Brady K T
Department of Psychiatry, Medical University of South Carolina, Charleston 29425, USA.
J Clin Psychiatry. 1997;58 Suppl 9:12-5.
Posttraumatic stress disorder (PTSD) commonly occurs with other psychiatric disorders. Data from a recent epidemiologic survey indicate that approximately 80% of individuals with PTSD meet criteria for at least one other psychiatric diagnosis. PTSD is particularly likely to be comorbid with affective disorders, other anxiety disorders, somatization, substance abuse, and dissociative disorders. Comorbidity may affect the presentation and clinical course of PTSD. Because of the relative frequency of traumatic events and the heterogeneity of presentation of PTSD, screening for traumatic events and PTSD should be standard in both psychiatric and primary care practice. Additionally, individuals with PTSD should be screened for psychiatric comorbidity. Accurate assessment of comorbidity may be important in determining optimal psychotherapeutic and pharmacotherapeutic treatment options for individuals with PTSD.
创伤后应激障碍（PTSD）常与其他精神障碍共病。近期一项流行病学调查数据表明，约80%的PTSD患者符合至少一种其他精神疾病的诊断标准。PTSD尤其可能与情感障碍、其他焦虑症、躯体化障碍、物质滥用及分离性障碍共病。共病可能会影响PTSD的表现及临床病程。鉴于创伤事件的相对发生率以及PTSD表现的异质性，在精神科和初级保健实践中，对创伤事件和PTSD进行筛查应成为标准操作。此外，应对PTSD患者进行精神共病筛查。准确评估共病对于确定PTSD患者的最佳心理治疗和药物治疗方案可能至关重要。
