Goodwin Laura, Jones Margaret, Rona Roberto J, Sundin Josefin, Wessely Simon, Fear Nicola T
Department of Psychological Medicine, King's Centre for Military Health Research, King's College London, London, UK.
J Nerv Ment Dis. 2012 May;200(5):429-37. doi: 10.1097/NMD.0b013e31825322fe.
Delayed-onset posttraumatic stress disorder (PTSD) is defined as onset at least 6 months after a traumatic event. This study investigates the prevalence of delayed-onset PTSD in 1397 participants from a two-phase prospective cohort study of UK military personnel. Delayed-onset PTSD was categorized as participants who did not meet the criteria for probable PTSD (assessed using the PTSD Checklist Civilian version) at phase 1 but met the criteria by phase 2. Of the participants, 3.5% met the criteria for delayed-onset PTSD. Subthreshold PTSD, common mental disorder (CMD), poor/fair self-reported health, and multiple physical symptoms at phase 1 and the onset of alcohol misuse or CMD between phases 1 and 2 were associated with delayed-onset PTSD. Delayed-onset PTSD exists in this UK military sample. Military personnel who developed delayed-onset PTSD were more likely to have psychological ill-health at an earlier assessment, and clinicians should be aware of the potential comorbidity in these individuals, including alcohol misuse. Leaving the military or experiencing relationship breakdown was not associated.
延迟性创伤后应激障碍（PTSD）被定义为在创伤事件发生至少6个月后起病。本研究调查了来自英国军事人员两阶段前瞻性队列研究的1397名参与者中延迟性PTSD的患病率。延迟性PTSD被定义为在第一阶段未达到可能患PTSD标准（使用PTSD检查表平民版进行评估）但在第二阶段达到标准的参与者。在参与者中，3.5%符合延迟性PTSD的标准。阈下PTSD、常见精神障碍（CMD）、自我报告健康状况差/一般，以及在第一阶段出现多种躯体症状，以及在第一阶段和第二阶段之间出现酒精滥用或CMD与延迟性PTSD相关。在这个英国军事样本中存在延迟性PTSD。发生延迟性PTSD的军事人员在早期评估中更有可能存在心理健康问题，临床医生应意识到这些个体中潜在的共病情况，包括酒精滥用。离开军队或经历关系破裂与之无关。
