Dansky B S, Roitzsch J C, Brady K T, Saladin M E
Medical University of South Carolina, Department of Psychiatry and Behavioral Sciences, Charleston 29425, USA.
J Trauma Stress. 1997 Jan;10(1):141-8. doi: 10.1023/a:1024872800683.
The goal of the present investigation was to evaluate whether the process of assessing posttraumatic stress disorder (PTSD) in substance abuse/dependence inpatients (N = 95) as part of a research protocol influenced the diagnostic assessment conducted by clinical staff. The prevalence of current crime-related PTSD (CR-PTSD) observed with a research interview was 40% (n = 38), whereas the rate of current CR-PTSD documented in (the same) patients' discharge summaries was 15% (n = 14). An even lower CR-PTSD prevalence rate of 8% (n = 5) was obtained from a new sample of patient discharge summaries (N = 59) collected after the cessation of the research project. On chart intake reports, clinical staff documented a history of sexual and/or physical assault in approximately one-half of these patients, but PTSD was not evaluated. PTSD appears to be under-diagnosed by clinical staff in patients with substance use disorders.
本研究的目的是评估作为研究方案一部分，对物质滥用/依赖住院患者（N = 95）进行创伤后应激障碍（PTSD）评估的过程是否会影响临床工作人员进行的诊断评估。通过研究访谈观察到的当前与犯罪相关的PTSD（CR-PTSD）患病率为40%（n = 38），而在（同一）患者出院小结中记录的当前CR-PTSD发生率为15%（n = 14）。在研究项目结束后收集的新的患者出院小结样本（N = 59）中，CR-PTSD患病率更低，为8%（n = 5）。在病历录入报告中，临床工作人员记录了约一半此类患者的性侵犯和/或身体攻击史，但未对PTSD进行评估。在物质使用障碍患者中，临床工作人员对PTSD的诊断似乎不足。
