POSTTRAUMATIC-STRESS-DISORDER IN THE GENERAL-POPULATION - FINDINGS OF THE EPIDEMIOLOGIC CATCHMENT-AREA SURVEY
POSTTRAUMATIC-STRESS-DISORDER IN THE GENERAL-POPULATION - FINDINGS OF THE EPIDEMIOLOGIC CATCHMENT-AREA SURVEY
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DOI：
10.1056/nejm198712243172604
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发表时间：
1987-12-24
影响因子：
158.5
通讯作者：
MCEVOY, L
中科院分区：
文献类型：
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作者：
HELZER, JE;ROBINS, LN;MCEVOY, L
有许多关于创伤受害者、退伍军人和遭受灾难的社区居民的创伤后应激障碍的研究。在一般人群中这种综合征的流行病学研究是罕见的，但增加了一个重要的视角，我们的理解it.We报告的调查结果的流行病学创伤后应激障碍的2493名参与者检查的一部分，全国范围内的一般人群调查精神疾病。创伤后应激障碍的患病率在总人口中为1%，在遭受身体攻击的平民和未受伤的越战老兵中约为3.5%，在越战中受伤的老兵中为20%。创伤后应激障碍与各种其他成人精神疾病有关。15岁之前的行为问题预示着成年后会受到身体攻击和（在越战老兵中）战斗，以及在这些暴露者中发展出创伤后应激障碍。虽然创伤后应激障碍的一些症状，如高度警觉和睡眠障碍，在普通人群中很常见，但《精神障碍诊断和统计手册》第三版定义的完整综合征仅在越战中受伤的退伍军人中常见。
There have been numerous studies of post-traumatic stress disorder in trauma victims, war veterans, and residents of communities exposed to disaster. Epidemiologic studies of this syndrome in the general population are rare but add an important perspective to our understanding of it. We report findings on the epidemiology of post-traumatic stress disorder in 2493 participants examined as part of a nationwide general-population survey of psychiatric disorders. The prevalence of a history of post-traumatic stress disorder was 1 percent in the total population, about 3.5 percent in civilians exposed to physical attack and in Vietnam veterans who were not wounded, and 20 percent in veterans wounded in Vietnam. Post-traumatic stress disorder was associated with a variety of other adult psychiatric disorders. Behavioral problems before the age of 15 predicted adult exposure to physical attack and (among Vietnam veterans) to combat, as well as the development of post-traumatic stress disorder among those so exposed. Although some symptoms of post-traumatic stress disorder, such as hyperalertness and sleep disturbances, occurred commonly in the general population, the full syndrome as defined by the Diagnostic and Statistical Manual of Mental Disorders, third edition, was common only among veterans wounded in Vietnam.