创伤后应激障碍和中国的创伤事件:一个全国代表性的横截面流行病学研究
Weihui Li1, Peng Cheng1, Zhaorui Liu2
1Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan, China.
Psychiatry research
|June 8, 2023
概括
这项研究显示,17.2%的中国成年人经历过创伤事件,1.8%患有创伤后应激障碍 (PTSD). 年龄较小,农村生活和关系问题与较高的PTSD风险有关.
科学领域:
- 精神病学是一个精神病学.
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 创伤后应激障碍 (PTSD) 是创伤后的一种严重的心理健康状况.
- 在此之前,中国缺乏关于PTSD和创伤事件 (TEs) 的全国代表性数据.
研究的目的:
- 确定PTSD和TEs在中国的流行病学流行率.
- 确定中国人口中与PTSD相关的风险因素和并发症.
主要方法:
- 进行了一项全国性基于社区的心理健康调查.
- 9,378名参与者完成了复合国际诊断面试 (CIDI) 3.0的PTSD评估.
主要成果:
- 在一般人群中,PTSD的终身患病率为0.3%,12个月患病率为0.2%.
- 在那些暴露于TEs的人中,终身PTSD患病率为1.8%,12个月患病率为1.1%.
- 风险因素包括年龄较小,失业,关系破裂和农村生活;亲人的意外死亡是一个重要的TE.
结论:
- 这项研究提供了关于中国PTSD和TE的第一个全面的流行病学数据.
- 鉴定的风险因素和并发症 (男性的酒精依赖,女性的严重抑郁症) 可以为有针对性的干预提供信息.
相关概念视频
Post-traumatic Stress Disorder
76
Post-traumatic stress disorder (PTSD) is a psychiatric condition that arises following exposure to traumatic events such as natural disasters, forced displacement, or severe accidents. It significantly impairs individuals' ability to cope with daily activities and disrupts their emotional and psychological equilibrium.
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
Symptoms and Behavioral Manifestations
A spectrum of distressing symptoms characterizes PTSD. Recurrent flashbacks, where individuals involuntarily relive traumatic events,...
76
Introduction to Stress and Lifestyle
148
Stress is a multifaceted response to events perceived as challenging or threatening, highlighting physical, emotional, cognitive, and behavioral reactions. Physically, stress can lead to fatigue, sleep disruptions, and various health issues such as frequent colds, chest pains, and nausea. Emotionally, it can manifest as anxiety, depression, irritability, and anger triggered by both minor and major life events. Cognitively, it may result in difficulty in concentration, memory, and...
148
Psychoneuroimmunology: Cardiovascular Disease
57
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
57
Stress and Mental Health
188
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
188
Psychological Responses to Stress
80
Psychological responses to stress encompass the various cognitive and emotional reactions individuals experience when faced with challenging or threatening situations, such as a job loss. Prolonged exposure to stressors can disturb emotional balance, increasing negative emotions (e.g., anxiety and sadness) and diminishing positive emotions (e.g., joy and satisfaction). These persistent emotional shifts are associated with an increased risk of both physical illness and mental health issues, such...
80
Panic Disorder
150
Panic disorder is an anxiety disorder characterized by recurrent and sudden minutes-long episodes of intense fear, known as panic attacks. These attacks may feel like heart attacks and often happen without warning or a specific cause. They can include symptoms such as rapid heart rate, shortness of breath, chest pain, trembling, sweating, dizziness, and a sense of helplessness. During a panic attack, individuals may feel as though they are experiencing a heart attack or are in a...
150


