Traumatic events and posttraumatic stress disorder in an urban population of young adults.
Traumatic events and posttraumatic stress disorder in an urban population of young adults.
复制标题
DOI：
10.1001/archpsyc.1991.01810270028003
复制
发表时间：
1991-03
影响因子：
--
通讯作者：
N. Breslau;G. Davis;P. Andreski;E. Peterson
中科院分区：
文献类型：
--
作者：
N. Breslau;G. Davis;P. Andreski;E. Peterson
为了确定创伤后应激障碍（PTSD）的患病率及其相关的危险因素，我们研究了来自密歇根州底特律地区一家大型健康维护组织的1007名年轻人的随机样本。创伤性事件暴露的终生患病率为39.1%。在那些暴露的人中，PTSD的发生率为23.6%，在样本中的终生患病率为9.2%。患有PTSD的人患其他精神疾病的风险增加; PTSD与焦虑和情感障碍的相关性强于与物质滥用或依赖的相关性。暴露于创伤性事件的危险因素包括教育程度低、男性、早期行为问题、外向性和精神障碍或物质问题的家族史。暴露后PTSD的危险因素包括早期与父母分离，神经质，预先存在的焦虑或抑郁，以及焦虑家族史。生活方式的差异与不同的情况下，有一个高风险的创伤性事件和个人倾向的创伤性事件的PTSD影响可能是负责相当一部分的PTSD在这个人群中。
To ascertain the prevalence of posttraumatic stress disorder (PTSD) and risk factors associated with it, we studied a random sample of 1007 young adults from a large health maintenance organization in the Detroit, Mich, area. The lifetime prevalence of exposure to traumatic events was 39.1%. The rate of PTSD in those who were exposed was 23.6%, yielding a lifetime prevalence in the sample of 9.2%. Persons with PTSD were at increased risk for other psychiatric disorders; PTSD had stronger associations with anxiety and affective disorders than with substance abuse or dependence. Risk factors for exposure to traumatic events included low education, male sex, early conduct problems, extraversion, and family history of psychiatric disorder or substance problems. Risk factors for PTSD following exposure included early separation from parents, neuroticism, preexisting anxiety or depression, and family history of anxiety. Life-style differences associated with differential exposure to situations that have a high risk for traumatic events and personal predispositions to the PTSD effects of traumatic events might be responsible for a substantial part of PTSD in this population.