Preston Alex K, White Wesley R, Sanders Karina E, Walker Breanna A, Durey Katelyn H, Brown Clare C, Coker Jessica L
Department of Psychiatry, University of Arkansas Medical Sciences, Little Rock, Arkansas.
Department of Psychiatry & Human Behavior, Alpert Medical School of Brown University, Providence, Rhode Island.
J Trauma Dissociation. 2025 Mar-Apr;26(2):280-291. doi: 10.1080/15299732.2024.2448427. Epub 2025 Jan 29.
Trauma disorders are prevalent and confer high rates of psychiatric comorbidity and functional impairment. Women are more likely to be affected by trauma disorders; however, rates and symptom burden in women's inpatient psychiatric units remains understudied. We hypothesized the prevalence of probable posttraumatic stress disorder (PTSD) would be higher among women admitted to a women's inpatient unit compared to women in the general population and mixed gender units. We evaluated demographic and clinical characteristics associated with probable PTSD diagnosis.
Screening for probable PTSD diagnosis was performed using the PTSD Checklist for DSM-5 (PCL-5) questionnaire. Descriptive statistics were completed to determine demographic and clinical characteristics associated with a probable PTSD diagnosis. Logistic regression was performed to assess the adjusted associations between covariates and probable PTSD.
We identified 262 patients, including 192 (73.3%) with probable PTSD. Individuals with probable PTSD had higher rates of previous suicide attempt (69.8% versus 34.3%; < .001), previous psychiatric hospitalization (73.4% vs 60.0%; = .04), and comorbid mood disorder (76.6% versus 54.3%; < .001). Formally diagnosed PTSD by the time of hospital discharge was observed in 70 (36.5%) of the women with probable PTSD. Logistic regression demonstrated that a previous suicide attempt and mood disorder increased the odds of probable PTSD.
These findings illuminate the high prevalence of probable PTSD on a women's psychiatric unit, supporting the need for increased screening and tailored treatment. Focusing on trauma-related symptoms could help alleviate patient suffering and improve treatment effectiveness.
创伤性障碍很常见，会导致高比例的精神疾病共病和功能损害。女性更容易受到创伤性障碍的影响；然而，女性住院精神科病房中的发病率和症状负担仍未得到充分研究。我们假设，与普通人群和男女混合病房的女性相比，入住女性住院病房的女性中，可能患有创伤后应激障碍（PTSD）的比例更高。我们评估了与可能的PTSD诊断相关的人口统计学和临床特征。
使用《精神疾病诊断与统计手册》第5版创伤后应激障碍检查表（PCL-5）问卷对可能的PTSD诊断进行筛查。完成描述性统计以确定与可能的PTSD诊断相关的人口统计学和临床特征。进行逻辑回归以评估协变量与可能的PTSD之间的校正关联。
我们确定了262名患者，其中192名（73.3%）可能患有PTSD。可能患有PTSD的个体既往自杀未遂率更高（69.8%对34.3%；P<0.001），既往有精神科住院史的比例更高（73.4%对60.0%；P=0.04），以及共病情绪障碍的比例更高（76.6%对54.3%；P<0.001）。在可能患有PTSD的女性中，70名（36.5%）在出院时被正式诊断为PTSD。逻辑回归表明，既往自杀未遂和情绪障碍会增加可能患有PTSD的几率。
这些发现揭示了女性精神科病房中可能患有PTSD的高患病率，支持加强筛查和针对性治疗的必要性。关注与创伤相关的症状有助于减轻患者痛苦并提高治疗效果。
