Gender differences in patients with posttraumatic stress disorder in a general psychiatric practice.
Gender differences in patients with posttraumatic stress disorder in a general psychiatric practice.
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DOI：
10.1176/appi.ajp.158.11.1923
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发表时间：
2001-11
期刊：
影响因子：
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通讯作者：
C. Zlotnick;M. Zimmerman;Barbara A. Wolfsdorf;J. I. Mattia
中科院分区：
文献类型：
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作者：
C. Zlotnick;M. Zimmerman;Barbara A. Wolfsdorf;J. I. Mattia
目的：本研究旨在探讨寻求治疗的创伤后应激障碍（PTSD）患者临床表现的性别差异。方法采用DSM-IV结构化临床访谈法对138例PTSD门诊患者进行访谈。结果：与男性患者相比，女性患者经历了更多的再体验症状，更有可能符合当前PTSD的标准，并报告性创伤作为其指标创伤。患有PTSD的男性比患有PTSD的女性更容易达到物质使用障碍和反社会人格障碍的标准。在其他类型的共病疾病的频率、共病疾病的数量或PTSD作为原发性疾病的存在方面没有发现性别差异。结论：总的来说，男性和女性PTSD患者的临床表现相当相似。
OBJECTIVE This report examined gender differences in the clinical manifestations of current posttraumatic stress disorder (PTSD) in treatment-seeking patients. METHOD Outpatients with PTSD (N=138) were interviewed with the Structured Clinical Interview for DSM-IV. RESULTS Compared with male patients, female patients experienced more reexperiencing symptoms and were more likely to meet criteria for current PTSD and to report sexual trauma as their index trauma. Men with PTSD were more likely than women with PTSD to meet criteria for a substance use disorder and for antisocial personality disorder. No gender differences were found in the frequency of other types of comorbid disorders, the number of comorbid disorders, or the presence of PTSD as a primary disorder. CONCLUSIONS Overall, male and female patients with current PTSD present with fairly comparable clinical profiles.