Deering C G, Glover S G, Ready D, Eddleman H C, Alarcon R D
Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.
Compr Psychiatry. 1996 Sep-Oct;37(5):336-46. doi: 10.1016/s0010-440x(96)90015-2.
While there are many studies of comorbidity in combat veterans with posttraumatic stress disorder (PTSD), studies of PTSD from other sources of trauma (e.g., disasters, crimes, and civil violence) are just beginning to emerge. This is the first formal review comparing patterns of comorbidity in PTSD from different sources of trauma. Specific attention is given to the relative frequencies of substance abuse, depression, generalized anxiety, phobic, panic, somatization, psychotic, and personality disorders. The findings reveal that although similarities exist, the comorbidity profiles differ according to the type of trauma experienced and the population studied. Additionally, the evidence suggests that the associated psychiatric disorders are not truly comorbid, but are interwoven with the PTSD.
虽然有许多关于患有创伤后应激障碍（PTSD）的退伍军人共病情况的研究，但来自其他创伤源（如灾难、犯罪和内乱）的PTSD研究才刚刚开始出现。这是首次对不同创伤源导致的PTSD共病模式进行的正式综述。特别关注了物质滥用、抑郁、广泛性焦虑、恐惧症、惊恐障碍、躯体化障碍、精神病性障碍和人格障碍的相对发生率。研究结果表明，尽管存在相似之处，但共病情况因所经历的创伤类型和所研究的人群而异。此外，有证据表明，相关的精神障碍并非真正的共病，而是与PTSD相互交织。
