Switzer G E, Dew M A, Thompson K, Goycoolea J M, Derricott T, Mullins S D
Department of Medicine, University of Pittsburgh, PA 15213, USA.
J Trauma Stress. 1999 Jan;12(1):25-39. doi: 10.1023/A:1024738114428.
Although the urban poor are at high risk for exposure to trauma, community mental health clinics rarely diagnose clients with PTSD. Failure to diagnose PTSD may undermine the effectiveness of services provided. Our objectives were to (1) assess prevalence of traumatic experiences and PTSD, and (2) examine differences in service utilization between those who had PTSD and those who did not. Interview data were gathered from 181 urban psychiatric outpatients. A substantial number of clients had experienced at least one lifetime trauma (94%), and of those, 42% had PTSD during the past year. Analyses comparing service use between PTSD and nonPTSD clients supported our expectation that clients with PTSD would use more mental health services, and would be less satisfied with services than their nonPTSD counterparts.
尽管城市贫困人口遭受创伤的风险很高，但社区心理健康诊所很少诊断出患有创伤后应激障碍（PTSD）的患者。未能诊断出PTSD可能会削弱所提供服务的有效性。我们的目标是：（1）评估创伤经历和PTSD的患病率，以及（2）检查患有PTSD的患者和未患PTSD的患者在服务利用方面的差异。我们收集了181名城市精神科门诊患者的访谈数据。相当多的患者至少经历过一次终身创伤（94%），其中42%在过去一年中患有PTSD。对患有PTSD和未患PTSD的患者之间的服务使用情况进行的分析支持了我们的预期，即患有PTSD的患者将使用更多的心理健康服务，并且与未患PTSD的患者相比，对服务的满意度更低。
