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压力下的生活研究:哥伦比亚创伤应激风险与恢复力因素病例对照调查的方法概述与基线数据分析

Estudio De La Vida Bajo Estres: Methodological Overview and Baseline Data Analysis of a Case-Control Investigation of Risk and Resiliency Factors for Traumatic Stress in Colombia.

作者信息

Robinson M, McGlinchey E, Ardila Y, Guillen F, Acosta N, Gomez J, Bloch N I, Hanna D, Akle V, Armour C

机构信息

Research Centre for Stress Trauma and Related Conditions (STARC), School of Psychology, Queen's University Belfast, David Keir Building, 18-30 Malone Road, Belfast, BT9 5BN, Northern Ireland, UK.

School of Medicine, Universidad de Los Andes, Bogota, Colombia.

出版信息

J Psychopathol Behav Assess. 2025;47(1):25. doi: 10.1007/s10862-025-10203-1. Epub 2025 Mar 1.

Abstract

UNLABELLED

The (My Life Under Stress [MI-VIDA] Study) aims to investigate risk and resilience factors associated with the development of PTSD in a trauma-exposed sample of more than 500 Colombian residents exposed to this country's armed conflict. The study utilised a longitudinal case-control design capturing psychosocial data over 18 months, in addition to baseline DNA samples for a parallel genomic analysis. This paper specifically provides an overview of the design and methodology of the wider investigation, and reports baseline characteristics including sociodemographic information and mental health outcome prevalences from this hard-to-reach and under-researched population. Results of baseline analysis suggested that one third (34.88%) of this trauma-exposed sample screened positively for PTSD. Participants endorsed high numbers of potentially traumatic experiences including Forced Displacement (88.61%), Exposure to Severe Human Suffering (53.91%), Combat Exposure (53.02%), and Physical Assault (51.78%). Participants also reported relatively high levels of mental ill-health including depression (29.90%) and anxiety (27.56%). The number of traumas experienced, and the reported comorbid difficulties were generally higher among those who screened positive for PTSD. These preliminary analyses detail the baseline characteristics, and the relative burden of mental ill-health in this trauma-exposed sample. The wider study comprising longitudinal measurement of these conditions has the potential to make a significant contribution to the understanding of risk and resiliency factors for posttraumatic stress in this unique Latin American context.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s10862-025-10203-1.

摘要

未标注

(“压力下的我的生活”[MI - VIDA]研究)旨在调查在500多名遭受该国武装冲突的哥伦比亚居民这一受创伤样本中,与创伤后应激障碍(PTSD)发展相关的风险和复原力因素。该研究采用纵向病例对照设计,除了用于平行基因组分析的基线DNA样本外,还在18个月内收集社会心理数据。本文具体概述了更广泛调查的设计和方法,并报告了基线特征,包括来自这个难以接触且研究不足的人群的社会人口学信息和心理健康结果患病率。基线分析结果表明,在这个受创伤样本中,三分之一(34.88%)的人PTSD筛查呈阳性。参与者认可大量潜在的创伤经历,包括被迫流离失所(88.61%)、接触严重人类苦难(53.91%)、战斗接触(53.02%)和身体攻击(51.78%)。参与者还报告了相对较高水平的心理健康问题,包括抑郁症(29.90%)和焦虑症(27.56%)。在PTSD筛查呈阳性的人群中,经历的创伤数量以及报告的共病困难通常更高。这些初步分析详细说明了该受创伤样本的基线特征以及心理健康问题的相对负担。包括对这些情况进行纵向测量的更广泛研究有可能为理解这一独特拉丁美洲背景下创伤后应激的风险和复原力因素做出重大贡献。

补充信息

在线版本包含可在10.1007/s10862 - 025 - 10203 - 1获取的补充材料。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69a2/11872984/633e0c72e7c0/10862_2025_10203_Fig1_HTML.jpg

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