Posttraumatic stress disorder and trauma in youth in juvenile detention
Posttraumatic stress disorder and trauma in youth in juvenile detention
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DOI：
10.1001/archpsyc.61.4.403
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发表时间：
2004-04-01
影响因子：
--
通讯作者：
Dulcan, MK
中科院分区：
文献类型：
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作者：
Abram, KM;Teplin, LA;Dulcan, MK
目的：为了确定暴露于创伤和12个月的创伤后应激障碍（PTSD）的青少年被拘留者的人口统计学亚组（性别，种族/民族和年龄）的患病率估计。设计：青少年被拘留者的流行病学研究。硕士水平的临床研究访谈者对随机选择的被拘留者进行了儿童诊断访谈计划第四版（DISC-IV）中的PTSD模块。设置：伊利诺伊州库克县一个大型的青少年临时拘留中心（包括芝加哥及周边郊区）。参与者：随机选择898名非裔美国人、非西班牙裔白色人和西班牙裔青年的分层样本（532名男性，366名女性，年龄10-18岁）。主要结果测量：儿童诊断性面谈时间表，第四版。大多数参与者（92.5%）经历过1次或以上的创伤（平均14.6次，中位数6次）。男性（93.2%）明显多于女性（84.0%）报告至少有1次创伤经历; 11.2%的样本在过去一年中符合PTSD的标准。超过一半的参与者与PTSD报告目睹暴力作为沉淀traumatic.Conclusion：创伤和PTSD似乎是更普遍的青少年被拘留者比在社区样本。我们建议研究方向，并讨论对精神卫生政策的影响。
Objective: To determine prevalence estimates of exposure to trauma and 12-month rates of posttraumatic stress disorder (PTSD) among juvenile detainees by demographic subgroups (sex, race/ethnicity, and age).Design: Epidemiologic study of juvenile detainees. Master's level clinical research interviewers administered the PTSD module of the Diagnostic Interview Schedule for Children, version IV (DISC-IV), to randomly selected detainees.Setting: A large, temporary detention center for juveniles in Cook County, Illinois (which includes Chicago and surrounding suburbs).Participants: Randomly selected, stratified sample of 898 African American, non-Hispanic white, and Hispanic youth (532 males, 366 females, aged 10-18 years) arrested and newly detained.Main Outcome Measures: Diagnostic Interview Schedule for Children, version IV.Results: Most participants (92.5%) had experienced I or more traumas (mean, 14.6 incidents; median, 6 incidents). Significantly more males (93.2%) than females (84.0%) reported at least I traumatic experience; 11.2% of the sample met criteria for PTSD in the past year. More than half of the participants with PTSD reported witnessing violence as the precipitating trauma.Conclusion: Trauma and PTSD seem to be more prevalent among juvenile detainees than in community samples. We recommend directions for research and discuss implications for mental health policy.