Hauffa Robin, Rief Winfried, Brähler Elmar, Martin Alexandra, Mewes Ricarda, Glaesmer Heide
Department of Medical Psychology and Medical Sociology, University of Leipzig, Leipzig, Germany.
J Nerv Ment Dis. 2011 Dec;199(12):934-9. doi: 10.1097/NMD.0b013e3182392c0d.
Only a few European population-based studies on the epidemiology of posttraumatic stress disorder (PTSD) are available to date. This study aims to broaden the epidemiological knowledge of traumatic experiences (TEs), PTSD, and comorbid mental conditions in a representative German sample (N = 2510). The Composite International Diagnostic Interview list of traumatic events, the Posttraumatic Diagnostic Scale, and Patient Health Questionnaire (PHQ)-9 as well as PHQ-15 were used in this survey. Main results were low frequencies of TEs (24%) and PTSD (2.9%). Older participants (>60 years) reported significantly more TEs and more posttraumatic symptoms, whereas there was no significant difference in PTSD prevalence. A third of the subjects diagnosed with PTSD were found positive for depressive syndromes, and 27% were found positive for somatization syndrome. The results show that TEs and posttraumatic symptoms are frequent in senior citizens and thus have to be considered when treating older patients with mental health conditions.
迄今为止，仅有少数基于欧洲人群的创伤后应激障碍（PTSD）流行病学研究。本研究旨在扩大对具有代表性的德国样本（N = 2510）中创伤经历（TEs）、PTSD及共病精神状况的流行病学认识。本调查使用了创伤事件综合国际诊断访谈清单、创伤后诊断量表、患者健康问卷（PHQ）-9以及PHQ-15。主要结果为TEs（24%）和PTSD（2.9%）的发生率较低。年龄较大的参与者（>60岁）报告的TEs和创伤后症状明显更多，而PTSD患病率无显著差异。三分之一被诊断为PTSD的受试者抑郁综合征呈阳性，27%躯体化综合征呈阳性。结果表明，TEs和创伤后症状在老年人中很常见，因此在治疗患有精神健康问题的老年患者时必须予以考虑。
