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创伤后应激障碍是否与身体创伤的严重程度有关?

Is post-traumatic stress disorder related to the severity of physical trauma?

机构信息

Giresun University, Faculty of Medicine, Department of Forensic Medicine - Giresun, Turkey.

The Ministry of Justice Council of Forensic Medicine - Istanbul, Turkey.

出版信息

Rev Assoc Med Bras (1992). 2023 Sep 18;69(9):e20230439. doi: 10.1590/1806-9282.20230439. eCollection 2023.

Abstract

OBJECTIVE

Trauma can cause physical morbidity and even result in death. Besides, it can lead to serious mental problems as well. The most well-known mental health problem is post-traumatic stress disorder. Through this study, it was primarily aimed to find out whether the severity of physical trauma is effective on post-traumatic stress disorder and other risk factors if any.

METHODS

The reports of the patients who were transferred to the Turkish Council of Forensic Medicine Third Speciality Board between January 01, 2019, and December 31, 2020, for post-traumatic invalidity or disability evaluation and whose psychiatric examinations were performed were retrospectively analyzed in the electronic environment.

RESULTS

It was found that 34 (26.4%) of the patients had a diagnosis of post-traumatic stress disorder (under treatment for at least 6 months), while 76 (58.9%) of them did not have a psychiatric disease and 19 (14.7%) of them had mental disorders not associated with trauma (i.e., affective disorder, anxiety disorder, etc.). No significant correlation was found between trauma scores and post-traumatic stress disorder (p>0.05).

CONCLUSION

Based on the results of our study, post-traumatic stress disorder and the severity of physical trauma are not significantly correlated. Being of female gender, sustaining a non-accidental injury, and witnessing a fatal event stand out as significant risk factors.

摘要

目的

创伤可导致躯体发病,甚至导致死亡。此外,它还可能导致严重的精神问题。最著名的心理健康问题是创伤后应激障碍。通过这项研究,主要目的是确定躯体创伤的严重程度是否对创伤后应激障碍和任何其他风险因素有影响。

方法

在电子环境中对 2019 年 1 月 1 日至 2020 年 12 月 31 日期间因创伤后丧失工作能力或残疾而被转移到土耳其法医理事会第三专业委员会的患者的报告进行回顾性分析,这些患者接受了精神病学检查。

结果

发现 34 名(26.4%)患者被诊断为创伤后应激障碍(至少接受了 6 个月的治疗),而 76 名(58.9%)患者没有精神疾病,19 名(14.7%)患者患有与创伤无关的精神障碍(即情感障碍、焦虑障碍等)。创伤评分与创伤后应激障碍之间无显著相关性(p>0.05)。

结论

根据我们的研究结果,创伤后应激障碍与躯体创伤的严重程度无显著相关性。女性、非意外损伤和目睹致命事件是显著的风险因素。

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