Lemke S
Klinik für Psychiatrie am Klinikum der F.-Schiller-Universität, Philosophenweg 3, 07743 Jena.
Nervenarzt. 2007 Jan;78(1):92-9. doi: 10.1007/s00115-006-2103-1.
The concept of post-traumatic stress disorder (PTSD) was to be verified considering World War I soldiers suffering from psychiatric and neurologic diseases. According to hypotheses, relevant circumstances of the case history and significance of the direct military action had to be examined. In 2002, medical histories dating from 1914 to 1921 of male soldiers in Jena, Germany, were analyzed. Statistical examination carried out by means of the chi2 test revealed mental illness more frequently in soldiers with relevant family anamnesis, previous psychiatric treatment, or degree of voluntariness than in soldiers not so characterized. The accumulation of mental illnesses was lower in soldiers involved in military actions or directly with firing weapons than in soldiers never involved in battles. These results are in accord with historical but not current literature on PTSD. The author is of the opinion that psychiatric anamnesis is not given enough consideration in the concept of PTSD.
创伤后应激障碍（PTSD）的概念是在考虑患有精神疾病和神经疾病的第一次世界大战士兵的情况下得到验证的。根据假设，必须检查病例史的相关情况以及直接军事行动的重要性。2002年，对德国耶拿1914年至1921年男性士兵的病历进行了分析。通过卡方检验进行的统计检查显示，与没有相关家族病史、先前接受过精神治疗或自愿程度的士兵相比，有这些特征的士兵患精神疾病的频率更高。参与军事行动或直接使用武器的士兵中精神疾病的累积率低于从未参与战斗的士兵。这些结果与关于创伤后应激障碍的历史文献一致，但与当前文献不一致。作者认为，在创伤后应激障碍的概念中，精神病史没有得到足够的重视。
