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创伤后应激障碍成年患者创伤事件类型及共病的心理和身体疾病评估:一项回顾性研究

Evaluation of Types of Traumatic Events and Comorbid Mental and Physical Diseases in Adults with Posttraumatic Stress Disorder: A Retrospective Study.

作者信息

Laçiner Kerem, Şenol Yiğit

机构信息

Department of Psychiatry, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, Turkey.

Department of Public Health, Afyonkarahisar Provicial Health Directorate, Afyonkarahisar, Turkey.

出版信息

Noro Psikiyatr Ars. 2024 Jan 17;67(3):235-240. doi: 10.29399/npa.28651. eCollection 2024.

Abstract

INTRODUCTION

In this study, mental and physical illnesses, types of traumatic events, frequency of recurrence and sociodemographic characteristics of patients with Posttraumatic Stress Disorder (PTSD) were examined.

METHODS

The study included the files of 179 patients over the age of 18 who were admitted to the psychiatry outpatient clinic between 01.12.2010 and 31.01.2023 and diagnosed with PTSD. The data was obtained from the hospital automation system and national database.

RESULTS

Of the 44 patients diagnosed with a single comorbid mental illness, 45.5% had mixed anxiety and depressive disorder and 36.4% had a depressive disorder. The rate of patients with comorbid mental illness in PTSD was 51.4%, and chronic physical illness was observed in 59.8%. In our study, sexual trauma and domestic violence had the highest recurrence rates among traumatic events (80%).

CONCLUSION

Comorbid mental and physical illnesses are common in PTSD. The lack of adequate examination time and an appropriate therapeutic environment causes this diagnosis to be missed by clinicians and prevents patients from getting an ideal health service. In order to prevent recurrences of sexual traumas and domestic violence, the competent authorities must make practices of protecting socially disadvantaged groups more effective and act in accordance with international conventions.

摘要

引言

在本研究中,对创伤后应激障碍(PTSD)患者的精神和身体疾病、创伤事件类型、复发频率及社会人口学特征进行了检查。

方法

该研究纳入了2010年12月1日至2023年1月31日期间入住精神科门诊且被诊断为PTSD的179名18岁以上患者的病历。数据来自医院自动化系统和国家数据库。

结果

在44名被诊断患有单一共病精神疾病的患者中,45.5%患有混合性焦虑和抑郁障碍,36.4%患有抑郁障碍。PTSD中共病精神疾病的患者比例为51.4%,观察到慢性身体疾病的比例为59.8%。在我们的研究中,性创伤和家庭暴力在创伤事件中复发率最高(80%)。

结论

PTSD患者中精神和身体共病很常见。缺乏足够的检查时间和合适的治疗环境导致临床医生漏诊,使患者无法获得理想的医疗服务。为防止性创伤和家庭暴力的复发,主管当局必须提高保护社会弱势群体措施的有效性,并按照国际公约行事。

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