Cao Yue, Li Chao, Newman Susan, Lucas Jasmine, Charlifue Susan, Krause James S
Department of Health Sciences and Research.
Nursing Department, College of Nursing, Medical University of South Carolina.
Rehabil Psychol. 2017 May;62(2):178-185. doi: 10.1037/rep0000135. Epub 2017 Apr 27.
The objective of the study was to identify the relationships of demographics, injury-related characteristics, employment, depressive symptoms, and health events with posttraumatic stress disorder (PTSD) among participants with spinal cord injury.
A total of 1,063 participants were recruited from 3 sites in different regions (Southeastern, Mountain, and Western) of the United States. Hispanics and non-Hispanic Blacks were oversampled. Three hundred sixty-nine were non-Hispanic White, followed by 361 non-Hispanic Black, 277 Hispanic, and 56 from other racial-ethnic groups. PTSD was measured by the Purdue PTSD Scale-Revised. All variables were measured by self-report. Multivariate logistic regression models were developed to assess the association between PTSD and multiple variables.
The overall prevalence of PTSD across all participants was 24.9%, and the mean PTSD score of all participants was 34.7 (SD = 14.6). PTSD was associated with depression, frequency of medication use for depression or stress, number of times receiving medical care because of injury in the past year, and race-ethnicity (lower among non-Hispanic Whites).
PTSD was relatively prevalent in this study. PTSD was highly comorbid with depressive disorders and associated with post-spinal cord injuries within the previous year. (PsycINFO Database Record
本研究的目的是确定脊髓损伤参与者的人口统计学、损伤相关特征、就业、抑郁症状和健康事件与创伤后应激障碍（PTSD）之间的关系。
从美国不同地区（东南部、山区和西部）的3个地点招募了总共1063名参与者。西班牙裔和非西班牙裔黑人被过度抽样。369名是非西班牙裔白人，其次是361名非西班牙裔黑人、277名西班牙裔和56名来自其他种族/族裔群体。PTSD通过修订后的普渡PTSD量表进行测量。所有变量均通过自我报告进行测量。建立多变量逻辑回归模型以评估PTSD与多个变量之间的关联。
所有参与者中PTSD的总体患病率为24.9%，所有参与者的PTSD平均得分为34.7（标准差=14.6）。PTSD与抑郁、因抑郁或压力而使用药物的频率、过去一年因受伤接受医疗护理的次数以及种族/族裔（非西班牙裔白人中较低）有关。
PTSD在本研究中相对普遍。PTSD与抑郁症高度共病，且与前一年脊髓损伤后有关。（PsycINFO数据库记录）
