Trauma exposure and posttraumatic stress disorder in a national sample of adolescents.
Trauma exposure and posttraumatic stress disorder in a national sample of adolescents.
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DOI：
10.1016/j.jaac.2013.05.011
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发表时间：
2013-08
影响因子：
13.3
通讯作者：
Kessler RC
中科院分区：
文献类型：
--
作者：
McLaughlin KA;Koenen KC;Hill ED;Petukhova M;Sampson NA;Zaslavsky AM;Kessler RC
虽然暴露于潜在的创伤性经历（PTE）在美国青年中很常见，但与PTE相关的创伤后应激障碍（PTSD）风险的信息有限。我们估计了PTE和PTSD的终生患病率，PTSD的PTE特异性风险，以及社会人口统计学和暂时既往DSM-IV疾病与PTE暴露、PTSD暴露和PTSD恢复的相关性。数据来自全国科摩罗调查重复青少年补充（NCS-A）中的6，483对父母对，这是一项针对13-17岁青少年的全国性调查。终生暴露于人际暴力、事故/伤害、网络/目击和其他PTE的情况与DSM-IV PTSD和其他痛苦、恐惧、行为和物质障碍一起进行了沿着评估。大多数（61.8%）青少年经历了一生的PTE。DSM-IV PTSD的终生患病率为4.7%，女性（7.3%）明显高于男性（2.2%）。暴露于PTE，特别是人际暴力，是最高的青少年没有生活在亲生父母和预先存在的行为障碍。PTSD的条件概率最高的PTE涉及人际暴力。PTE暴露的青少年中PTSD的预测因子包括女性、既往PTE暴露和预先存在的恐惧和痛苦障碍。三分之一（33.0%）的青少年与终身创伤后应激障碍继续符合标准内30天的采访。贫穷，美国出生，双相情感障碍，和PTE暴露后发生的局灶性创伤预测不恢复。干预措施，旨在防止创伤后应激障碍暴露于PTE的青少年应针对受害者的人际暴力与预先存在的恐惧和痛苦的障碍，而干预措施，旨在减少创伤后应激障碍的慢性化应试图防止二次PTE暴露。
Although exposure to potentially traumatic experiences (PTEs) is common among US youths, information on posttraumatic stress disorder (PTSD) risk associated with PTEs is limited. We estimate lifetime prevalence of exposure to PTEs and PTSD, PTE-specific risk of PTSD, and associations of sociodemographics and temporally-prior DSM-IV disorders with PTE exposure, PTSD given exposure, and PTSD recovery among US adolescents. Data were drawn from 6,483 adolescent–parent pairs in the National Comorbidity Survey Replication Adolescent Supplement (NCS-A), a national survey of adolescents aged 13–17. Lifetime exposure to interpersonal violence, accidents/injuries, network/witnessing, and other PTEs was assessed along with DSM-IV PTSD and other distress, fear, behavior, and substance disorders. A majority (61.8%) of adolescents experienced a lifetime PTE. Lifetime prevalence of DSM-IV PTSD was 4.7% and was significantly higher among females (7.3%) than males (2.2%). Exposure to PTEs, particularly interpersonal violence, was highest among adolescents not living with both biological parents and with pre-existing behavior disorders. Conditional probability of PTSD was highest for PTEs involving interpersonal violence. Predictors of PTSD among PTE-exposed adolescents included female gender, prior PTE exposure, and pre-existing fear and distress disorders. One-third (33.0%) of adolescents with lifetime PTSD continued to meet criteria within 30 days of interview. Poverty, U.S. nativity, bipolar disorder, and PTE exposure occurring after the focal trauma predicted nonrecovery. Interventions designed to prevent PTSD in PTE-exposed youths should be targeted at victims of interpersonal violence with pre-existing fear and distress disorders, whereas interventions designed to reduce PTSD chronicity should attempt to prevent secondary PTE exposure.
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影响因子：
3.3
作者：
Costello, EJ;Erkanli, A;Angold, A
通讯作者：
Angold, A
影响因子：
--
作者：
KESSLER, RC;SONNEGA, A;NELSON, CB
通讯作者：
NELSON, CB
影响因子：
--
作者：
Copeland, William E.;Keeler, Gordon;Costello, E. Jane
通讯作者：
Costello, E. Jane
DOI：
10.1093/jurban/jth138
发表时间：
2004-12-01
影响因子：
6.6
作者：
Breslau, N;Wilcox, HC;Anthony, JC
通讯作者：
Anthony, JC
影响因子：
5.9
作者：
FOA, EB;HEARSTIKEDA, D;PERRY, KJ
通讯作者：
PERRY, KJ