Farhood Laila, Fares Souha, Hamady Carmen
Hariri School of Nursing, American University of Beirut, Beirut, Lebanon.
Psychiatry Department, American University of Beirut Medical Center, Beirut, Lebanon.
Arch Womens Ment Health. 2018 Dec;21(6):735-743. doi: 10.1007/s00737-018-0874-6.
AbstractThe female-male ratio in the prevalence of post-traumatic stress disorder (PTSD) is approximately 2:1. Gender differences in experienced trauma types, PTSD symptom clusters, and PTSD risk factors are unclear. We aimed to address this gap using a cross-sectional design. A sample of 991 civilians (522 women, 469 men) from South Lebanon was randomly selected in 2007, after the 2006 war. Trauma types were grouped into disaster and accident, loss, chronic disease, non-malignant disease, and violence. PTSD symptom clusters involved re-experiencing, avoidance, negative cognitions and mood, and arousal. These were assessed using parts I and IVof the Arabic version of the Harvard Trauma Questionnaire (HTQ). Risk factors were assessed using data from a social support and life events questionnaire in multiple regression models. Females were twice as likely as males to score above PTSD threshold (24.3 vs. 10.4%, p ˂ 0.001). Total scores on all trauma types were similar across genders. Females scored higher on all symptom clusters (p < 0.001). Social support, social life events, witnessed traumas, and domestic violence significantly were associated with PTSD in both genders. Social support, social life events, witnessed traumas and domestic violence were significantly associated with PTSD in both genders. Conversely, gender difference in experienced traumas was not statistically significant. These findings accentuate the need to re-consider the role of gender in the assessment and treatment of PTSD.
创伤后应激障碍(PTSD)患病率的男女比例约为2:1。经历的创伤类型、PTSD症状群以及PTSD风险因素方面的性别差异尚不清楚。我们旨在采用横断面设计来填补这一空白。2006年战争后,于2007年从黎巴嫩南部随机抽取了991名平民样本(522名女性,469名男性)。创伤类型分为灾难与事故、损失、慢性病、非恶性疾病以及暴力。PTSD症状群包括重新体验、回避、消极认知与情绪以及觉醒。这些通过哈佛创伤问卷(HTQ)阿拉伯语版的第一部分和第四部分进行评估。风险因素通过社会支持和生活事件问卷的数据在多元回归模型中进行评估。女性得分高于PTSD阈值的可能性是男性的两倍(24.3%对10.4%,p<0.001)。所有创伤类型的总分在性别间相似。女性在所有症状群上得分更高(p<0.001)。社会支持、社交生活事件、目睹的创伤以及家庭暴力在男女两性中均与PTSD显著相关。相反,经历的创伤方面的性别差异无统计学意义。这些发现强调了重新考虑性别在PTSD评估和治疗中的作用的必要性。