波兰的儿童期不良经历与国际疾病分类第 11 版复杂创伤后应激障碍:一项基于人群的研究。

Adverse childhood experiences and ICD-11 complex posttraumatic stress disorder in Poland: a population-based study.

机构信息

Faculty of Psychology, University of Warsaw, Warsaw, Poland.

Faculty of Psychology, SWPS University of Social Sciences and Humanities, Warsaw, Poland.

出版信息

Eur J Psychotraumatol. 2024;15(1):2420464. doi: 10.1080/20008066.2024.2420464. Epub 2024 Nov 5.

Abstract

Research on the prevalence of ICD-11-based complex posttraumatic stress disorder (CPTSD) in nationally representative samples is lacking, with no such studies conducted considering national Polish samples until now. The primary aim of this study was to explore profiles of study participants in terms of either PTSD or CPTSD symptoms regarding to ICD-11 diagnosis with the aid of latent profile analysis. We also investigated the relationship between the types and cumulative number of adverse childhood experiences (ACEs) with the probability of CPTSD rate in a national sample of Poles. A representative sample of Polish adults ( = 3,557) participated in this study. ACEs were assessed using the Adverse Childhood Experiences Questionnaire, while the core features of PTSD and CPTSD were measured using the International Trauma Questionnaire. The findings showed a 11% prevalence rate of probable CPTSD in the studied sample of Poles. Sexual abuse, emotional neglect, physical neglect and having the experience of a mentally ill household member were the most significant predictors of potential diagnosis. Furthermore, significant differences concerning lifestyle data were observed in the group of participants with CPTSD. The current rate of probable CPTSD in Poland is substantially higher than the respective data reported for other countries. We also noted that the ICD-11 diagnosis of CPTSD may not apply to all cultural environments. Finally, it was observed that the ACEs - CPTSD association may depend both on the ACEs types as well as on their overall cumulative character.

摘要

目前缺乏基于国际疾病分类第 11 版(ICD-11)的复杂创伤后应激障碍(CPTSD)在全国代表性样本中的流行情况研究,直到现在,还没有考虑波兰全国样本的此类研究。本研究的主要目的是通过潜在剖面分析,探讨研究参与者在 PTSD 或 CPTSD 症状方面的研究对象特征,以 ICD-11 诊断为依据。我们还调查了在波兰全国样本中,各种类型和累积数量的儿童期不良经历(ACEs)与 CPTSD 发生率之间的关系。该研究的代表性波兰成年人样本(n=3557)参与了此项研究。使用儿童期不良经历问卷(Adverse Childhood Experiences Questionnaire)评估 ACEs,使用国际创伤问卷(International Trauma Questionnaire)评估 PTSD 和 CPTSD 的核心特征。研究结果显示,在研究的波兰样本中,可能患有 CPTSD 的比例为 11%。性虐待、情感忽视、身体忽视和有精神疾病家庭成员的经历是潜在诊断的最显著预测因素。此外,在 CPTSD 组的参与者中,关于生活方式数据的差异具有统计学意义。目前波兰的 CPTSD 患病率明显高于其他国家报告的相应数据。我们还注意到,CPTSD 的 ICD-11 诊断可能不适用于所有文化环境。最后,观察到 ACEs - CPTSD 之间的关联可能取决于 ACEs 的类型及其整体累积特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc10/11539400/74c1420fe482/ZEPT_A_2420464_F0001_OC.jpg

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