Unrecognized trauma and PTSD among public mental health consumers with chronic and severe mental illness

Unrecognized trauma and PTSD among public mental health consumers with chronic and severe mental illness
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DOI:
10.1007/s10597-006-9049-4
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发表时间:
2006-10-01
影响因子:
2.7
通讯作者:
Frueh, B. Christopher
Frueh, B. Christopher
中科院分区:
医学4区
文献类型:
--
作者:
Cusack, Karen J.;Grubaugh, Anouk L.;Frueh, B. Christopher

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一生中的创伤性事件和目前的PTSD患病率进行了评估,其中142名心理健康消费者与严重的精神疾病由心理社会服务。康复日计划终生暴露于创伤的比例很高(87%)。根据PTSD检查表(PCL),PTSD的发生率也很高(19-30%,取决于不同的评分标准)。总体而言,PCL对于该样本具有较强的内部可靠性。在医疗记录中,创伤和创伤后应激障碍的记录非常少。结果表明,创伤和创伤后应激障碍在公共精神卫生系统中被显著忽视。需要提高对创伤和创伤后应激障碍的认识,以便为这一高度脆弱的人群提供有意义的服务。
Lifetime prevalence of traumatic events and current PTSD was assessed among 142 mental health consumers with serious mental illness served by a psychosocial. rehabilitation day program. Lifetime exposure to trauma was high (87%). The rate of PTSD based on the PTSD Checklist (PCL) was also high (19-30% depending on different scoring criteria). Overall, the PCL had strong internal reliability for this sample. Documentation of trauma and PTSD was exceptionally low in medical records. Results suggest that trauma and PTSD are significantly overlooked in the public mental health system. Improved recognition of trauma and PTSD are needed in order to provide meaningful services to this highly vulnerable population.