Hodgetts Geoffrey, Broers Teresa, Godwin Marshall, Bowering Evelyn, Hasanović Mevludin
Department of Family Medicine, Queen's University, 220 Bagot Street, Kingston, Ontario, Canada.
Fam Pract. 2003 Aug;20(4):489-91. doi: 10.1093/fampra/cmg428.
The traumatic events experienced by thousands of people in Bosnia and Herzegovina during the 1992-1995 conflict may have a lasting effect on the mental health of the country, characterized by high rates of post-traumatic stress disorder (PTSD). A diagnosis of PTSD among family physicians could affect their ability to diagnose and treat patients for depression, anxiety and PTSD.
The aim of the present study was to determine the prevalence of PTSD among family medicine physicians in Bosnia and Herzegovina.
A self-administered questionnaire, including the PTSD Checklist-Civilian Version (PCL-C) which is a validated scale for PTSD screening, was distributed to family medicine residents and specialists in Bosnia and Herzegovina. The prevalence of PTSD was determined, and factors related to PTSD were considered.
One hundred and thirty-three (90.5%) of the 147 physicians who were available to be surveyed completed the questionnaire. Of the 88% who had a traumatic experience during the war, 18% met the criteria for PTSD. The likelihood of meeting the criteria for PTSD was not affected by age, sex or whether the physician had worked in a field hospital during the war. However, a positive response to the question "Do you think the traumatic event you experienced during the war still affects you today?" was highly associated with the diagnosis of PTSD (odds ratio 7.26, 95% confidence interval: 1.57-33.60). Also, this question was shown to have a high degree of sensitivity and negative predictive value, and may be of use as a screening tool for ruling out the presence of PTSD after a traumatic war experience.
1992年至1995年冲突期间，波斯尼亚和黑塞哥维那成千上万的人经历的创伤事件可能会对该国的心理健康产生持久影响，其特点是创伤后应激障碍（PTSD）发病率很高。家庭医生对PTSD的诊断可能会影响他们对抑郁症、焦虑症和PTSD患者的诊断和治疗能力。
本研究的目的是确定波斯尼亚和黑塞哥维那家庭医学医生中PTSD的患病率。
向波斯尼亚和黑塞哥维那的家庭医学住院医师和专科医生发放了一份自填式问卷，其中包括PTSD检查表-民用版（PCL-C），这是一种经过验证的PTSD筛查量表。确定了PTSD的患病率，并考虑了与PTSD相关的因素。
147名可供调查的医生中有133名（90.5%）完成了问卷。在战争期间有过创伤经历的医生中，88%的人中有18%符合PTSD的标准。符合PTSD标准的可能性不受年龄、性别或医生在战争期间是否在野战医院工作的影响。然而，对“你认为你在战争期间经历的创伤事件至今仍影响着你吗？”这个问题的肯定回答与PTSD的诊断高度相关（优势比7.26，95%置信区间：1.57 - 33.60）。此外，这个问题具有很高的敏感性和阴性预测价值，可以用作在经历创伤性战争经历后排除PTSD存在的筛查工具。
