Prevalence of acute stress disorder among road traffic accident survivors: a meta-analysis.
Prevalence of acute stress disorder among road traffic accident survivors: a meta-analysis.
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DOI：
10.1186/s12888-018-1769-9
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发表时间：
2018-06-13
期刊：
影响因子：
4.4
通讯作者：
Wen SW
中科院分区：
文献类型：
--
作者：
Dai W;Liu A;Kaminga AC;Deng J;Lai Z;Yang J;Wen SW
道路交通事故（RTA）是一种意外的创伤性事件，不仅可能导致死亡和严重的身体伤害，而且可能增加幸存者患各种精神疾病的风险，特别是急性应激障碍（ASD）。早期评估创伤相关的心理反应很重要，因为创伤后早期的急性创伤反应是长期心理健康问题的有力预测因素之一。然而，RTA幸存者中ASD患病率的估计在不同研究中差异很大。因此，本荟萃分析旨在确定RTA幸存者中ASD的合并患病率。在PubMed、PsycINFO、PsycARTICLES、Embase和Web of Science数据库中进行了系统性文献检索，检索日期从其开始日期到2017年12月。使用主题词识别相关文章，并在数据库中调整检索策略。通过Cochran χ2检验评估研究间的异质性，并通过I2统计量定量。进行亚组分析，以确定与研究国家、用于识别ASD的工具、年龄、性别和创伤性脑损伤相关的汇总患病率。当观察到显着的异质性，一些潜在的主持人的影响进行了探讨，使用元回归分析。纳入了在8个国家进行的13项合格研究。共评估了2989名RTA幸存者，其中287名被确定为ASD。研究间总体异质性较高（I2= 96.8%，P < 0.001），RTA幸存者中ASD的合并患病率为15.81%（95%置信区间：8.27-25.14%）。亚组分析显示RTA幸存者中ASD的患病率在研究国家、ASD识别工具、年龄和性别方面存在显著差异（P < 0.05）。Meta回归分析显示，平均年龄和质量评估得分是异质性的显著调节因素（P < 0.05）。近六分之一的RTA幸存者患有ASD，这表明需要定期评估RTA幸存者的早期创伤反应，以及实施早期心理干预的重要性。本文的在线版本（10.1186/s12888-018-1769-9）包含补充材料，可供授权用户使用。
Road traffic accident (RTA), an unexpected traumatic event, may not only lead to death and serious physical injuries, but also could put survivors at an increased risk for a wide range of psychiatric disorders, particularly acute stress disorder (ASD). Early assessment of trauma-related psychological responses is important because acute trauma responses in the early post-traumatic period are among the robust predictors of long-term mental health problems. However, estimates of the prevalence of ASD among RTA survivors varied considerably across studies. Therefore, this meta-analysis aimed to identify the pooled prevalence of ASD among RTA survivors. A systematic literature search in the databases of PubMed, PsycINFO, PsycARTICLES, Embase and Web of Science was performed from their inception dates to December 2017. Subject headings were used to identify relevant articles, and the search strategy was adjusted across databases. Heterogeneity across studies was evaluated by Cochran’s χ2 test and quantified by the I2 statistic. Subgroup analyses were performed to identify the pooled prevalence in relation to the country of study, instrument used to identify ASD, age, gender and traumatic brain injury. When significant heterogeneity was observed, the influence of some potential moderators was explored using meta-regression analyses. Thirteen eligible studies conducted in 8 countries were included. A total of 2989 RTA survivors were assessed, of which 287 were identified with ASD. The overall heterogeneity was high across studies (I2=96.8%, P < 0.001), and the pooled prevalence of ASD among RTA survivors was 15.81% (95% confidence interval: 8.27–25.14%). Subgroup analyses indicated that the prevalence of ASD among RTA survivors differed significantly with regard to the country of study, instrument used to identify ASD, age and gender (P < 0.05). Meta-regression analyses showed that mean age of participants and quality assessment score were significant moderators for heterogeneity (P < 0.05). Nearly one-sixth of RTA survivors suffer from ASD, indicating the need for regular assessment of early trauma responses among RTA survivors, as well as the importance of implementing early psychological interventions. The online version of this article (10.1186/s12888-018-1769-9) contains supplementary material, which is available to authorized users.
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