Abstract：
OBJECTIVE:Posttraumatic stress disorder (PTSD) is associated with poor health behaviors, including low utilization of Veteran Health Affairs (VHA) weight loss programs. It is not known if clinically meaningful PTSD improvement is associated with increased use of weight loss programs. METHODS:Medical record data was obtained from VHA patients who received PTSD specialty care between Fiscal Year (FY) 2008 to FY2012. Clinically meaningful PTSD improvement was defined as ≥20 point PTSD Checklist (PCL) decrease between the first PCL ≥ 50 and a second PCL at least 8 weeks later and within 12 months of the first PCL. Eligible patients, n = 993, were followed through FY2015. Propensity scores and inverse probability of exposure weighting controlled confounding. Cox proportional hazard models estimated the association between clinically meaningful PCL decrease and weight loss clinic utilization. Supplemental analysis compared both PTSD groups vs. no PTSD. RESULTS:Patients were 44.8 (SD ±14) years of age, 88.9% male and 66.8% white. Patients with vs. without a clinically meaningful PCL decrease were more likely to use a weight loss clinic (HR = 1.37; 95%CI:1.02-1.85). Among those with a weight loss encounter, PCL decrease was not associated with the number of encounters (RR = 1.13; 95%CI:0.70-1.81). Compared to no PTSD, patients with PTSD improvement had more weight loss encounters. CONCLUSIONS:Large improvements in PTSD are associated with increased utilization of weight loss programs, and PTSD is not a barrier to seeking weight loss counseling. Research to understand why improvement in PTSD is not related to better weight loss outcomes is needed.
journal_name
J Psychosom Resjournal_title
Journal of psychosomatic researchauthors
Scherrer JF,Salas J,Chard KM,Tuerk P,van den Berk-Clark C,Schneider FD,Cohen BE,Lustman PJ,Schnurr PP,Friedman MJ,Norman SBdoi
10.1016/j.jpsychores.2019.109849subject
Has Abstractpub_date
2019-12-01 00:00:00pages
109849eissn
0022-3999issn
1879-1360pii
S0022-3999(19)30847-5journal_volume
127pub_type
杂志文章abstract：OBJECTIVE:The purpose of this study was to determine whether or not conversion symptoms are lateralized. Studies have shown a predominant left-oriented manifestation of symptoms for most somatoform disorders. The reports in the literature on the lateralization of conversion symptoms, however, are rather conflicting. Th...
journal_title：Journal of psychosomatic research
pub_type： 杂志文章
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journal_title：Journal of psychosomatic research
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journal_title：Journal of psychosomatic research
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更新日期：2006-03-01 00:00:00
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journal_title：Journal of psychosomatic research
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journal_title：Journal of psychosomatic research
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journal_title：Journal of psychosomatic research
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journal_title：Journal of psychosomatic research
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journal_title：Journal of psychosomatic research
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更新日期：1996-01-01 00:00:00
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journal_title：Journal of psychosomatic research
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更新日期：1986-01-01 00:00:00
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journal_title：Journal of psychosomatic research
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更新日期：2000-06-01 00:00:00
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更新日期：1996-02-01 00:00:00
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pub_type： 杂志文章,多中心研究
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journal_title：Journal of psychosomatic research
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pub_type： 杂志文章
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更新日期：2005-02-01 00:00:00
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更新日期：2020-11-01 00:00:00
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