在什么后的压力? 在COVID-19期间对创伤后压力研究方法的审查
Emilie Muysewinkel1, Lise Eilin Stene2, Helena Van Deynse3
1Mental Health and Wellbeing Research Group, Department of Public Health, Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Brussels, Belgium; Department of Public Health, Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Brussels, Belgium.
Journal of anxiety disorders
|January 14, 2024
概括
许多关于创伤后压力 (PTS) 的COVID-19研究缺乏明确的指数事件,并使用过时的诊断标准. 这影响了与流行病相关的PTS研究的临床相关性.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 在COVID-19大流行期间,创伤后压力 (PTS) 研究激增.
- 对于这些研究中遵守精神疾病诊断和统计手册 (DSM) 或国际疾病分类 (ICD) 标准存在担忧.
- 与流行病相关的PTS研究中的方法严谨性需要进行批判性评估.
研究的目的:
- 在COVID-19大流行期间分析调查创伤后压力研究的研究方法.
- 评估研究是否符合创伤后应激障碍的确定的诊断标准.
- 在疫情期间识别PTS测量和数据收集的趋势.
主要方法:
- 一项对2020年1月至2023年7月期间发表的1129项研究的系统审查.
- 两位独立审查员评估了研究方法.
- 专注于评估尺度,诊断框架 (DSM/ICD),索引事件归因和数据收集位置.
主要成果:
- 70.0%的研究未能确定PTS症状的指数事件.
- 只有11.3%的研究明确将PTS症状与指数事件联系起来.
- 54.1%的研究使用基于较旧的DSM-IV标准的评估尺度.
- 大多数数据来自中国,美国和意大利.
结论:
- 在COVID-19流行病研究中,PTS的指数事件报告存在重大差距.
- 广泛使用过时的DSM标准可能会限制研究结果的临床适用性.
- 推迟采用当前的诊断标准可能会损害PTS研究的科学有效性和临床相关性.
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