机动车事故后急性应激障碍与创伤后应激障碍关系中的性别差异。
Gender differences in the relationship between acute stress disorder and posttraumatic stress disorder following motor vehicle accidents.
作者信息
Bryant Richard A, Harvey Allison G
机构信息
School of Psychology, University of New South Wales, Sydney, New South Wales 2052, Australia.
出版信息
Aust N Z J Psychiatry. 2003 Apr;37(2):226-9. doi: 10.1046/j.1440-1614.2003.01130.x.
OBJECTIVE
Acute stress disorder (ASD) describes initial posttraumatic stress reactions that purportedly predict subsequent posttraumatic stress disorder (PTSD). This study aimed to index the influence of gender on the relationship between ASD and PTSD.
METHOD
Motor vehicle accident survivors were assessed for ASD within 1-month posttrauma (n = 171) and were subsequently assessed for PTSD 6-months later (n = 134).
RESULTS
Acute stress disorder was diagnosed in 8% of males and 23% of females, and PTSD was diagnosed in 15% of males and 38% of females. In terms of patients followed up at 6 months, 57% and 92% of males and females, respectively, who met criteria for ASD were diagnosed with PTSD. Females displayed significantly more peritraumatic dissociation than males.
CONCLUSION
Peritraumatic dissociation and ASD is a more accurate predictor of PTSD in females than males. This gender difference may be explained in terms of response bias or biological differences in trauma response between males and females.
目的
急性应激障碍（ASD）描述了最初的创伤后应激反应，据称这些反应可预测随后的创伤后应激障碍（PTSD）。本研究旨在探究性别对ASD与PTSD之间关系的影响。
方法
对机动车事故幸存者在创伤后1个月内进行ASD评估（n = 171），并在6个月后对其进行PTSD评估（n = 134）。
结果
8%的男性和23%的女性被诊断为急性应激障碍，15%的男性和38%的女性被诊断为创伤后应激障碍。在6个月时接受随访的患者中，符合ASD标准的男性和女性分别有57%和92%被诊断为PTSD。女性在创伤期间的解离症状明显多于男性。
结论
与男性相比，创伤期间的解离症状和ASD对女性PTSD的预测更为准确。这种性别差异可能是由于反应偏差或男女在创伤反应上的生物学差异所致。
Zotero 插件