Fung Hong Wang, Chien Wai Tong, Lam Stanley Kam Ki, Ross Colin A
Department of Social Work, Hong Kong Baptist University, Kowloon Tong, Hong Kong SAR, China.
The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China.
Front Psychiatry. 2022 Oct 19;13:953001. doi: 10.3389/fpsyt.2022.953001. eCollection 2022.
Trauma has been increasingly linked to depression. Previous studies have suggested that comorbid post-traumatic stress disorder (PTSD) may be associated with poor outcomes in depression treatment. However, the prevalence and correlates of ICD-11 PTSD and complex PTSD (CPTSD) in people with depression remain unclear.
This study examined the prevalence and correlates of ICD-11 PTSD and CPTSD in an online convenience sample of 410 adults from 18 different countries/regions who reported clinically significant levels of depressive symptoms (indicated by a Patient Health Questionnaire-9 score ≥10).
According to the International Trauma Questionnaire results, 62.68% of participants met the ICD-11 criteria for PTSD/CPTSD (5.6% PTSD, 57.1% CPTSD). Participants with CPTSD reported more types of trauma and higher levels of interpersonal stress than those without PTSD. Participants with CPTSD also reported higher levels of mental health problems, including depressive, dissociative and psychotic symptoms, than those without PTSD. Only disturbances in self-organization (DSO) symptoms but not classical PTSD symptoms had a significant relationship with depressive symptoms, when other major variables (including trauma, interpersonal stress, and comorbid psychotic and dissociative symptoms) were controlled for.
Trauma-related symptoms should be regularly screened for in clients who report depressive symptoms. Depressed clients who have comorbid trauma disorders have more trauma and interpersonal stress and exhibit more severe mental health problems. They may require specific trauma-focused interventions in addition to standard depression treatments.
创伤与抑郁症的关联日益密切。先前的研究表明，创伤后应激障碍（PTSD）共病可能与抑郁症治疗效果不佳有关。然而，抑郁症患者中ICD - 11创伤后应激障碍和复杂性创伤后应激障碍（CPTSD）的患病率及其相关因素仍不清楚。
本研究在一个在线便利样本中，对来自18个不同国家/地区的410名成年人进行了调查，这些成年人报告有临床显著水平的抑郁症状（由患者健康问卷-9评分≥10表示），以检查ICD - 11创伤后应激障碍和复杂性创伤后应激障碍的患病率及其相关因素。
根据国际创伤问卷结果，62.68%的参与者符合ICD - 11创伤后应激障碍/复杂性创伤后应激障碍标准（5.6%为创伤后应激障碍，57.1%为复杂性创伤后应激障碍）。与没有创伤后应激障碍的参与者相比，患有复杂性创伤后应激障碍的参与者报告的创伤类型更多，人际压力水平更高。患有复杂性创伤后应激障碍的参与者还报告说，与没有创伤后应激障碍的参与者相比，他们的心理健康问题水平更高，包括抑郁、解离和精神病性症状。在控制了其他主要变量（包括创伤、人际压力以及共病的精神病性和解离性症状）后，只有自我组织紊乱（DSO）症状而非经典的创伤后应激障碍症状与抑郁症状有显著关系。
对于报告有抑郁症状的患者，应定期筛查与创伤相关的症状。患有创伤相关障碍共病的抑郁症患者有更多的创伤和人际压力，并且表现出更严重的心理健康问题。除了标准的抑郁症治疗外，他们可能还需要特定的以创伤为重点的干预措施。
