PTSD and Sexual Orientation: An Examination of Criterion A1 and Non-Criterion A1 Events
PTSD and Sexual Orientation: An Examination of Criterion A1 and Non-Criterion A1 Events
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DOI：
10.1037/a0026642
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发表时间：
2013-03-01
影响因子：
6.3
通讯作者：
Martin, James I.
中科院分区：
文献类型：
--
作者：
Alessi, Edward J.;Meyer, Ilan H.;Martin, James I.
这项大规模横断面研究比较了白人、黑人和拉丁裔女同性恋者、男同性恋者和双性恋者(LGB；n=382)中创伤后应激障碍(PTSD)的患病率，并将他们与异性恋个体(n=126)进行了比较。在前人研究的基础上，我们放宽了《精神疾病诊断和统计手册》(第四版；DSM-IV；美国精神病学协会，1994)的标准，允许非标准A1事件，如结束关系、失业、无家可归和与父母分离等符合条件，并评估了标准DSM-IV标准和放宽标准之间PTSD患病率的差异。研究结果显示，报告非标准A1事件的参与者比报告标准A1事件的参与者更有可能出现可诊断为创伤后应激障碍的症状。男女同性恋者、异性恋者、双性恋者和异性恋者之间的创伤后应激障碍患病率在DSM-IV或松弛标准A1中没有显著差异。与白人LGB相比，在放宽的标准A1定义下，黑人和拉丁裔LGB的PTSD患病率更高，但这仅对拉丁裔具有统计学意义。
This large-scale cross-sectional study compared posttraumatic stress disorder (PTSD) prevalence among White, Black, and Latino lesbian, gay and bisexual individuals (LGBs; n = 382) and compared them with heterosexual individuals (n = 126). Building on previous research, we relaxed the criteria of the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV; American Psychiatric Association, 1994), allowing non-Criterion A1 events such as ending a relationship, unemployment, homelessness, and separation from parents to qualify, and we assessed differences in PTSD prevalence between standard DSM-IV criteria and the relaxed criteria. Findings revealed that participants reporting a non-Criterion A1 event were more likely than those reporting a Criterion A1 event to have symptoms diagnosable as PTSD. There was no significant difference in either DSM-IV or relaxed Criterion A1 PTSD prevalence between lesbian and gay, and heterosexual individuals or between bisexual and heterosexual individuals. Compared with White LGBs, Black and Latino LGBs had higher prevalence of PTSD with the relaxed Criterion A1 definition, but this was statistically significant only for Latinos.