Gender, trauma type, and PTSD prevalence: a re-analysis of 18 nordic convenience samples.

Gender, trauma type, and PTSD prevalence: a re-analysis of 18 nordic convenience samples.
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DOI:
10.1186/1744-859x-11-26
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发表时间:
2012-10-29
影响因子:
3.7
通讯作者:
Elklit A
Elklit A
中科院分区:
医学3区
文献类型:
--
作者:
Ditlevsen DN;Elklit A

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本研究旨在探讨创伤后应激障碍(PTSD)患病率的性别差异中可能与创伤类型相关的差异。对18项便利样本研究进行了分析,包括来自5220名参与者的数据。所有研究均采用哈佛创伤问卷第四部分评估PTSD。科恩的d被用来衡量性别差异的方差。创伤类型包括灾难和事故、暴力、损失、慢性病和非恶性疾病。结果显示,PTSD患病率的总体性别差异与以前的研究结果相似。因此,女性的PTSD患病率是男性的两倍。除了分类分析外,还进行了PTSD严重程度的维度分析;后者与两倍大的效应量相关。女性在灾难和事故后更容易患上PTSD,其次是损失和非恶性疾病。在暴力和慢性病方面,性别差异最小。研究结果支持存在创伤类型相关的差异,在PTSD患病率的性别差异。
The aim of the study was to examine a possible trauma type related variance in the gender difference of posttraumatic stress disorder (PTSD) prevalence. An analysis was conducted on 18 convenience sample studies including data from a total of 5220 participants. The studies all applied the Harvard Trauma Questionnaire – part IV to assess PTSD. Cohen’s d was used to measure variance in gender differences. Trauma types included disasters and accidents, violence, loss, chronic disease and non-malignant diseases. The results showed an overall gender difference in PTSD prevalence similar to previous findings. Thus, women had a two-fold higher prevalence of PTSD than men. Besides categorical analyses, dimensional analyses of PTSD severity were also performed; the latter were associated with twice as large effect sizes. Females were more vulnerable to PTSD after disasters and accidents, followed by loss and non-malignant diseases. In violence and chronic disease, the gender differences were smallest. The findings support the existence of a trauma type related variance in gender differences in PTSD prevalence.