痛苦的记忆:从健康到PTSD的连续性
Alexandra Martalek1, Caroline Dubertret2, Thomas Fovet3
1Department of Psychiatry, Louis-Mourier Hospital, AP-HP, 92700 Colombes, France; Université Paris cité, Faculty of Medicine, Paris, France.
Journal of affective disorders
|July 19, 2024
概括
创伤后的痛苦记忆 (DM) 是常见的,即使没有完全的创伤后应激障碍 (PTSD),也可能表明精神疾病的风险增加. 识别DM有助于临床医生识别心理健康状况的脆弱性.
科学领域:
- 精神病学是一个精神病学.
- 创伤研究 创伤研究
- 流行病学 流行病学
背景情况:
- 创伤事件经常引起痛苦,从孤立的痛苦记忆 (DM) 到创伤后应激障碍 (PTSD).
- 连续性理论表明,对创伤的反应范围广泛.
研究的目的:
- 用DM作为一个孤立的症状来评估创伤反应的连续理论.
- 检查暴露于创伤的个体中DM的精神相关性.
主要方法:
- 分析了来自全国酒精和相关疾病流行病学研究III (NESARC-III) 的数据.
- 在受创伤影响的样本中评估DM患病率和社会人口统计学/精神病学相关性.
- 三组的比较:对照组,孤立的DM和PTSD.
主要成果:
- 在17,505名受创伤影响的个体的样本中,13%的人患有PTSD,42%的人患有没有PTSD的DM.
- 对于PTSD诊断,DM显示出高灵敏度 (95.14%),但中度的特异性 (51.91%).
- 患有DM的个体报告的终身精神疾病比对照人多,但比患有PTSD的人少.
结论:
- 痛苦的记忆 (DM) 代表了幸福和PTSD之间的中间状态.
- 糖尿病与各种精神疾病有关,表明跨诊断的相关性.
- 脑膜炎是精神病脆弱性的一个有价值的临床指标.
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