Trauma exposure and stress-related disorders in inner city primary care patients.
Trauma exposure and stress-related disorders in inner city primary care patients.
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内部城市初级保健患者的创伤暴露和与压力有关的疾病。
DOI：
10.1016/j.genhosppsych.2009.05.003
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发表时间：
2009-11
影响因子：
7
通讯作者：
Ressler KJ
中科院分区：
文献类型：
--
作者：
Gillespie CF;Bradley B;Mercer K;Smith AK;Conneely K;Gapen M;Weiss T;Schwartz AC;Cubells JF;Ressler KJ
这项研究是为了增加对城市贫困人口中创伤后应激障碍和MDD的环境风险因素的了解。这项研究调查了低收入人群，主要是非洲裔美国人(>；93%)，在城市公立医院的初级保健和妇产科诊所寻求护理的女性和男性，研究了创伤后应激障碍和抑郁症状的人口统计特征、创伤暴露模式、创伤后应激障碍和MDD的患病率以及创伤后应激和抑郁症状的预测因素。87.8%(N=1256)的样本报告了他们一生中某种形式的重大创伤。意外是最常见的创伤暴露形式，其次是人际暴力和性侵犯。儿童创伤水平和成人创伤水平分别预测成人创伤后应激障碍水平和抑郁症状。PTSD终生患病率为46.2%，MDD终生患病率为36.7%。这些数据记录了在市中心初级保健人口的大样本中，儿童和成人创伤暴露的高水平，主要是人际暴力。在这组受试者中，创伤后应激障碍和抑郁是非常普遍的疾病。
This study was undertaken to increase understanding of environmental risk factors for PTSD and MDD within an urban, impoverished, population. This study examined the demographic characteristics, patterns of trauma exposure, prevalence of PTSD and MDD, and predictors of post-traumatic stress and depressive symptomatology using a verbally-presented survey and structured clinical interviews administered to low-income, primarily African-American (>93%), women and men seeking care in the primary care and obstetrics-gynecology clinics of an urban public hospital. 87.8% (N=1256) of the sample reported some form of significant trauma in their lifetime. Accidents were the most common form of trauma exposure followed by interpersonal violence and sexual assault. Childhood level of trauma and adult level of trauma separately, and in combination, predicted level of adult PTSD and depressive symptomatology. The lifetime prevalence of PTSD was 46.2% and the lifetime prevalence of MDD was 36.7%. These data document high levels of childhood and adult trauma exposure, principally interpersonal violence, in a large sample of an inner-city primary care population. Within this group of subjects, PTSD and depression are highly prevalent conditions.
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影响因子：
5.9
作者：
Byrne, CA;Resnick, HS;Saunders, BE
通讯作者：
Saunders, BE
影响因子：
120.7
作者：
Binder, Elisabeth B.;Bradley, Rebekah G.;Ressler, Kerry J.
通讯作者：
Ressler, Kerry J.
DOI：
10.1093/jurban/jth138
发表时间：
2004-12-01
影响因子：
6.6
作者：
Breslau, N;Wilcox, HC;Anthony, JC
通讯作者：
Anthony, JC
影响因子：
17.7
作者：
DeLisi, LE;Maurizio, A;Stevens, P
通讯作者：
Stevens, P
DOI：
10.1080/09540120410001641084
发表时间：
2004-02-01
影响因子：
1.7
作者：
Delahanty, DL;Bogart, LM;Figler, JL
通讯作者：
Figler, JL