Post-Traumatic Stress Disorder and Risk of Parkinson's Disease in a Veteran Cohort

J Parkinsons Dis. 2024;14(6):1265-1269. doi: 10.3233/JPD-240098.

Abstract

Post-traumatic stress disorder (PTSD) may be a risk factor for Parkinson's disease (PD). We examined the relation between PTSD and PD in a cohort of 158,122 Veterans who had any Veterans Health Administration (VHA) or Medicare health care utilization between 10/1/1999- 2/17/2021. Using a nested case-control design we matched 10 controls to each Veteran with PD by sex, race, and rank. In conditional logistic regression models adjusted for camp and smoking, a PTSD diagnosis was significantly associated with PD (OR = 1.35; p = 0.0002); odds were higher if PTSD was coded before PD (OR = 1.53, p < 0.0001). PTSD may be a risk factor for PD.

Keywords: PTSD; Parkinson’s disease; Veterans; epidemiology; stress.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Case-Control Studies
  • Cohort Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Parkinson Disease* / epidemiology
  • Risk Factors
  • Stress Disorders, Post-Traumatic* / epidemiology
  • Stress Disorders, Post-Traumatic* / etiology
  • United States / epidemiology
  • United States Department of Veterans Affairs / statistics & numerical data
  • Veterans* / statistics & numerical data