Post-traumatic stress disorder: findings from the Australian National Survey of Mental Health and Well-being
Post-traumatic stress disorder: findings from the Australian National Survey of Mental Health and Well-being
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DOI：
10.1017/s0033291701004287
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发表时间：
2001-10-01
影响因子：
6.9
通讯作者：
McFarlane, AC
中科院分区：
文献类型：
--
作者：
Creamer, M;Burgess, P;McFarlane, AC
背景。我们报道了澳大利亚社区创伤后应激障碍（PTSD）的流行病学，包括终生创伤暴露、12个月PTSD患病率、社会人口学相关性和合并症的信息。数据来自10641名参与者的分层样本，作为澳大利亚全国心理健康和福祉调查的一部分。使用改良版的国际综合诊断访谈来确定PTSD的存在，以及其他DSM-IV焦虑、情感和物质使用障碍的存在。估计12个月的PTSD患病率为1.33%，这大大低于北美可比研究的发现。虽然在那些经历过创伤的亚样本中，女性比男性面临更大的风险，但最近一些流行病学研究中指出的巨大性别差异并没有得到重复。从未结过婚和曾经结过婚的受访者患病率较高，而55岁以上的受访者患病率较低。对男性和女性来说，强奸和性骚扰是最有可能与PTSD相关的创伤性事件。ptsd患者的I轴合并症发生率较高。创伤后应激障碍在澳大利亚社区是一种非常普遍的疾病，通常与焦虑、抑郁和物质障碍的高发率有关。未来的研究需要调查北美大陆以外其他人群的发病率。
Background. We report on the epidemiology of post-traumatic stress disorder (PTSD) in the Australian community, including information on lifetime exposure to trauma, 12-month prevalence of PTSD, sociodemographic correlates and co-morbidity.Methods. Data were obtained from a stratified sample of 10641 participants as part of the Australian National Survey of Mental Health and Well-being. A modified version of the Composite International Diagnostic Interview was used to determine the presence of PTSD, as well as other DSM-IV anxiety, affective and substance use disorders.Results. The estimated 12-month prevalence of PTSD was 1.33%, which is considerably lower than that found in comparable North American studies. Although females were at greater risk than males within the subsample of those who had experienced trauma, the large gender differences noted in some recent epidemiological research were not replicated. Prevalence was elevated among the never married and previously married respondents, and was lower among those aged over 55. For both men and women, rape and sexual molestation were the traumatic events most likely to be associated with PTSD. A high level of Axis I co-morbidity was found among those persons with PTSDConclusions. PTSD is a highly prevalent disorder in the Australian community and is routinely associated with high rates of anxiety, depression and substance disorders. Future research is needed to investigate rates among other populations outside the North American continent.