Jeon Hong Jin, Suh Tongwoo, Lee Hyo Jung, Hahm Bong-Jin, Lee Jun-Young, Cho Seong-Jin, Lee You Ra, Chang Sung Man, Cho Maeng Je
Department of Psychiatry and Behavioral Science, Institute of Human Behavioral Medicine, Seoul National University College of Medicine, Seoul, South Korea.
Depress Anxiety. 2007;24(8):577-85. doi: 10.1002/da.20270.
A few studies have been conducted on the prevalence of partial posttraumatic stress disorder (PTSD), but points of agreement and disagreement between full and partial PTSD have not been fully investigated. We interviewed a representative sample of 6,258 subjects, ages 18-64 years, in household visits using the Korean version of the Composite International Diagnostic Interview (K-CIDI 2.1). "Partial PTSD" was defined as >/=1 symptom in each of the three symptom groups (Criteria B, C, and D) and duration of >/=1 month (Criterion E). Estimated lifetime prevalence of partial PTSD was 2.7%, and that of full PTSD was 1.7%. A "female gender" risk factor was significantly associated with both partial and full PTSD. The mean duration of partial PTSD was 6.5 years, which was not significantly different from the 5.7 year duration of full PTSD. Traumas associated with the development of partial rather than full PTSD were "natural disaster with fire" and "military combat" in men, and "witnessing a traumatic situation" and "learning about traumas to others" in women, whereas "threatened by others" was more associated with the development of full PTSD. The rates of multiple comorbid disorders and of comorbid major depressive disorder and dysfunctions in work during the 1-month period prior to interview did not differ significantly between the partial and full PTSD groups. In conclusion, partial PTSD did not differ significantly from full PTSD in terms of duration, comorbidity, and dysfunction, but they differed markedly in terms of associated trauma types.
已有一些关于部分创伤后应激障碍（PTSD）患病率的研究，但完全型和部分型PTSD之间的共识和分歧点尚未得到充分研究。我们使用韩语版综合国际诊断访谈（K-CIDI 2.1），通过家访对6258名年龄在18 - 64岁的受试者进行了代表性抽样访谈。“部分PTSD”被定义为在三个症状组（标准B、C和D）中每组至少有1种症状且持续时间≥1个月（标准E）。部分PTSD的终生患病率估计为2.7%，完全型PTSD为1.7%。“女性性别”风险因素与部分型和完全型PTSD均显著相关。部分PTSD的平均持续时间为6.5年，与完全型PTSD的5.7年持续时间无显著差异。与部分型而非完全型PTSD发展相关的创伤，在男性中是“火灾自然灾害”和“军事战斗”，在女性中是“目睹创伤情境”和“得知他人遭受创伤”，而“受到他人威胁”与完全型PTSD的发展更相关。在访谈前1个月期间，部分型和完全型PTSD组的多种共病障碍率、共病重度抑郁症率以及工作功能障碍率无显著差异。总之，部分PTSD在持续时间、共病情况和功能障碍方面与完全型PTSD无显著差异，但在相关创伤类型方面有明显差异。
