Cuffe S P, Addy C L, Garrison C Z, Waller J L, Jackson K L, McKeown R E, Chilappagari S
Department of Neuropsychiatry and Behavioral Science, University of South Carolina, Columbia, USA.
J Am Acad Child Adolesc Psychiatry. 1998 Feb;37(2):147-54. doi: 10.1097/00004583-199802000-00006.
OBJECTIVE: To examine prevalence and correlates of trauma and posttraumatic stress disorder (PTSD) symptoms and diagnosis in older adolescents aged 16 through 22 years. METHOD: The second cycle of a longitudinal epidemiological study in the Southeast included a semistructured interview assessing PTSD symptomatology administered to 490 adolescents. RESULTS: Approximately 3% of female subjects and 1% of male subjects satisfied the DSM-IV criteria for PTSD. Females reported more traumatic events than males, and black subjects reported more events than white subjects. Being female (odds ratio = 12.32), experiencing rape or child sexual abuse (odds ratio = 49.37), and witnessing an accident or medical emergency (odds ratio = 85.02) were associated with increased risk of PTSD. CONCLUSIONS: While relatively few adolescents satisfy the criteria for PTSD, most subjects who experienced a traumatic event reported some PTSD symptoms. Specific types of traumatic events were associated with occurrence of PTSD.
目的：研究16至22岁青少年创伤及创伤后应激障碍（PTSD）症状和诊断的患病率及其相关因素。 方法：在东南部开展的一项纵向流行病学研究的第二个周期包括对490名青少年进行的半结构化访谈，以评估PTSD症状。 结果：约3%的女性受试者和1%的男性受试者符合PTSD的DSM-IV标准。女性报告的创伤事件比男性多，黑人受试者报告的事件比白人受试者多。女性（优势比=12.32）、经历强奸或儿童性虐待（优势比=49.37）以及目睹事故或医疗紧急情况（优势比=85.02）与PTSD风险增加相关。 结论：虽然相对较少的青少年符合PTSD标准，但大多数经历过创伤事件的受试者报告了一些PTSD症状。特定类型的创伤事件与PTSD的发生有关。
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