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丹麦人口中的严重应激与适应障碍诊断

Severe stress and adjustment disorder diagnoses in the population of Denmark.

作者信息

Gradus Jaimie L, Bozi Imre, Antonsen Sussie, Svensson Elisabeth, Lash Timothy L, Resick Patricia A, Hansen Jens Georg

机构信息

National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts, USA; Department of Psychiatry, Boston University, Boston, Massachusetts, USA.

出版信息

J Trauma Stress. 2014 Jun;27(3):370-4. doi: 10.1002/jts.21926.

Abstract

We created a registry of Danish-born citizens of Denmark with incident International Classification of Diseases (10th ed.; ICD-10) severe stress and adjustment disorder diagnoses between 1995 and 2011. A unique personal identifier was used to retrieve and merge data on demographic characteristics and diagnoses (ICD-10 codes F43.x). Here we report on the incidence of these disorders and the demographic characteristics of the subset of the Danish population who have received 1 of these diagnoses: 111,844 adults and children received a first diagnosis between 1995 and 2011. More women than men (60.1% vs. 39.9%) received a diagnosis. Diagnoses increased during the late teens through early 30s. Adjustment disorder was the most common diagnosis (65.7% of adults and 64% of children). Reaction to severe stress unspecified was the second most common (19.8% of adults and 23.8% of children), and there was a large increase in both, as well as acute stress reaction diagnoses, in 2007 (3,717-5,141, 1,248-2,520, and 348-1,024 in 2006 to 2007, respectively). Findings regarding gender and age of onset are similar to other westernized countries. This registry can be used for future research programs, contributing to the study of stress and trauma.

摘要

我们创建了一个丹麦出生的丹麦公民登记册,纳入了1995年至2011年间患有国际疾病分类(第10版;ICD - 10)严重应激和适应障碍诊断的患者。使用唯一的个人标识符来检索和合并人口统计学特征及诊断数据(ICD - 10编码F43.x)。在此,我们报告这些疾病的发病率以及丹麦人群中接受过其中一种诊断的亚组的人口统计学特征:1995年至2011年间,111,844名成人和儿童接受了首次诊断。接受诊断的女性多于男性(60.1%对39.9%)。诊断率在青少年后期至30岁出头期间有所上升。适应障碍是最常见的诊断(成人中占65.7%,儿童中占64%)。未特指的严重应激反应是第二常见的(成人中占19.8%,儿童中占23.8%),并且在2007年,这两种疾病以及急性应激反应诊断都大幅增加(2006年至2007年分别从3,717例增至5,141例、1,248例增至2,520例以及348例增至1,024例)。关于性别和发病年龄的研究结果与其他西方国家相似。该登记册可用于未来的研究项目,有助于应激和创伤的研究。

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