Kazlauskas Evaldas, Zelviene Paulina, Eimontas Jonas
Department of Clinical and Organizational Psychology, Vilnius University, Lithuania.
J Trauma Stress. 2017 Feb;30(1):99-102. doi: 10.1002/jts.22152. Epub 2017 Jan 10.
Lithuanian National Health Insurance (NHI) registry data from 2014 and 2015 were used to estimate the annual rates of posttraumatic stress disorder (PTSD) and other stress-related disorders in Lithuania. A large gap was found between 12-month PTSD prevalence based on epidemiological data and annual PTSD rates based on health care service utilization in Lithuania. Estimations from the health care service's utilization data revealed that only about 0.01% to 0.02% of the population in Lithuania is diagnosed with PTSD annually, indicating that the national health care system identifies only about 1% of potential PTSD cases in Lithuania. The low rates of PTSD diagnoses in the health care system seem to indicate a lack of recognition of psychological trauma among general practitioners and mental health professionals in Lithuania. The lack of visibility of PTSD in the national health care system could be a major barrier to the treatment of PTSD in the country. The study indicates the importance of social factors, especially the recognition of trauma and PTSD, among health care professionals.
利用2014年和2015年立陶宛国家健康保险（NHI）登记数据，估算立陶宛创伤后应激障碍（PTSD）及其他应激相关障碍的年发病率。基于流行病学数据的12个月PTSD患病率与基于立陶宛医疗服务利用情况的PTSD年发病率之间存在较大差距。医疗服务利用数据的估算结果显示，立陶宛每年仅有约0.01%至0.02%的人口被诊断为PTSD，这表明国家医疗系统仅识别出立陶宛约1%的潜在PTSD病例。医疗系统中PTSD诊断率较低似乎表明立陶宛的全科医生和心理健康专业人员对心理创伤缺乏认识。PTSD在国家医疗系统中缺乏可见性可能是该国PTSD治疗的主要障碍。该研究表明了社会因素的重要性，尤其是医疗保健专业人员对创伤和PTSD的认识。
