The contribution of epidemiology to the study of traumatic stress
The contribution of epidemiology to the study of traumatic stress
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DOI：
10.1007/s00127-004-0870-1
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发表时间：
2004-11-01
影响因子：
4.4
通讯作者：
McFarlane, A
中科院分区：
文献类型：
--
作者：
McFarlane, A
创伤后应激障碍（PTSD）一直是一个有争议的概念，因为已经假设影响其发病和流行的一系列复杂因素，如补偿和退出战斗任务。流行病学已经做了很多工作来客观地澄清分层人群样本研究中的这些争议。创伤后应激障碍的特征性症状在大样本人群中被反复描述，其中补偿不是一个混杂的问题，这对支持该结构的有效性做了很多工作。流行病学还突出表明，创伤事件的发生率远远高于先前的估计。强调这些事件的重要性是说明疾病的主要负担。Kessler（2000）认为PTSD的社会经济影响代表了与抑郁症相关的疾病负担。创伤事件提供了一个独特的机会，实施预防和公共卫生的方法来管理精神病发病率。特别重要的是，这些事件对心理调整的影响显然是持久的。
Post-traumatic stress disorder (PTSD) has been a controversial construct because of the complex set of factors that have been hypothesized to influence its onset and prevalence, such as compensation and withdrawal from combat duty. Epidemiology has done much to objectively clarify these controversies in the study of stratified population samples. The symptoms characterizing PTSD have been repeatedly described in large population samples where compensation is not a confounding issue and this has done much to support the validity of the construct. Epidemiology has also highlighted that the prevalence of exposure to traumatic events is far greater than was previously estimated. Emphasizing the importance of these events is accounting for the major burden of disease. Kessler ( 2000) has suggested the socio-economic effects of PTSD represent a burden of disease not dissimilar to that associated with depression. Traumatic events provide a unique opportunity to implement a preventative and public health approach to the management of psychiatric morbidity. Of particular importance is the apparent longevity of the influence that these events have on psychological adjustment.