ICD-11 Posttraumatic Stress Disorder and Complex Posttraumatic Stress Disorder in the United States: A Population-Based Study
ICD-11 Posttraumatic Stress Disorder and Complex Posttraumatic Stress Disorder in the United States: A Population-Based Study
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DOI：
10.1002/jts.22454
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发表时间：
2019-12-01
影响因子：
3.3
通讯作者：
Shevlin, Mark
中科院分区：
文献类型：
--
作者：
Cloitre, Marylene;Hyland, Philip;Shevlin, Mark
本研究的主要目的是评估美国成年人口中国际疾病分类（第 11 版）创伤后应激障碍 (PTSD) 和复杂 PTSD (CPTSD) 的当前患病率，并确定与每种疾病相关的特征和相关性。总共 7.2% 的样本符合 PTSD 或 CPTSD 的标准，PTSD 的患病率为 3.4%，CPTSD 的患病率为 3.8%。女性比男性更有可能同时满足 PTSD 和 CPTSD 标准。成年期累积创伤与 PTSD 和 CPTSD 相关；然而，与 PTSD 相比，累积的童年创伤与 CPTSD 的相关性更强。在儿童时期发生的创伤性压力源中，看护者的性虐待和身体虐待被认为是与 CPTSD 风险相关的事件，而非看护者的性侵犯和绑架是 PTSD 的危险因素。童年不良事件与 PTSD 和 CPTSD 均相关，而且同样如此。与患有 PTSD 的人和没有诊断的人相比，患有 CPTSD 的人报告的精神负担要高得多，心理健康水平要低得多。
The primary aim of this study was to provide an assessment of the current prevalence rates of International Classification of Diseases (11th rev.) posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD) among the adult population of the United States and to identify characteristics and correlates associated with each disorder. A total of 7.2% of the sample met criteria for either PTSD or CPTSD, and the prevalence rates were 3.4% for PTSD and 3.8% for CPTSD. Women were more likely than men to meet criteria for both PTSD and CPTSD. Cumulative adulthood trauma was associated with both PTSD and CPTSD; however, cumulative childhood trauma was more strongly associated with CPTSD than PTSD. Among traumatic stressors occurring in childhood, sexual and physical abuse by caregivers were identified as events associated with risk for CPTSD, whereas sexual assault by noncaregivers and abduction were risk factors for PTSD. Adverse childhood events were associated with both PTSD and CPTSD, and equally so. Individuals with CPTSD reported substantially higher psychiatric burden and lower levels of psychological well-being compared to those with PTSD and those with neither diagnosis.