在大规模暴力事件发生的社区中,成年人中出现创伤后应激障碍
Angela D Moreland1, Caitlin Rancher1, Faraday Davies1
1Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston.
大规模暴力事件 (MVI) 显著影响社区心理健康,近四分之一的人在过去一年中经历了创伤后应激障碍 (PTSD). 以前的创伤史增加了创伤后应激障碍的风险,突出了超越直接幸存者的更广泛的心理健康支持的需要.
科学领域:
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
- 社会学 社会学 社会学
背景情况:
- 大规模暴力事件 (MVI) 在美国越来越普遍.
- 虽然直接幸存者面临心理后果,但社区范围内的影响仍未得到充分研究.
研究的目的:
- 确定在受MVI影响的社区中居住的成年人中去年和当前创伤后应激障碍 (PTSD) 的患病率.
- 确定与这些人群中PTSD发展相关的因素.
主要方法:
- 美国6个社区的5991名成年人进行了一项横截面调查,这些成年人在2015-2019年期间经历了MVI.
- 基于地址的抽样确保了代表性家庭样本,参与者完成了自我管理的调查.
- 使用DSM-5标准评估创伤后应激障碍 (PTSD).
主要成果:
- 23.7%的参与者符合过去一年PTSD的标准,目前PTSD的标准为8.9%.
- 21.0%的受访者报告MVI的高暴露率.
- 女性性别和袭击或其他创伤性事件的病史与去年PTSD风险增加有显著的关联.
结论:
- 创伤后应激障碍 (PTSD) 在MVI后很长一段时间的社区中很普遍,这表明持续的公共卫生挑战.
- 心理健康的影响超越了直接的幸存者,需要全社区的支持策略.
- 对PTSD的查应考虑先前的创伤史,以有效地识别有风险的个体.
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