The association of post‐traumatic stress disorder with glomerular filtration rate decline. Issue 3 (20th January 2023)

• Record Type: Journal Article
• Authors: Koraishy, Farrukh M.; Cohen, Beth E.; Scherrer, Jeffery F.; Whooley, Mary; Hajagos, Janos; Robinson‐Cohen, Cassianne; Hou, Wei
• Is Part Of: Nephrology. Volume 28:Issue 3(2023)
• Page Start: 181
• Page End: 186
• Publication Date: 2023-01-20
• Subjects: chronic kidney disease -- epidemiology -- glomerular filtration rate; Nephrology -- Periodicals; Kidneys -- Diseases -- Periodicals; Nephrologists -- Periodicals; 616.61; 616.61
• DOI: 10.1111/nep.14140
• Languages: English
• ISSNs: 1320-5358

Abstract

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 m 2 /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 2 /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. Summary at a Glance: There is lack of data on the association of posttraumatic stress disorder (PTSD) with kidney disease. In middle aged adults with a high comorbidity burden, we observed a significantly greater eGFR decline over time in those with PTSD compared to those without after controlling for demographics, medical comorbidities, other mental disorders and psychiatric medications.