澳大利亚国防军的创伤后应激障碍:从国防电子卫生系统记录中估计患病率
Duncan Wallace1,2, E Heffernan3,4, C Meurk5,6
1Joint Health Command, Australian Defence Force Centre for Mental Health, Liverpool, New South Wales, Australia d_wallace@ozemail.com.au.
BMJ military health
|December 17, 2024
概括
澳大利亚国防军 (ADF) 的研究发现,2015-2016年创伤后应激障碍 (PTSD) 的患病率低于预期. 在正规和预备役成员中,经证实的PTSD率为0.96%.
科学领域:
- 军人卫生保健 军人卫生保健
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 创伤后应激障碍 (PTSD) 是军人群体的一个重大问题.
- 以前的研究表明,澳大利亚国防军 (ADF) 成员中PTSD的患病率更高.
- 了解目前的患病率对于有针对性的支持和资源分配至关重要.
研究的目的:
- 确定在服役的澳大利亚国防军 (ADF) 成员中临床诊断的创伤后应激障碍 (PTSD) 的患病率.
- 在2015-2016年期间分析ADF中PTSD率.
- 为了比较记录的发病率与预期的流行率.
主要方法:
- 在12个月的时间内 (2015-2016) 对ADF成员的PTSD诊断电子健康记录的查.
- 两个精神病学家对10%的记录样本进行审查,并随机匹配样本,用于诊断验证.
- 分析的重点是确定患有临床诊断PTSD的个体.
主要成果:
- 在常规和储备ADF样本组合中,记录的PTSD的患病率为0.96%.
- 不包括预备役成员,患病率上升至1.33%.
- 在陆军人员中观察到的比例最高,主要是男性,非指挥官.
结论:
- 该研究显示,ADF成员的健康记录中记录的PTSD的患病率低于预期.
- 这一发现与之前的研究形成鲜明对比,可能受到诸如耻辱感,诊断记录偏见或延迟发作的PTSD等因素的影响.
- 对这些可能的解释进行进一步的调查是有必要的,以充分理解ADF内部的PTSD.
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