Jenkins Rachel, Othieno Caleb, Omollo Raymond, Ongeri Linnet, Sifuna Peter, Mboroki James Kingora, Kiima David, Ogutu Bernhards
Health Services and Population Research Department, Institute of Psychiatry, Kings College London, de Crespigny Park, London SE5 8AF, UK.
Department of Psychiatry, University of Nairobi, Kenya, Kenyatta National Hospital, Nairobi. P. O. Box 19676-00202.
Int J Environ Res Public Health. 2015 Oct 26;12(10):13494-509. doi: 10.3390/ijerph121013494.
This study aimed to assess the prevalence of probable post-traumatic stress disorder (PTSD), and its associated risk factors in a general household population in Kenya. Data were drawn from a cross-sectional household survey of mental disorders and their associated risk factors. The participants received a structured epidemiological assessment of common mental disorders, and symptoms of PTSD, accompanied by additional sections on socio-demographic data, life events, social networks, social supports, disability/activities of daily living, quality of life, use of health services, and service use. The study found that 48% had experienced a severe trauma, and an overall prevalence rate of 10.6% of probable PTSD, defined as a score of six or more on the trauma screening questionnaire (TSQ). The conditional probability of PTSD was 0.26. Risk factors include being female, single, self-employed, having experienced recent life events, having a common mental disorder (CMD)and living in an institution before age 16. The study indicates that probable PTSD is prevalent in this rural area of Kenya. The findings are relevant for the training of front line health workers, their support and supervision, for health management information systems, and for mental health promotion in state boarding schools.
本研究旨在评估肯尼亚普通家庭人群中可能患创伤后应激障碍（PTSD）的患病率及其相关风险因素。数据来自一项关于精神障碍及其相关风险因素的横断面家庭调查。参与者接受了常见精神障碍和创伤后应激障碍症状的结构化流行病学评估，同时还有关于社会人口数据、生活事件、社会网络、社会支持、残疾/日常生活活动、生活质量、卫生服务利用和服务使用情况的附加部分。研究发现，48%的人经历过严重创伤，创伤筛查问卷（TSQ）得分6分及以上定义的可能患创伤后应激障碍的总体患病率为10.6%。创伤后应激障碍的条件概率为0.26。风险因素包括女性、单身、个体经营者、经历过近期生活事件、患有常见精神障碍（CMD）以及16岁前曾住在机构里。该研究表明，可能患创伤后应激障碍在肯尼亚的这个农村地区很普遍。这些发现对于一线卫生工作者的培训、他们的支持与监督、卫生管理信息系统以及国立寄宿学校的心理健康促进具有重要意义。
