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KMID : 1143820130090020121
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Anxiety and Mood
2013 Volume.9 No. 2 p.121 ~ p.127
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Association between Symptoms of Posttraumatic Stress Disorder and Blood Pressure in the Elderly
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Bang Yu-Jin
Kang Suk-Hoon
Kim Tae-Yong
Choi Jin-Hee
Chung Hae-Gyung
So Hyung-Seok
Go Chang-Min
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Abstract
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Objective : Several studies have reported the association between posttraumatic stress disorder (PTSD) and hypertension (HTN). The aim of this study was to evaluate the impact of PTSD symptoms on blood pressure.
Methods : Korean veterans of the Vietnam War with (n=62) or without PTSD (n=87) participated in this study. The clinician administered PTSD scale (CAPS) and alcohol use disorder identification test (AUDIT) were applied. Blood pressure, pulse rate, risk factors of HTN and demographic data of the subjects were collected. Effects of potential explanatory variables on HTN were analyzed with logistic regression.
Results : Diastolic blood pressure was significantly higher in PTSD group (p=0.015). However, PTSD subjects showed significantly lower pulse rate than non-PTSD subjects (p=0.004). Logistic regression analysis showed that avoidance symptom might be a predictor for hypertension (OR=1.065, p=0.030).
Conclusion : These results suggest that PTSD, especially avoidance symptom, might be a risk factor on HTN in the elderly with PTSD. Further studies are needed to evaluate the change of blood pressure according to the clinical improvement of PTSD.
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KEYWORD
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Posttraumatic stress disorder, Hypertension, Pulse rate, Veterans
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