Blanchard Edward B, Hickling Edward J, Freidenberg Brian M, Malta Loretta S, Kuhn Eric, Sykes Mark A
Department of Psychology, Center for Stress and Anxiety Disorders, University at Albany-SUNY, 1535 Western Avenue, Albany, NY 12203, USA.
Behav Res Ther. 2004 May;42(5):569-83. doi: 10.1016/S0005-7967(03)00162-1.
We assessed the psychiatric co-morbidity associated with chronic posttraumatic stress disorder (PTSD) (1-2 years) secondary to personal injury motor vehicle accidents (MVAs) in two studies. In Study 1, we compared the results of SCID assessments for 75 treatment-seeking MVA survivors (51 with PTSD and 24 with symptoms but no PTSD). In Study 2, we compared similar results among 132 MVA survivors who had been followed prospectively for 12+ months after their accidents (19 with PTSD, 32 who had PTSD but who had remitted, and 81 who never met criteria for PTSD). We found comparable levels of current co-morbid major depression (53%), any mood disorder (62-68%), generalized anxiety disorder (26%) and any anxiety disorder (42%) for both groups of participants with chronic PTSD. These rates of co-morbidity were higher than those found in non-PTSD comparison groups with similar MVA histories.
我们在两项研究中评估了因机动车事故（MVA）人身伤害继发的慢性创伤后应激障碍（PTSD）（1至2年）相关的精神共病情况。在研究1中，我们比较了75名寻求治疗的MVA幸存者（51名患有PTSD，24名有症状但未患PTSD）的SCID评估结果。在研究2中，我们比较了132名MVA幸存者在事故发生后接受前瞻性随访12个月以上的类似结果（19名患有PTSD，32名曾患PTSD但已缓解，81名从未符合PTSD标准）。我们发现，两组患有慢性PTSD的参与者当前共病的重度抑郁症（53%）、任何情绪障碍（62 - 68%）、广泛性焦虑障碍（26%）和任何焦虑障碍（42%）的水平相当。这些共病率高于具有类似MVA病史的非PTSD对照组。
