體傷害常見於多種創傷經歷,與創傷後壓力症(PTSD)症狀和身體健康狀況(包括增加藥物使用)相關。近期研究指出PTSD症狀可能左右創傷損害對健康的影響,但不同種類傷害的倖存者未知是否受同樣影響。本文使用兩組受創婦女樣本(即交通意外生還者(MVAs,n=315)和親密伴侶受虐者(IPV,n=167),探討關於傷害,PTSD,痛楚和精神科藥物使用的橫斷面關係。數據在兩個創傷研究診所病人中進行創傷後全面精神病理學評估。回歸及引導分析顯示如本研究所假設,PTSD症狀影響傷害程度和止痛藥使用之間的關係。R2=.11,F(2,452)=28.37,p<.001和精神科藥物,R2=.06,F(2,452)=13.18,p<.001。但創傷類別(ps>.05)則未能影響此關係。研究證實創傷後精神病理學和藥物使用之間有關連,而建議MVA及IPV生還者可能在身體傷害後接受情緒困擾方面的評估和治療後有所裨益。

标题:两种创伤类别中身体伤害、PTSD症状和药物使用的差别。

撮要:身体伤害常见于多种创伤经历,与创伤后压力症(PTSD)症状和身体健康状况(包括增加药物使用)相关。近期研究指出PTSD症状可能左右创伤损害对健康的影响,但不同种类伤害的幸存者未知是否受同样影响。本文使用两组受创妇女样本(即交通意外生还者(MVAs,n=315)和亲密伴侣受虐者(IPV,n=167),探讨关于伤害,PTSD,痛楚和精神科药物使用的横断面关系。数据在两个创伤研究诊所病人中进行创伤后全面精神病理学评估。回归及引导分析显示如本研究所假设,PTSD症状影响伤害程度和止痛药使用之间的关系。R2=.11,F(2,452)=28.37,p<.001和精神科药物,R2=.06,F(2,452)=13.18,p<.001。但创伤类别(ps>.05)则未能影响此关系。研究证实创伤后精神病理学和药物使用之间有关连,而建议MVA及IPV生还者可能在身体伤害后接受情绪困扰方面的评估和治疗后有所裨益。