Trauma and conditional risk of posttraumatic stress disorder in two American Indian reservation communities.
Trauma and conditional risk of posttraumatic stress disorder in two American Indian reservation communities.
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DOI：
10.1007/s00127-012-0615-5
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发表时间：
2013-06
影响因子：
4.4
通讯作者：
Manson, Spero M.
中科院分区：
文献类型：
--
作者：
Beals, Janette;Belcourt-Dittloff, Annjeanette;Garroutte, Eva M.;Croy, Calvin;Jervis, Lori L.;Whitesell, Nancy Rumbaugh;Mitchell, Christina M.;Manson, Spero M.
目的：确定两个不同文化背景的美洲印第安人保留社区患创伤后应激障碍(PTSD)的条件风险。数据来自美国印第安人服务利用、精神流行病学、风险和保护因素项目，这是一项在1997至2000年间完成的基于人口的横断面调查。这项研究的重点是符合DSM-IV创伤暴露标准的1,967名参与者。创伤被分为人际创伤、非人际创伤、目击创伤和“亲近他人的创伤”。分析检查了最严重创伤的分布，暴露后创伤后应激障碍的条件发生率，以及由这些事件引起的创伤后应激障碍病例的分布。双变量和多变量Logistic回归估计终生创伤后应激障碍与创伤类型的关系。总体而言，暴露在DSM-IV创伤中的15.9%的人符合终身创伤后应激障碍的标准，这一比例与美国的类似研究相当。女性比男性更容易患上创伤后应激障碍。大多数(60%)女性创伤后应激障碍病例来自人际创伤暴露(特别是性虐待和身体虐待)；在男性中，病例在创伤类别中分布较均匀。之前的研究表明，与其他美国人相比，美国印第安人样本中暴露于创伤和创伤后应激障碍的比例更高。这项研究表明，创伤后应激障碍的条件发生率与其他地方报道的相似，这表明这种疾病在美国印第安人中的高患病率在很大程度上是由于较高的创伤暴露比率。
To determine conditional risk of posttraumatic stress disorder (PTSD) in two culturally distinct American Indian reservation communities. Data from the American Indian Service Utilization, Psychiatric Epidemiology, Risk and Protective Factors Project, a cross-sectional population-based survey completed between 1997 and 2000. This study focused on 1,967 participants meeting the DSM-IV criteria for trauma exposure. Traumas were grouped into interpersonal, non-interpersonal, witnessed, and “trauma to close others” categories. Analyses examined distribution of worst traumas, conditional rates of PTSD following exposure, and distributions of PTSD cases deriving from these events. Bivariate and multivariate logistic regressions estimated associations of lifetime PTSD with trauma type. Overall, 15.9% of those exposed to DSM-IV trauma qualified for lifetime PTSD, a rate comparable to similar U.S. studies. Women were more likely to develop PTSD than were men. The majority (60%) of cases of PTSD among women derived from interpersonal trauma exposure (in particular, sexual and physical abuse); among men, cases were more evenly distributed across trauma categories. Previous research has demonstrated higher rates of both trauma exposure and PTSD in American Indian samples compared to other Americans. This study shows that conditional rates of PTSD are similar to those reported elsewhere, suggesting that the elevated prevalence of this disorder in American Indian populations is largely due to higher rates of trauma exposure.
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影响因子：
--
作者：
KESSLER, RC;SONNEGA, A;NELSON, CB
通讯作者：
NELSON, CB
影响因子：
5.9
作者：
Norton, IM;Manson, SM
通讯作者：
Manson, SM
影响因子：
17.7
作者：
Beals, J;Novins, DK;Manson, SM
通讯作者：
Manson, SM
影响因子：
--
作者：
Kessler, RC;Berglund, P;Walters, EE
通讯作者：
Walters, EE
影响因子：
4.4
作者：
McFarlane, A
通讯作者：
McFarlane, A