Trauma and posttraumatic stress disorder in severe mental illness.
Trauma and posttraumatic stress disorder in severe mental illness.
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DOI：
10.1037//0022-006x.66.3.493
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发表时间：
1998-06
影响因子：
5.9
通讯作者：
K. Mueser;Lisa B. Goodman;S. Trumbetta;S. Rosenberg;F. Osher;R. Vidaver;P. Auciello;D. Foy
中科院分区：
文献类型：
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作者：
K. Mueser;Lisa B. Goodman;S. Trumbetta;S. Rosenberg;F. Osher;R. Vidaver;P. Auciello;D. Foy
这项研究评估了275名严重精神疾病患者（例如，精神分裂症和双相情感障碍）在康科德和曼彻斯特、新罕布什尔州和马里兰州的巴尔的摩接受公共精神卫生服务。终生暴露于创伤性事件的比例很高，98%的样本报告暴露于至少1次创伤性事件。在我们的样本中，PTSD的发生率为43%，但119例PTSD患者中只有3例（2%）在他们的病历中有这种诊断。创伤后应激障碍最强的预测是不同类型的创伤的数量，其次是儿童期性虐待。研究结果表明，创伤后应激障碍是严重精神疾病中常见的共病障碍，在心理健康环境中经常被忽视。
This research assessed the lifetime prevalence of traumatic events and current posttraumatic stress disorder (PTSD) in 275 patients with severe mental illness (e.g., schizophrenia and bipolar disorder) receiving public mental health services in Concord and Manchester, New Hampshire, and Baltimore, Maryland. Lifetime exposure to traumatic events was high, with 98% of the sample reporting exposure to at least 1 traumatic event. The rate of PTSD in our sample was 43%, but only 3 of 119 patients with PTSD (2%) had this diagnosis in their charts. PTSD was predicted most strongly by the number of different types of trauma, followed by childhood sexual abuse. The findings suggest that PTSD is a common comorbid disorder in severe mental illness that is frequently overlooked in mental health settings.