National estimates of exposure to traumatic events and PTSD prevalence using DSM-IV and DSM-5 criteria.
National estimates of exposure to traumatic events and PTSD prevalence using DSM-IV and DSM-5 criteria.
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DOI：
10.1002/jts.21848
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发表时间：
2013-10
影响因子：
3.3
通讯作者：
Friedman, Matthew J.
中科院分区：
文献类型：
--
作者：
Kilpatrick, Dean G.;Resnick, Heidi S.;Milanak, Melissa E.;Miller, Mark W.;Keyes, Katherine M.;Friedman, Matthew J.
根据美国精神病学协会的诊断和统计手册第五版（DSM-5; 2013）和第四版（DSM-IV; 1994）定义的创伤后应激障碍（PTSD）的患病率，在从一个在线小组中招募的美国成年人（N = 2953）的全国样本中进行了比较。暴露于创伤性事件、创伤后应激障碍症状和功能损害是通过一项高度结构化、自我管理的在线调查进行评估的。使用DSM-5标准的创伤性事件暴露较高（89.7%），并且暴露于多种创伤性事件类型是常态。使用相同事件（即满足同一事件类型的所有症状标准）和复合事件（即满足事件类型组合的症状标准）定义确定PTSD病例。使用DSM-5中相同事件定义的终生、过去12个月和过去6个月PTSD患病率分别为8.3%、4.7%和3.8%。所有6种DSM-5的患病率估计值都略低于其dsm - 4的对应值，尽管其中只有2种差异具有统计学意义。DSM-5 PTSD在女性中的患病率高于男性，且患病率随创伤性事件暴露程度的增加而增加。个体符合DSM-IV标准，但不符合DSM-5标准的主要原因是标准A中排除了非意外、非暴力死亡，以及至少有一种主动回避症状的新要求。
Prevalence of posttraumatic stress disorder (PTSD) defined according to the American Psychiatric Association’s Diagnostic and Statistical Manual fifth edition (DSM-5; 2013) and fourth edition (DSM-IV; 1994) was compared in a national sample of U.S. adults (N = 2,953) recruited from an online panel. Exposure to traumatic events, PTSD symptoms, and functional impairment were assessed online using a highly structured, self-administered survey. Traumatic event exposure using DSM-5 criteria was high (89.7%), and exposure to multiple traumatic event types was the norm. PTSD caseness was determined using Same Event (i.e., all symptom criteria met to the same event type) and Composite Event (i.e., symptom criteria met to a combination of event types) definitions. Lifetime, past-12-month, and past 6-month PTSD prevalence using the Same Event definition for DSM-5 was 8.3%, 4.7%, and 3.8% respectively. All 6 DSM-5 prevalence estimates were slightly lower than their DSM-IV counterparts, although only 2 of these differences were statistically significant. DSM-5 PTSD prevalence was higher among women than among men, and prevalence increased with greater traumatic event exposure. Major reasons individuals met DSM-IV criteria, but not DSM-5 criteria were the exclusion of nonaccidental, nonviolent deaths from Criterion A, and the new requirement of at least 1 active avoidance symptom.
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影响因子：
5.9
作者：
RESNICK, HS;KILPATRICK, DG;BEST, CL
通讯作者：
BEST, CL
影响因子：
--
作者：
KESSLER, RC;SONNEGA, A;NELSON, CB
通讯作者：
NELSON, CB
美国全国创伤后应激障碍的患病率和轴I合并症：国家饮酒和相关疾病的国家流行病学调查的2波结果。
影响因子：
10.3
作者：
Pietrzak, Robert H.;Goldstein, Rise B.;Southwick, Steven M.;Grant, Bridget F.
通讯作者：
Grant, Bridget F.
影响因子：
--
作者：
Kessler, RC;Berglund, P;Walters, EE
通讯作者：
Walters, EE
影响因子：
7.4
作者：
Calhoun, Patrick S.;Hertzberg, Jeffrey S.;Beckham, Jean C.
通讯作者：
Beckham, Jean C.