Department of Social Work, Hong Kong Baptist University, Kowloon, Hong Kong.
Department of Counselling and Psychology, Hong Kong Shue Yan University, North Point, Hong Kong.
Int J Soc Psychiatry. 2023 Jun;69(4):895-905. doi: 10.1177/00207640221141018. Epub 2022 Dec 1.
Complex post-traumatic stress disorder (CPTSD) is a newly recognized trauma disorder in ICD-11. Little is known about the prevalence and correlates of CPTSD in primary care settings. Its cultural aspects also remained minimally explored. This study investigated the prevalence and sociocultural correlates of PTSD and complex PTSD among Chinese community health service users in Hong Kong.
This study investigated ICD-11 PTSD and CPTSD in a sample of adults ( = 376) who had recently received services from Registered Chinese Medicine Practitioners in Hong Kong. Traditional Chinese medicine service is part of primary care services in Chinese societies. Participants completed self-report measures of CPTSD, trauma exposure, perceived family support, perceived caregiver's Chinese traditionality/modernity, participation (social activities and occupational productivity), depression and pain.
The past-month prevalence of ICD-11 PTSD and CPTSD was 5.6% and 18.4%, respectively, in our sample. Chi-square tests and one-way ANOVAs revealed that participants with CPTSD were younger and reported more trauma, lower family support, lower levels of social participation and productivity, more depressive symptoms and pain, and more social welfare and mental health service usages than those without PTSD. We found that perceived caregiver's Chinese modernity (e.g. egalitarianism) was negatively correlated with CPTSD symptoms. Apart from age, non-betrayal trauma had the strongest association with classical PTSD symptoms, while betrayal trauma and perceived family support had the strongest association with disturbances in self-organization symptoms.
This study provides the first data regarding the prevalence and correlates of ICD-11 PTSD and CPTSD among community health service users in Hong Kong. PTSD and CPTSD are common but often unrecognized mental health problems which are associated with more impairments and more service needs.
复杂创伤后应激障碍（CPTSD）是 ICD-11 中新确认的创伤障碍。在初级保健环境中，CPTSD 的患病率和相关因素知之甚少。其文化方面也很少被探讨。本研究调查了香港社区卫生服务使用者中 PTSD 和 CPTSD 的患病率和社会文化相关因素。
本研究调查了最近在香港注册中医师处接受服务的成年人样本（n=376）中 ICD-11 PTSD 和 CPTSD。中医服务是华人社会初级保健服务的一部分。参与者完成了 CPTSD、创伤暴露、感知家庭支持、感知照顾者的中国传统性/现代性、参与（社交活动和职业生产力）、抑郁和疼痛的自我报告量表。
在我们的样本中，过去一个月 ICD-11 PTSD 和 CPTSD 的患病率分别为 5.6%和 18.4%。卡方检验和单因素方差分析显示，CPTSD 患者年龄较小，报告的创伤较多，家庭支持较低，社交参与和生产力水平较低，抑郁和疼痛症状较多，社会福利和精神卫生服务使用率较高。我们发现，感知照顾者的中国现代性（例如平等主义）与 CPTSD 症状呈负相关。除了年龄之外，非背叛创伤与经典 PTSD 症状的关联最强，而背叛创伤和感知家庭支持与自我组织障碍症状的关联最强。
本研究首次提供了香港社区卫生服务使用者中 ICD-11 PTSD 和 CPTSD 的患病率和相关因素的数据。PTSD 和 CPTSD 是常见但常被忽视的心理健康问题，与更多的损伤和更多的服务需求相关。
