The epidemiology of DSM-5 posttraumatic stress disorder in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions-III.
The epidemiology of DSM-5 posttraumatic stress disorder in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions-III.
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DOI：
10.1007/s00127-016-1208-5
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发表时间：
2016-08
影响因子：
4.4
通讯作者：
Grant BF
中科院分区：
文献类型：
--
作者：
Goldstein RB;Smith SM;Chou SP;Saha TD;Jung J;Zhang H;Pickering RP;Ruan WJ;Huang B;Grant BF
介绍当前具有全国代表性的美国DSM-5创伤后应激障碍（PTSD）的过去一年和终生患病率、社会人口学相关因素、精神病合并症、相关残疾和治疗结果。在2012-2013年全国酒精及相关疾病流行病学调查中，对36，309名成年人进行了面对面访谈。PTSD、酒精和药物使用障碍以及选定的情绪、焦虑和人格障碍使用酒精使用障碍和相关残疾访谈计划-5进行评估。过去一年和一生的患病率分别为4.7%和6.1%，女性、白色、美洲原住民、年轻人和已婚者、高中以下教育和低收入者以及农村居民的患病率较高。PTSD与广泛的物质使用、情绪、焦虑、人格障碍和上个月的残疾显著相关。在终生PTSD的受访者中，59.4%寻求治疗;从疾病发作到首次治疗平均需要4.5年。DSM-5 PTSD是普遍的，高度共病，致残，并与延迟寻求帮助有关。需要进一步的研究来阐明本文确定的关系，估计PTSD相关的成本，调查有关病因，过程和治疗的假设，并支持有关资源分配的服务提供和研究的决策。需要采取措施消除PTSD的污名，教育公众有关其治疗，并鼓励受影响的个人寻求帮助。
To present current, nationally representative U.S. findings on the past-year and lifetime prevalences, sociodemographic correlates, psychiatric comorbidity, associated disability, and treatment of DSM-5 posttraumatic stress disorder (PTSD). Face-to-face interviews with 36,309 adults in the 2012–2013 National Epidemiologic Survey on Alcohol and Related Conditions–III. PTSD, alcohol and drug use disorders, and selected mood, anxiety, and personality disorders were assessed using the Alcohol Use Disorder and Associated Disabilities Interview Schedule–5. Past-year and lifetime prevalences were 4.7% and 6.1%, higher for female, white, Native American, younger, and previously married respondents, those with < high school education and lower incomes, and rural residents. PTSD was significantly associated with a broad range of substance use, mood, anxiety, and personality disorders, and past-month disability. Among respondents with lifetime PTSD, 59.4% sought treatment; an average of 4.5 years elapsed from disorder onset to first treatment. DSM-5 PTSD is prevalent, highly comorbid, disabling, and associated with delayed help seeking. Additional research is needed to elucidate relationships identified herein, estimate PTSD-related costs, investigate hypotheses regarding etiology, course, and treatment, and support decisions about resource allocation to service delivery and research. Initiatives are needed to destigmatize PTSD, educate the public about its treatment, and encourage affected individuals to seek help.