학술논문

The association of post-traumatic stress disorder with glomerular filtration rate decline.
Document Type
article
Source
Nephrology. 28(3)
Subject
chronic kidney disease
epidemiology
glomerular filtration rate
Adult
Middle Aged
Humans
Aged
Glomerular Filtration Rate
Stress Disorders
Post-Traumatic
Diabetes Mellitus
Hypertension
Comorbidity
Disease Progression
Language
Abstract
While major depression is known to be associated with glomerular filtration rate (GFR) decline, there is a lack of data on the association of other mental illnesses like posttraumatic stress disorder (PTSD) with kidney disease. In 640 adult participants of the Heart and Soul Study (mean baseline age of 66.2 years) with a high prevalence cardiovascular disease, hypertension and diabetes, we examined the association of PTSD with GFR decline over a 5-year follow-up. We observed a significantly greater estimated (e) GFR decline over time in those with PTSD compared to those without (2.97 vs. 2.11 ml/min/1.73 m2 /year; p = .022). PTSD was associated with 91% (95% CI 12%-225%) higher odds of rapid versus mild (>3.0 vs.