Grubaugh Anouk L, Magruder Kathryn M, Waldrop Angela E, Elhai Jon D, Knapp Rebecca G, Frueh B Christopher
VA Medical Center, Charleston, South Carolina 29425, USA.
J Nerv Ment Dis. 2005 Oct;193(10):658-64. doi: 10.1097/01.nmd.0000180740.02644.ab.
The purpose of this study is to determine the prevalence of subthreshold posttraumatic stress disorder (PTSD) and its association with specific traumas, other psychiatric diagnoses, healthcare use, and functional status among 669 veterans in four VA Medical Centers. A cross-sectional, epidemiological design incorporating self-report measures, structured interviews, and chart reviews was used to obtain relevant information for analyses. Comparisons across three trauma-exposed groups (PTSD, subthreshold PTSD, no PTSD) revealed that veterans in the subthreshold PTSD group did not use mental health services more often than those in the no PTSD group despite the presence of additional mental health diagnoses and worse functional status. These data indicate that clinicians may be overlooking a subset of individuals suffering from subsyndromal PTSD, suggesting the need to detect and serve these individuals better within healthcare settings.
本研究的目的是确定阈下创伤后应激障碍（PTSD）的患病率，及其与四个退伍军人事务部医疗中心的669名退伍军人的特定创伤、其他精神疾病诊断、医疗保健使用情况和功能状态之间的关联。采用横断面流行病学设计，结合自我报告措施、结构化访谈和病历审查来获取相关信息进行分析。对三个创伤暴露组（PTSD、阈下PTSD、无PTSD）的比较显示，尽管阈下PTSD组存在额外的心理健康诊断且功能状态较差，但该组退伍军人使用心理健康服务的频率并不高于无PTSD组。这些数据表明，临床医生可能忽略了一部分患有亚综合征PTSD的个体，这表明需要在医疗环境中更好地检测和服务这些个体。
