Solomon S D, Davidson J R
Office of Behavioral and Social Science Research, National Institutes of Health, Bethesda, MD 20892-9172, USA.
J Clin Psychiatry. 1997;58 Suppl 9:5-11.
A review of the literature on the epidemiology of trauma reveals that traumatic events are common: most Americans experience at least one over the course of their lives. According to recent estimates, 5% of men and 10% to 12% of women will suffer from posttraumatic stress disorder (PTSD) sometime in their lives, and for victims of traumas such as rape, the rate may be as high as 60% to 80%. For at least a third of sufferers, PTSD is a persistent condition lasting many years. Over 80% of persons with PTSD suffer from other psychiatric disorders. Many also experience marital, occupational, financial, and health problems. While trauma victims are disproportionate users of the health care system, they are reluctant to seek mental health treatment. Consequences of exposure to trauma are enormously costly, not only to the victims, but also to our health care system and to society as a whole.
一篇关于创伤流行病学的文献综述表明，创伤性事件很常见：大多数美国人在其一生中至少经历过一次。根据最近的估计，5%的男性和10%至12%的女性在其一生中的某个时候会患上创伤后应激障碍（PTSD），而对于诸如强奸等创伤的受害者，这一比例可能高达60%至80%。对于至少三分之一的患者来说，创伤后应激障碍是一种持续多年的持续性疾病。超过80%的创伤后应激障碍患者还患有其他精神疾病。许多人还经历婚姻、职业、财务和健康问题。虽然创伤受害者在医疗保健系统中的使用比例过高，但他们却不愿意寻求心理健康治疗。接触创伤的后果代价高昂，不仅对受害者，而且对我们的医疗保健系统乃至整个社会都是如此。
