Faustman W O, White P A
Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine.
J Nerv Ment Dis. 1989 Mar;177(3):154-9. doi: 10.1097/00005053-198903000-00005.
Descriptive information (demographic variables, DSM-III diagnoses, and medications prescribed) was obtained from the discharge summaries of 536 male veteran inpatients who received a diagnosis of posttraumatic stress disorder (PTSD) over a 4-year period. Data comparisons were also made between two types of inpatient programs (specialized PTSD vs. psychiatric ward) to control for program selection biases. Consistent with previous studies, alcohol and substance abuse and/or depression diagnoses occurred concurrently with PTSD. Diagnoses of schizophrenia were more prevalent in the psychiatric wards. Nearly one third of the total sample received an axis II diagnosis, with borderline features most common. Half of all patients received psychopharmacological treatment in addition to psychotherapy. Antidepressants, neuroleptics, and beta-blockers were prescribed most frequently. Directions for future inpatient PTSD research are offered based on the findings.
描述性信息（人口统计学变量、DSM-III诊断结果和所开药物）来自536名男性退伍军人住院患者的出院小结，这些患者在4年期间被诊断为创伤后应激障碍（PTSD）。还对两种住院治疗项目（专门的PTSD项目与精神科病房）进行了数据比较，以控制项目选择偏差。与先前的研究一致，酒精和药物滥用及/或抑郁症诊断与PTSD同时出现。精神分裂症的诊断在精神科病房更为普遍。几乎三分之一的总样本接受了轴II诊断，边缘型特征最为常见。所有患者中有一半除接受心理治疗外还接受了精神药物治疗。抗抑郁药、抗精神病药和β受体阻滞剂的处方最为频繁。根据研究结果给出了未来住院PTSD研究的方向。
