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创伤后应激障碍在 COVID-19 大流行背景下有意义吗?对范·奥弗迈尔对卡拉齐亚斯等人(2020 年)评论的回应。

Is Posttraumatic Stress Disorder Meaningful in the Context of the COVID-19 Pandemic? A Response to Van Overmeire's Commentary on Karatzias et al. (2020).

机构信息

School of Psychology, Ulster University, Derry, Northern Ireland.

Department of Psychology, Maynooth University, Kildare, Ireland.

出版信息

J Trauma Stress. 2020 Oct;33(5):866-868. doi: 10.1002/jts.22592. Epub 2020 Oct 2.

Abstract

In a recently published study in this journal that used a population-based sample in the Republic of Ireland (Karatzias et al., 2020), we concluded that 17.7% of the sample met the diagnostic requirements for COVID-19-related posttraumatic stress disorder (PTSD). Subsequently, Van Overmeire (2020) has raised concerns about the validity of our findings, arguing that simply experiencing the COVID-19 pandemic is not sufficient to meet the trauma exposure criterion for a PTSD diagnosis and, consequently, our estimated PTSD prevalence figure was inflated. In this response, we provide (a) an explanation for why the COVID-19 pandemic can be reasonably considered to be a traumatic event, (b) evidence that PTSD in response to the COVID-19 pandemic is a meaningful construct, and (c) an argument for why our estimated prevalence rate is not unreasonably high.

摘要

在最近发表于该期刊的一项研究中,我们使用了爱尔兰共和国的基于人群的样本(Karatzias 等人,2020 年),得出结论,该样本中有 17.7%符合 COVID-19 相关创伤后应激障碍(PTSD)的诊断要求。随后,Van Overmeire(2020 年)对我们研究结果的有效性表示担忧,认为仅仅经历 COVID-19 大流行并不足以满足 PTSD 诊断的创伤暴露标准,因此,我们估计的 PTSD 患病率被夸大了。在本次回应中,我们提供了(a)为什么 COVID-19 大流行可以合理地被视为创伤性事件的解释,(b)表明 COVID-19 大流行导致 PTSD 是一个有意义的概念的证据,以及(c)为什么我们估计的患病率并非不合理地高的论据。

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