The Association of Post-Traumatic Stress Disorder with Glomerular Filtration Rate Decline

Details

• Alternative Title:
  Nephrology (Carlton)
• Personal Author:
  Koraishy, Farrukh M. ; Cohen, Beth E. ; Scherrer, Jeffery F. ; Whooley, Mary ; Hajagos, Janos ; Robinson-Cohen, Cassianne ; Hou, Wei
• Description:
  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 m| /year; p = .022). PTSD was associated with 91% (95% CI 12%-225%) higher odds of 'rapid' versus 'mild' (>3.0 vs. <3.0 ml/min/1.73 m| /per year) eGFR decline. These associations remained consistent despite controlling for demographics, medical comorbidities, other mental disorders and psychiatric medications. In conclusion, our study provides evidence that PTSD is independently associated with GFR decline in middle-aged adults with a high comorbidity burden. This association needs to be examined in larger cohorts with longer follow-ups.
• Keywords:
  Adult Aged Comorbidity Diabetes Mellitus Disease Progression Glomerular Filtration Rate Humans Hypertension Middle Aged Stress Disorders, Post-Traumatic
• Source:
  Nephrology (Carlton). 28(3):181-186
• Pubmed ID:
  36594760
• Pubmed Central ID:
  PMC9974752
• Document Type:
  Journal Article
• Funding:
  RF# C-4180/Dialysis Clinics/ ; Nancy Kirwan Heart Research Fund/ ; R21OH012237-01/United States National Institute of Health (NIH)/ ; R21 OH012237/OH/NIOSH CDC HHSUnited States/ ; Robert Wood Johnson Foundation/ ; American Federation for Aging Research/ ; Ischemia Research and Education Foundation/ ; R01 HL079235/HL/NHLBI NIH HHSUnited States/ ; R01 HL079235/HL/NHLBI NIH HHSUnited States/
• Volume:
  28
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:212990aa97a660620579fcc2a3ff63f0722f4658189d1bc22ff92ef0f48c846c
• Download URL:
  https://stacks.cdc.gov/view/cdc/125209/cdc_125209_DS1.pdf
• File Type:
  [PDF - 515.84 KB ]