创伤暴露与精神障碍成年人中未被发现的创伤后应激障碍。
Trauma exposure and undetected posttraumatic stress disorder among adults with a mental disorder.
机构信息
Division of Psychological Medicine and Clinical Neuroscience, Cardiff University, Cardiff, UK.
Centre for Academic Mental Health, School of Social and Community Medicine, University of Bristol, Bristol, UK.
出版信息
Depress Anxiety. 2018 Feb;35(2):178-184. doi: 10.1002/da.22707. Epub 2017 Dec 15.
BACKGROUND
Trauma exposure and posttraumatic stress disorder (PTSD) are common among individuals with a mental disorder, but symptoms often go undetected and untreated.
METHODS
The aim of this study was to determine the prevalence of PTSD among a large sample of adults with psychiatric diagnoses and to establish factors associated with symptoms going undetected. Participants were 1,946 adults recruited by the National Centre for Mental Health. Structured interviews and validated self-report questionnaires were used to ascertain clinical and demographic information for analysis.
RESULTS
The prevalence of participants screening positive for PTSD that had not been detected by clinical services was 13.9% [12.4-15.5%, 95% confidence interval]). Factors associated with undetected PTSD were female gender, younger age of first contact with psychiatric services, and lower household income. Especially, poor rates of detection were observed after traumatic events, such as child abuse and sexual assault.
CONCLUSIONS
Our findings demonstrate the need for routine assessment of trauma histories and symptoms of PTSD among individuals with anymental disorder.
背景
创伤暴露和创伤后应激障碍（PTSD）在精神障碍患者中很常见，但症状常常未被发现和治疗。
方法
本研究旨在确定精神障碍成年患者中 PTSD 的患病率，并确定与症状未被发现相关的因素。参与者是由国家精神卫生中心招募的 1946 名成年人。使用结构化访谈和经过验证的自我报告问卷来确定分析用的临床和人口统计学信息。
结果
未被临床服务发现的 PTSD 筛查阳性患者的患病率为 13.9%[12.4-15.5%，95%置信区间]。与未被发现的 PTSD 相关的因素包括女性性别、首次接触精神卫生服务的年龄较小、家庭收入较低。特别是，在发生创伤事件后，如儿童虐待和性侵犯，检测率特别低。
结论
我们的研究结果表明，需要对任何精神障碍患者进行创伤史和 PTSD 症状的常规评估。
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