Posttraumatic Stress Disorder in the US Veteran Population: Results From the National Health and Resilience in Veterans Study
Posttraumatic Stress Disorder in the US Veteran Population: Results From the National Health and Resilience in Veterans Study
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DOI：
10.4088/jcp.14m09328
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发表时间：
2014-12-01
影响因子：
5.3
通讯作者：
Pietrzak, Robert H.
中科院分区：
文献类型：
--
作者：
Wisco, Blair E.;Marx, Brian P.;Pietrzak, Robert H.
目的：描述创伤后应激障碍（PTSD）和共病精神障碍的患病率，并确定PTSD在当代美国退伍军人中的相关性。方法：数据分析来自退伍军人国家健康和复原力研究的第一波，这是一项基于人口的3个样本的横断面，回顾性，基于网络的调查，2011年10月至12月期间进行了157名美国退伍军人。主要结果的措施是可能的终身PTSD，这是通过使用DSM-IV版的PTSD检查表（PCL），PCL特定的Stressorversion.Results的评估：加权的终身和目前的患病率可能的PTSD分别为8.0%（标准误[SE] = 0.48）和4.8%（SE = 0.40）。87.0%的退伍军人报告至少经历过1次潜在创伤事件（PTE）;退伍军人报告一生中平均有3.4种（SD = 2.8）不同的PTE类型。亲人的突然死亡是最常见的PTE（61.3%），成年期的性虐待是PTSD的最高条件概率（37.3%）。创伤后应激障碍与情绪、焦虑和物质使用障碍（比值比[OR] = 2.2-19.1，P值<0.001）、自杀意念（OR = 9.7，P <0.001）和自杀企图（OR = 11.8，P <0.001）的几率增加相关。心理社会因素，包括复原力，社区融合和安全依恋，与PTSD的几率降低有关结论：在美国退伍军人的全国代表性样本中，终生和当前PTSD的患病率分别为8.0%和4.8%，PTSD与几种精神疾病和自杀倾向的风险升高相关。退伍军人报告说，除了战斗外，他们还暴露于许多PTE类型，非战斗相关创伤的PTSD条件风险很高。旨在加强保护性心理社会因素的预防和治疗工作可能有助于减轻这一人群的PTSD风险。(C)版权所有2014 Physicians Postgraduate Press，Inc.
Objective: To describe the prevalence of posttraumatic stress disorder (PTSD) and comorbid psychiatric disorders and identify correlates of PTSD in a contemporary, nationally representative sample of US veterans.Method: Data were analyzed from Wave 1 of the National Health and Resilience in Veterans Study, a cross-sectional, retrospective, web-based survey of a population-based sample of 3,157 US veterans conducted between October and December 2011. The main outcome measure was probable lifetime PTSD, which was assessed by using a DSM-IV version of the PTSD Checklist (PCL), the PCL-Specific Stressor version.Results: The weighted lifetime and current prevalence of probable PTSD was 8.0% (standard error [SE] = 0.48) and 4.8% (SE = 0.40), respectively. 87.0% of veterans reported exposure to at least 1 potentially traumatic event (PTE); veterans reported a mean of 3.4 (SD = 2.8) different PTE types in their lifetime. Sudden death of a loved one was the most frequently endorsed PTE (61.3%), and sexual abuse in adulthood had the highest conditional probability of PTSD (37.3%). PTSD was associated with increased odds of mood, anxiety, and substance use disorders (odds ratios [ORs] = 2.2-19.1, P values < .001); suicidal ideation (OR = 9.7, P < .001); and suicide attempts (OR = 11.8, P < .001). Psychosocial factors, including resilience, community integration, and secure attachment, were associated with decreased odds of PTSD (ORs = 0.5-0.7, P values < .05).Conclusions: In a nationally representative sample of US veterans, the prevalence of lifetime and current PTSD was 8.0% and 4.8%, respectively, and PTSD was associated with elevated risk for several psychiatric conditions and suicidality. Veterans reported exposure to many PTE types in addition to combat, and conditional risk for PTSD was high for noncombat-related trauma. Prevention and treatment efforts designed to bolster protective psychosocial factors may help mitigate PTSD risk in this population. (C) Copyright 2014 Physicians Postgraduate Press, Inc.