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欧洲的主要创伤性事件:欧洲精神障碍流行病学研究调查中的创伤后应激障碍

Main traumatic events in Europe: PTSD in the European study of the epidemiology of mental disorders survey.

作者信息

Darves-Bornoz Jean-Michel, Alonso Jordi, de Girolamo Giovanni, de Graaf Ron, Haro Josep-Maria, Kovess-Masfety Viviane, Lepine Jean-Pierre, Nachbaur Gaëlle, Negre-Pages Laurence, Vilagut Gemma, Gasquet Isabelle

机构信息

Hôpital Henri-Ey, 15 Avenue de la Porte de Choisy, 75013 Paris, France.

出版信息

J Trauma Stress. 2008 Oct;21(5):455-62. doi: 10.1002/jts.20357.

Abstract

A potentially traumatic event (PTE) contributes to trauma through its frequency, conditional probability of posttraumatic stress disorder (PTSD), and experience of other PTEs. A cross-sectional survey was conducted, enrolling 21,425 adults nationally representative of six European countries. Using the WHO-Composite International Diagnostic Interview, 8,797 were interviewed on 28 PTEs and PTSD. Prevalence of 12-month PTSD was 1.1%. When PTSD was present, the mean number of PTEs experienced was 3.2. In a multivariate analysis on PTEs and gender, six PTEs were found to be more traumatic, and to explain a large percentage of PTSD, as estimated by their attributable risk of PTSD: rape, undisclosed private event, having a child with serious illness, beaten by partner, stalked, beaten by caregiver.

摘要

潜在创伤性事件(PTE)通过其发生频率、创伤后应激障碍(PTSD)的条件概率以及其他PTE的经历对创伤产生影响。开展了一项横断面调查,纳入了六个欧洲国家具有全国代表性的21425名成年人。使用世界卫生组织综合国际诊断访谈,对8797人就28种PTE和PTSD进行了访谈。12个月PTSD患病率为1.1%。当存在PTSD时,经历的PTE平均数量为3.2。在一项关于PTE和性别的多变量分析中,发现六种PTE的创伤性更强,并且根据其PTSD归因风险估计,可解释很大比例的PTSD:强奸、未公开的私密事件、孩子患有重病、被伴侣殴打、被跟踪、被照顾者殴打。

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