Hepp Urs, Gamma Alex, Milos Gabriella, Eich Dominique, Ajdacic-Gross Vladeta, Rössler Wulf, Angst Jules, Schnyder Ulrich
Department of Psychiatry, University Hospital Zurich, Culmannstrasse 8, CH-8091 Zurich, Switzerland.
Br J Psychiatry. 2006 Mar;188:278-83. doi: 10.1192/bjp.bp.104.008102.
Research on post-traumatic stress disorder (PTSD) relies mainly on self-reports of exposure to trauma and its consequences.
To analyse the consistency of the reporting of potentially traumatic events (PTEs) over time.
A community-based cohort, representative of the canton of Zurich, Switzerland, was interviewed at the ages of 34-35 years (in 1993) and 40-41 years (in 1999). A semi-structured diagnostic interview, including a section on PTSD, was administered.
Of the 342 participants who attended both interviews, 169 reported some PTE (1993, n=110; 1999, n=120). In 1999, 56 participants (33.1%) reported for the first time PTEs that actually occurred before 1993, but which had not been reported in the 1993 interview. In total, 68 participants (40.2%) who had reported a PTE in 1993 did not report it in 1999. The overall frequency of inconsistent reporting was 63.9%.
The high level of inconsistency in the reporting of PTEs has implications for therapy as well as for research.
创伤后应激障碍（PTSD）的研究主要依赖于对创伤暴露及其后果的自我报告。
分析潜在创伤性事件（PTEs）报告随时间的一致性。
对瑞士苏黎世州具有代表性的社区队列进行访谈，访谈时间分别为34 - 35岁（1993年）和40 - 41岁（1999年）。采用半结构化诊断访谈，其中包括关于PTSD的部分。
在参加两次访谈的342名参与者中，169人报告了一些PTE（1993年，n = 110；1999年，n = 120）。1999年，56名参与者（33.1%）首次报告了实际发生在1993年之前但在1993年访谈中未报告的PTE。总体而言，1993年报告过PTE的68名参与者（40.2%）在1999年未报告。报告不一致的总体频率为63.9%。
PTE报告的高度不一致对治疗和研究都有影响。
