ICD-11 PTSD and Complex PTSD in the United States: A population-based study
ICD-11 PTSD and Complex PTSD in the United States: A population-based study
复制标题
ICD-11 美国的 PTSD 和复杂 PTSD：基于人群的研究
DOI：
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发表时间：
2019
期刊：
影响因子：
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通讯作者：
M. Shevlin
中科院分区：
文献类型：
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作者：
Running Head;M. Cloitre;P. Hyland;J. Bisson;C. Brewin;N. Roberts;T. Karatzias;M. Shevlin
本研究的主要目的是评估美国成年人口中 ICD-11 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，其中 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。累积性成年创伤与 PTSD 和 CPTSD 相关，但累积性童年创伤与 CPTSD 的相关性比 PTSD 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，而性侵犯（非看护者）和绑架是 PTSD 的危险因素。不良童年事件 (ACE) 与 PTSD 和 CPTSD 均相关，而且同样如此。与没有诊断的 PTSD 患者相比，CPTSD 患者的精神负担要高得多，心理健康状况要差得多。临床上，急性原发性症状合并症较多，健康水平较低。这些结果表明了疾病不同的两个特征，与两种疾病的表述一致并支持。结果还确定，CPTSD 是一种更严重、更具损害性的疾病，具有更大的精神科临床意义。与多成分治疗相比，CPTSD 可能需要更长的疗程
The primary aim of this study was to provide an assessment of the current prevalence rates of ICD-11 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 where the prevalence rate for PTSD was 3.4% and for CPTSD was 3.8%. Females were more likely than males to meet criteria for both PTSD and CPTSD. Cumulative adulthood trauma was associated with 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 while sexual assault (by non-caregiver) and abduction were risk factors for PTSD. Adverse childhood events (ACEs) were associated with both PTSD and CPTSD and equally so. Those with CPTSD reported substantially higher psychiatric burden and lower psychological well-being compared to those with PTSD, and with neither diagnosis. clinical, acute primary greater symptom co-morbidity and lower levels of well-being. These results indicate two characteristics by which the disorders differ, consistent with and supportive of the two-disorder formulation. The results also identify as a more severe and impairing disorder with a greater psychiatric Clinical implications for of CPTSD may be that will require longer course as compared multi-component
影响因子：
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作者：
KESSLER, RC;SONNEGA, A;NELSON, CB
通讯作者：
NELSON, CB
影响因子：
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作者：
Kessler, RC;Chiu, WT;Walters, EE
通讯作者：
Walters, EE