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[创伤后应激障碍的流行病学]

[The epidemiology of post-traumatic stress disorders].

作者信息

Andersen H S

机构信息

H:S Rigshospitalet, psykiatrisk afdeling O.

出版信息

Ugeskr Laeger. 1998 Dec 14;160(51):7408-13.

PMID:9889653
Abstract

Post-traumatic stress disorder (PTSD) has been subjected to several epidemiological studies during the last 10 years. Large differences in prevalence between different studies can only partly be explained by differences in methodology, impact of the trauma and populations. Changes in diagnostic criteria, the stressor criteria, general mentality over time and cultural differences may account for some of the differences. In general populations a lifetime prevalence of PTSD of between 1% and 9% has been found. In unselected traumatized populations 20-45% will develop PTSD after exposure to significant traumas. Among soldiers who have participated in battles of war a PTSD prevalence of 15-20% has been found. After exposure to lesser traumas and among well-trained corps 5-10% develop PTSD. Over long periods the point prevalence of PTSD in a given traumatized population diminishes. Predictive factors related to PTSD are complex.

摘要

在过去十年中,创伤后应激障碍(PTSD)已接受了多项流行病学研究。不同研究之间患病率的巨大差异,只能部分归因于方法学差异、创伤影响和人群差异。诊断标准的变化、应激源标准、随时间推移的总体心态以及文化差异,可能是造成部分差异的原因。在普通人群中,PTSD的终生患病率为1%至9%。在未经筛选的受创伤人群中,20%至45%在遭受重大创伤后会患上PTSD。在参加过战争的士兵中,PTSD患病率为15%至20%。在遭受较小创伤后,以及在训练有素的部队中,5%至10%的人会患上PTSD。从长期来看,特定受创伤人群中PTSD的时点患病率会降低。与PTSD相关的预测因素很复杂。

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