Shoib Sheikh, Mushtaq Raheel, Jeelani Snowber, Ahmad Javid, Dar Mohammad Maqbool, Shah Tabindah
Senior Resident, Trauma Clinic, Post Graduate Department of Psychiatry, Government Medical College , Sringar, India .
Department of community Medicine, Sheri Kashmir Institute of Medical Sciences Soura, India .
J Clin Diagn Res. 2014 Apr;8(4):WC01-6. doi: 10.7860/JCDR/2014/7885.4282. Epub 2014 Apr 15.
To estimate the Prevalence of post-traumatic stress disorders (PTSD) among adults in field practise areas of Government Medical College, Srinagar, India.
The present study was cross-sectional in nature and was conducted in field practice areas of Government Medical College Srinagar. Three blocks of field practise areas of Government Medical College, Srinagar comprising of various villages were selected. Further 10 per cent of these villages were selected by the method of randomization sampling and then 10 per cent of household were taken again by systemic random sampling. In the selected household all adult population (18 years and above) were selected and screened by using General health questionnaires(GHQ). The patients who screened positive for PTSD (post-traumatic stress Disorders) were assessed and diagnosed. From the line listing the positive cases, the prevalence rates were calculated.
Of the total 3400 subjects (age≥18 years), the prevalence of posttraumatic stress disorders among general population was found to be 3.76%. Prevalence was found to be more in females (Chi-square test=2.086, p>0.05 (Insignificant). Most of cases were found to be in the age group 0-40 years. Most of the cases were unmarried, illiterate and belong to lower socioeconomic class. Death of near one comprised the major traumatic event. Acute onset Posttraumatic stress disorder was the commonest type, previous history of psychiatric illness was found in 12 % of patients and drug abuse was present in 22.6%.
Our findings clearly indicates that posttraumatic stress disorders (PTSD) is a prevalent disorder in the developing world, especially in disaster prone regions and in areas of political unrest. Resilience to various traumatic events in Kashmir has developed over the years and this might explains the lower prevalence of Post-traumatic disorder (PTSD) in our study.
评估印度斯利那加政府医学院实地实习地区成年人创伤后应激障碍（PTSD）的患病率。
本研究为横断面研究，在斯利那加政府医学院实地实习地区开展。选取了斯利那加政府医学院实地实习地区包含多个村庄的三个街区。通过随机抽样方法进一步选取这些村庄的10%，然后再通过系统随机抽样选取其中10%的家庭。在选定的家庭中，选取所有成年人口（18岁及以上），并使用一般健康问卷（GHQ）进行筛查。对筛查出创伤后应激障碍（PTSD）呈阳性的患者进行评估和诊断。根据阳性病例列表计算患病率。
在总共3400名受试者（年龄≥18岁）中，普通人群中创伤后应激障碍的患病率为3.76%。女性患病率更高（卡方检验=2.086，p>0.05（无显著差异）。大多数病例出现在0至40岁年龄组。大多数病例未婚、文盲且属于社会经济地位较低阶层。近亲死亡是主要的创伤事件。急性起病的创伤后应激障碍是最常见类型，12%的患者有精神疾病既往史，22.6%的患者存在药物滥用情况。
我们的研究结果清楚表明，创伤后应激障碍（PTSD）在发展中世界是一种普遍存在的疾病，尤其是在易受灾地区和政治动荡地区。多年来克什米尔地区对各种创伤事件的适应能力有所发展，这可能解释了我们研究中创伤后应激障碍（PTSD）患病率较低的原因。
