Behavioral health mediators of the link between posttraumatic stress disorder and dyslipidemia |
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| Authors: | Paul A Dennis Christi S Ulmer Patrick S Calhoun Andrew Sherwood Lana L Watkins Michelle F Dennis Jean C Beckham |
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| Institution: | 1. Durham Veterans Affairs Medical Center, Durham, NC, 27705, USA;2. Veterans Affairs Mid-Atlantic Region Mental Illness Research, Education, and Clinical Center, Durham, NC 27705, USA;3. Veterans Affairs Center for Health Services Research in Primary Care, Durham, NC, 27705, USA;4. Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC 27705, USA |
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| Abstract: | ObjectivesPosttraumatic stress disorder (PTSD) has been linked to dyslipidemia, which is a major risk factor for coronary artery disease. Although this link is thought to reflect response to heightened stress, behavioral health risks, including smoking, alcohol dependence, and poor sleep quality, may mediate the relationship between PTSD and dyslipidemia.MethodsTo test this hypothesis, serum lipid levels were collected from 220 young adults (18–39 years old), 103 of whom were diagnosed with PTSD.ResultsPTSD and associated depressive symptoms were negatively related to high-density lipoprotein cholesterol (HDL-C), p = .04, and positively related to triglyceride (TG) levels, p = .04. Both associations were mediated by cigarette consumption and poor sleep quality, the latter of which accounted for 83% and 93% of the effect of PTSD and depression on HDL-C and TG, respectively.ConclusionsThese results complement recent findings highlighting the prominence of health behaviors in linking PTSD with cardiovascular risk. |
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| Keywords: | Posttraumatic stress disorder Dyslipidemia Cholesterol Depression Cigarette smoking Sleep |
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