Prevalence and predictors of post-traumatic stress disorder (PTSD) in physically injured victims of non-domestic violence - A longitudinal study
Prevalence and predictors of post-traumatic stress disorder (PTSD) in physically injured victims of non-domestic violence - A longitudinal study
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DOI：
10.1007/s00127-007-0205-0
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发表时间：
2007-07-01
影响因子：
4.4
通讯作者：
Weisaeth, Lars
中科院分区：
文献类型：
--
作者：
Johansen, Venke A.;Wahl, Astrid K.;Weisaeth, Lars
背景暴力袭击的受害者经历了多种事件后的情绪问题，如创伤后应激障碍（PTSD），他们可能有多种情绪问题。本研究的目的是在纵向设计中评估PTSD的患病率和预测因素。方法躯体伤害水平、生命威胁感、暴力经历、创伤后精神分裂症（PD）、急性PTSD、自我效能感和社会支持感作为预测因子。本研究采用单组（N = 70）纵向设计，在12个月内重复测量3次。使用的样品为：事件影响量表-15和22（IES-15和22）、创伤后症状量表-10（PTSS-10）、创伤周围分离（PD）7项自我报告量表、社会供给量表（SPS）和一般自我效能量表（GSE）。结果结果显示PTSD的患病率和严重程度在所有结局中均较高，例如在T3时，31%的病例被IES-15评分为可能的PTSD病例，14%的病例被评分为风险水平。在这项研究中，无论是受伤的严重程度还是先前的暴力受害者经历都可以预测PTSD。早期PTSD可预测后续PTSD，感知生命威胁是PD的预测因子。此外，缺乏感知的社会支持是T3时PTSD症状的预测因子。此外，低自我效能感是PTSD的预测因子，并影响T1时的社会支持。结论我们的研究结果表明，非家庭暴力的经验可能会导致严重的慢性情绪问题，因此，重要的是要意识到需要特殊的后续行动的早期症状。
Background Victims of violent assault experience diverse post-event emotional problems such as post-traumatic stress disorder (PTSD), and they may have multiple emotional problems. The aim of the present study was to evaluate the prevalence and predictors of PTSD in a longitudinal design. Methods The levels of physical injury, perceived life threat, prior experience of violence, peritraumatic dissociation (PD), acute PTSD, perceived self-efficacy and perceived social support are considered possible predictors. This study had a single group (N = 70), longitudinal design with three repeated measures over a period of 12 months. Questionnaires used were: Impact of Event Scale-15 and 22 (IES-15 and 22), Post-Traumatic Symptom Scale-10 (PTSS-10), Peritraumatic Dissociation (PD) 7-item self-report measure, Social Provisions Scale (SPS) and Generalized Self-Efficacy scale (GSE). Results Results showed a high prevalence and severity of PTSD on all outcomes, for instance 31% scored as probable PTSD-cases and 14% as risk level cases by IES-15 at T3. Either injury severity or prior experience of being a victim of violence predicted PTSD in this study. Early PTSD predicted subsequent PTSD, and perceived life threat was a predictor of PD. Furthermore, lack of perceived social support was a predictor of PTSD symptoms at T3. In addition, low perceived self-efficacy was a predictor of PTSD and influenced perceived social support at T1. Conclusions Our results showed that experience of non-domestic violence may cause serious chronic emotional problems, and therefore it is important to be aware of early symptoms indicating needs for special follow-ups.