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诊断后10年的与战斗和战争相关的创伤后应激障碍患者。

Patients with combat-related and war-related posttraumatic stress disorder 10 years after diagnosis.

作者信息

Arbanas Goran

机构信息

Day Hospital for Psychotherapy, General Hospital Karlovac, Andrije Stampara 3b, 47000 Karlovac, Croatia.

出版信息

Croat Med J. 2010 Jun;51(3):209-14. doi: 10.3325/cmj.2010.51.209.

Abstract

AIM

To establish how many patients diagnosed with posttraumatic stress disorder (PTSD) in 1996 used psychiatric facilities and had psychiatric symptoms 10 years later, and assess their sociodemographic characteristics, comorbid disorders, and type of treatment.

METHODS

Medical records of patients diagnosed with PTSD in 1996 were reviewed in the period 2007-2009 and the patients who contacted a psychiatrist in that period (n=85) and those who did not (n=158) were compared.

RESULTS

There were 36.7% of men and 20% of women diagnosed with PTSD in 1996 who contacted a psychiatrist in the period 2007-2009. Patients who contacted a psychiatrist and those who did not did not differ in sex, age, the number of visits and hospitalizations in 1996, and employment status. The majority of patients still had PTSD and/or were enduring personality change in the period 2007-2009, and 54.8% had some comorbidity (mostly depression, alcohol-related disorders, and personality disorders). Patients were most often treated with anxiolytics and antidepressants.

CONCLUSION

Ten years after the traumatic experience, one third of patients with PTSD received psychiatric help, regardless of their sex, age, and employment status. Half of them had comorbid disorders and the majority of them were treated with anxiolytics and antidepressants.

摘要

目的

确定1996年被诊断为创伤后应激障碍(PTSD)的患者中有多少人在10年后使用了精神科设施并出现精神症状,并评估他们的社会人口学特征、共病情况和治疗类型。

方法

回顾了1996年被诊断为PTSD的患者在2007 - 2009年期间的病历,并对该期间联系过精神科医生的患者(n = 85)和未联系过的患者(n = 158)进行了比较。

结果

1996年被诊断为PTSD的患者中,有36.7%的男性和20%的女性在2007 - 2009年期间联系过精神科医生。联系过精神科医生的患者和未联系过的患者在性别、年龄、1996年的就诊次数和住院次数以及就业状况方面没有差异。大多数患者在2007 - 2009年期间仍患有PTSD和/或存在人格改变,54.8%的患者有一些共病(主要是抑郁症、酒精相关障碍和人格障碍)。患者最常接受抗焦虑药和抗抑郁药治疗。

结论

创伤经历10年后,三分之一的PTSD患者接受了精神科帮助,无论其性别、年龄和就业状况如何。其中一半患者有共病,大多数患者接受抗焦虑药和抗抑郁药治疗。

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