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伊朗和巴基斯坦地震后创伤后应激障碍的患病率:系统评价和荟萃分析。

Prevalence of Posttraumatic Stress Disorder Following the Earthquake in Iran and Pakistan: A Systematic Review and Meta-Analysis.

机构信息

Health in Disasters and Emergencies Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.

Department of Health, Faculty of Nursing and Midwifery and Health, Islamic Azad University, Kerman Branch, Kerman, Iran.

出版信息

Disaster Med Public Health Prep. 2022 Apr;16(2):801-808. doi: 10.1017/dmp.2020.411. Epub 2021 Mar 29.

Abstract

Posttraumatic stress disorder (PTSD) is a common mental disorder following traumatic events. The present study was conducted to understand the prevalence of PTSD after the earthquake in Iran and Pakistan. The review includes all articles published from inception to March 2019. The pooled prevalence for overall PTSD was 55.6% (95% CI: 49.9-61.3). It was 60.2% (95% CI: 54.1-66.3) and 49.2% (95% CI: 39.4-59) for Iranian and Pakistani survivors, respectively. Women experienced higher incidence of PTSD than men. The variation of PTSD based on the clinical interview was lower than the self-report approach. The interval time between the earthquakes and the assessment showed that the prevalence of PTSD decreased over time. The prevalence of PTSD in Iran and Pakistan was higher than the global average, and the rate of the disorder in Iran was higher than in Pakistan. Sex, method of assessment, and time lag between the occurrence of disaster and assessment of PTSD affect the prevalence.

摘要

创伤后应激障碍(PTSD)是创伤后常见的精神障碍。本研究旨在了解伊朗和巴基斯坦地震后 PTSD 的患病率。综述包括从开始到 2019 年 3 月发表的所有文章。总体 PTSD 的合并患病率为 55.6%(95%CI:49.9-61.3)。伊朗和巴基斯坦幸存者的患病率分别为 60.2%(95%CI:54.1-66.3)和 49.2%(95%CI:39.4-59)。女性经历 PTSD 的发生率高于男性。基于临床访谈的 PTSD 变化低于自我报告方法。地震与评估之间的时间间隔表明,随着时间的推移,PTSD 的患病率下降。伊朗和巴基斯坦的 PTSD 患病率高于全球平均水平,伊朗的发病率高于巴基斯坦。性别的影响、评估方法和灾难发生与 PTSD 评估之间的时间间隔会影响 PTSD 的患病率。

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