自杀倾向对延迟发作的创伤后应激障碍的影响因年龄而改变:一项为期两年的纵向研究
Jae-Min Kim1, Ju-Wan Kim1, Hee-Ju Kang1
1Department of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea.
Journal of affective disorders
|March 12, 2024
概括
早期的自杀倾向预测创伤后应激障碍 (PTSD) 的发作因年龄而异. 虽然它与所有早期的PTSD有关,但它特别预测了老年人中延迟发作的PTSD.
科学领域:
- 创伤和伤害研究 创伤和伤害研究
- 心理健康和精神病学
- 老年医学 老年医学
背景情况:
- 身体伤害会导致严重的心理痛苦,包括创伤后应激障碍 (PTSD).
- 自杀倾向是创伤群体的一个关键问题,其与PTSD发展的关系需要进一步调查,特别是考虑到与年龄相关的差异.
研究的目的:
- 检查在身体受伤的患者中,基线自杀倾向和创伤后应激障碍 (PTSD) 的出现之间的关联.
- 调查年龄是否改变了自杀倾向和PTSD发作之间的关系,特别是区分早期发作和延迟发作的PTSD.
主要方法:
- 一组1014名身体受伤的患者在基线被评估为自杀倾向,并按年龄分类 (年轻人<60岁与老年人≥60岁).
- 创伤后应激障碍的诊断是在3,6,12和24个月的随访后确立的,其发作被归类为早期 (6个月内) 或延迟 (6个月后).
- 使用后勤回归模型来分析数据,并根据相关的共变量进行调整.
主要成果:
- 基线自杀倾向与老年患者 (≥60岁) 的延迟发作的PTSD有显著的关联,但在年轻患者中没有.
- 在所有年龄组中观察到基线自杀倾向和早期PTSD之间存在显著的关联.
- 显著的相互作用术语证实了对自杀性-PTSD发病关系的年龄特异性影响.
结论:
- 年龄对于自杀倾向如何与身体受伤后PTSD的发展有关,起着至关重要的作用.
- 对所有创伤患者来说,早期对自杀倾向的评估至关重要,特别是对老年人进行监测和支持.
- 对创伤后应激障碍的及时识别和干预对于所有年龄段的患者在创伤性身体伤害后至关重要.
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