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机动车事故所致创伤后应激障碍患者的发病率及人口统计学特征

Incidence and demographical characteristics of patients with post-traumatic stress disorder due to motor vehicle accidents.

作者信息

Bahari R, Mohamad Alwi M N, Ahmad M R, Mohd Saiboon I

机构信息

(Corresponding author) MRCPsych Faculty of Medicine, Cyberjaya University College of Medical sciences, No 3410, Jalan Teknokrat 3, Cyber 4, 63000 Cyberjaya, selangor, Malaysia. email:

PhD Cyberjaya University College of Medical sciences, selangor, Malaysia.

出版信息

Malays Fam Physician. 2017 Dec 31;12(3):2-7. eCollection 2017.

Abstract

INTRODUCTION

Motor vehicle accidents (MVAs) are daily occurrences in Malaysia but the extent to which victims are psychologically affected is not well known. The objective of this study is to determine the incidence and demographic characteristics of patients with post-traumatic stress disorder (PTSD) due to MVAs at a university hospital in Malaysia.

METHODS

Patients presenting to the emergency department from August to October 2014 due to MVA-related injuries were recruited. After a period of at least one month, they were followed-up and screened using the validated Malay Post Traumatic Stress Disorder Checklist Civilian version. A score of 30 was chosen as the cut-off point for PTSD.

RESULTS

In total, 112 patients presented to the emergency department following MVAs during the study period. Of these, 60.7% agreed for the follow-up. Among the respondents, the mean age was 26 years, 91.2% were males, 66.2% were married, 85.3% were Malays and 88.3% were Muslims. The calculated incidence of PTSD was 7.4%. There was no significant difference noted between the PTSD and non-PTSD groups.

CONCLUSION

A considerable number of MVA victims in Malaysia may develop PTSD after the accident. Further research is needed to explore the factors that contribute or protect to develop the condition.

摘要

引言

在马来西亚,机动车事故(MVA)每天都在发生,但受害者在心理上受到影响的程度却鲜为人知。本研究的目的是确定马来西亚一家大学医院中因机动车事故导致创伤后应激障碍(PTSD)患者的发病率和人口统计学特征。

方法

招募2014年8月至10月因机动车事故相关损伤到急诊科就诊的患者。经过至少一个月的时间后,对他们进行随访,并使用经过验证的马来语版创伤后应激障碍检查表平民版进行筛查。选择30分作为创伤后应激障碍的临界点。

结果

在研究期间,共有112名患者因机动车事故到急诊科就诊。其中,60.7%的人同意接受随访。在受访者中,平均年龄为26岁,91.2%为男性,66.2%已婚,85.3%为马来人,88.3%为穆斯林。计算得出的创伤后应激障碍发病率为7.4%。创伤后应激障碍组和非创伤后应激障碍组之间未发现显著差异。

结论

马来西亚相当数量的机动车事故受害者在事故后可能会患上创伤后应激障碍。需要进一步研究以探索促成或预防该病发生的因素。

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