文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

在联邦合格健康中心接受治疗的患者中,创伤暴露情况存在相关性。

Trauma exposure correlates among patients receiving care in federally qualified health centers.

作者信息

Blanchard Brittany E, Bluett Ellen J, Johnson Morgan, Zimberoff Anya, Fortney John C

机构信息

Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington, USA.

Family Medicine Residency of Western Montana, University of Montana, Missoula, Montana, USA.

出版信息

J Trauma Stress. 2024 Dec;37(6):864-876. doi: 10.1002/jts.23055. Epub 2024 May 14.


DOI:10.1002/jts.23055
PMID:38743483
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12005182/
Abstract

Over 80% of adults in the general population experience trauma. Rates of patients with posttraumatic stress disorder (PTSD) are high in primary care settings and are likely to be even higher in federally qualified health centers (FQHCs). Trauma exposure has been linked to psychiatric symptoms and physical health comorbidities, though little research has focused on FQHC patients. This study addresses this by examining clinical and sociodemographic correlates of specific trauma types among FQHC patients. We analyzed secondary data from patients who screened positive for PTSD and were receiving health care in FQHCs in a clinical trial (N = 978). Individuals who did versus did not experience a specific trauma type were compared using between-group tests. In the sample, 91.3% of participants were exposed to a DSM-5 Criterion A traumatic event, with 79.6% experiencing two or more trauma types. Witnessing a life-threatening event (57.3%) and physical assault (55.7%) were the most common traumatic experiences. Physical health comorbidities and worse physical health functioning were associated with a higher likelihood of exposure to all trauma types, with effect sizes larger than PTSD, ds = 0.78-1.35. Depressive and anxiety symptoms were also associated with a higher likelihood of experiencing nearly all trauma types to a lesser magnitude. People of color, OR = 2.45, and individuals experiencing financial inequities, OR = 1.73, had higher odds of experiencing serious accidents as well as other trauma types. The findings highlight the need for trauma-informed care, including routine trauma and PTSD screening, for FQHC patients.

摘要

普通人群中超过80%的成年人经历过创伤。创伤后应激障碍(PTSD)患者在初级保健机构中的比例很高,在联邦合格健康中心(FQHCs)可能更高。创伤暴露与精神症状和身体健康合并症有关,尽管很少有研究关注FQHC患者。本研究通过检查FQHC患者中特定创伤类型的临床和社会人口学相关因素来解决这一问题。我们分析了一项临床试验中在FQHC接受医疗保健且PTSD筛查呈阳性的患者的二级数据(N = 978)。使用组间检验比较经历与未经历特定创伤类型的个体。在样本中,91.3%的参与者暴露于DSM-5 A标准创伤事件,79.6%的人经历了两种或更多种创伤类型。目睹危及生命的事件(57.3%)和身体攻击(55.7%)是最常见的创伤经历。身体健康合并症和较差的身体健康功能与接触所有创伤类型的可能性较高有关,效应大小大于PTSD,ds = 0.78 - 1.35。抑郁和焦虑症状也与经历几乎所有创伤类型的较高可能性在较小程度上相关。有色人种(OR = 2.45)和经历经济不平等的个体(OR = 1.73)经历严重事故以及其他创伤类型的几率更高。研究结果强调了对FQHC患者进行创伤知情护理的必要性,包括常规创伤和PTSD筛查。

相似文献

[1]
Trauma exposure correlates among patients receiving care in federally qualified health centers.

J Trauma Stress. 2024-12

[2]
Examining Rates of Traumatic Events and Posttraumatic Stress Disorder Symptoms Among Autistic Adults.

Autism Adulthood. 2024-9-16

[3]
Psychological therapies for post-traumatic stress disorder and comorbid substance use disorder.

Cochrane Database Syst Rev. 2016-4-4

[4]
Psychological and pharmacological interventions for posttraumatic stress disorder and comorbid mental health problems following complex traumatic events: Systematic review and component network meta-analysis.

PLoS Med. 2020-8-19

[5]
Psychological therapies for children and adolescents exposed to trauma.

Cochrane Database Syst Rev. 2016-10-11

[6]
The Black Book of Psychotropic Dosing and Monitoring.

Psychopharmacol Bull. 2024-7-8

[7]
Debriefing interventions for the prevention of psychological trauma in women following childbirth.

Cochrane Database Syst Rev. 2015-4-10

[8]
Gunshot Trauma Patients Have Higher Risk of PTSD Compared With Blunt Trauma and Elective Populations: A Retrospective Comparative Study of Outpatient Orthopaedic Care.

Clin Orthop Relat Res. 2024-11-1

[9]
Psychological therapies for the treatment of mental disorders in low- and middle-income countries affected by humanitarian crises.

Cochrane Database Syst Rev. 2018-7-5

[10]
Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID-19.

Cochrane Database Syst Rev. 2022-5-20

本文引用的文献

[1]
The efficacy of psychological interventions for adult post-traumatic stress disorder following exposure to single versus multiple traumatic events: a meta-analysis of randomised controlled trials.

Lancet Psychiatry. 2024-2

[2]
Rethinking mental healthcare for refugees.

SSM Ment Health. 2023-12

[3]
Screening for opioid use disorder and co-occurring depression and post-traumatic stress disorder in primary care in New Mexico.

Addict Sci Clin Pract. 2023-1-27

[4]
How to Act Upon Racism-not Race-as a Risk Factor.

JAMA Health Forum. 2022-2-4

[5]
The associations between traumatic experiences and subsequent onset of a substance use disorder: Findings from the World Health Organization World Mental Health surveys.

Drug Alcohol Depend. 2022-11-1

[6]
A trauma model of substance use: Elaboration and preliminary validation.

Addict Behav. 2022-11

[7]
Diagnostic accuracy of the Primary Care PTSD Screen for DSM-5 (PC-PTSD-5) within a civilian primary care sample.

J Clin Psychol. 2022-11

[8]
The History and Applications of the Veterans RAND 12-Item Health Survey (VR-12).

J Ambul Care Manage. 2022

[9]
Comparison of Teleintegrated Care and Telereferral Care for Treating Complex Psychiatric Disorders in Primary Care: A Pragmatic Randomized Comparative Effectiveness Trial.

JAMA Psychiatry. 2021-11-1

[10]
Universal screening and trauma informed care: Current concerns and future directions.

Fam Syst Health. 2021-9

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索