Bossini Letizia, Ilaria Casolaro, Koukouna Despoina, Caterini Claudia, Olivola Miriam, Fagiolini Andrea
Department of Molecular Medicine and Development, Psychiatry Section, School of Medicine, University of Siena, Siena, Italy.
Psychiatr Pol. 2016 Oct 31;50(5):907-921. doi: 10.12740/PP/65742.
To identify possible differences, in terms of duration and severity of Post-Traumatic Stress Disorder, between victims of terrorist attacks and subjects who underwent other types of traumatic events.
A sample of subjects suffering from PTSD was selected. After a clinical interview aimed at the collection of anamnestic data, CAPS to confirm the diagnosis of PTSD and DTS to assess frequency and severity of post-traumatic symptoms were administered. One-way ANOVA was used in order to compare the differences in the parameters analysed through the DTS scales and its clusters between the victims of terrorist attacks and patients undergone other traumatic events.
The duration of PTSD was 258 +/ - 144.9 months for people who underwent a terrorist attack and 41.6 +/ - 11.8 months for victims of other traumatic events. As regards the severity of the disorder, the total score of the DTS scale was 65.6 +/ - 26.9 in victims of terrorist attacks and 78.2 +/ - 28.2 in people who undergone other traumatic events. However, the difference was not statistically significant; Avoidance and Hypervigilance clusters showed an important statistical significance.
No significant differences are present in terms of severity, showing that PTSD is a disabling disorder regardless the type of event that triggers it; however, a significant difference in terms of duration of the disorder leads to reflec on the importance of an early diagnostic process aimed toward the victims of terrorism, in order to avoid the risk of chronicity and progression to other psychiatric disorders such as depression.
确定恐怖袭击受害者与经历其他类型创伤事件的受试者在创伤后应激障碍的持续时间和严重程度方面可能存在的差异。
选取一组患有创伤后应激障碍的受试者样本。在进行旨在收集既往病史数据的临床访谈后，使用临床定式检查量表（CAPS）来确诊创伤后应激障碍，并使用创伤后应激障碍症状量表（DTS）来评估创伤后症状的频率和严重程度。采用单因素方差分析，以比较通过DTS量表及其聚类分析的参数在恐怖袭击受害者与经历其他创伤事件的患者之间的差异。
遭受恐怖袭击的人群创伤后应激障碍的持续时间为258±144.9个月，而其他创伤事件受害者的这一持续时间为41.6±11.8个月。就该障碍的严重程度而言，DTS量表的总分在恐怖袭击受害者中为65.6±26.9，在经历其他创伤事件的人群中为78.2±28.2。然而，差异无统计学意义；回避和过度警觉聚类显示出重要的统计学意义。
在严重程度方面不存在显著差异，这表明无论引发创伤后应激障碍的事件类型如何，它都是一种致残性疾病；然而，该障碍在持续时间方面存在显著差异，这促使我们思考针对恐怖主义受害者进行早期诊断的重要性，以避免慢性化风险以及发展为其他精神疾病如抑郁症。
