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患有的成年人中创伤后应激障碍的患病率:元分析

Deniz Ertan¹, Alexis Tarrada², Wissam El-Hage³

¹Institut la Teppe, Tain l'Hermitage, France; CHRU de Nancy, Département de Neurologie, Nancy, France.

|February 7, 2025

概括

创伤后应激障碍 (PTSD) 的综合患病率在患者中为7.7%,在功能性/离散性患者中为33.4%. 在这些人群中,标准化诊断工具对于准确的PTSD评估至关重要.

科学领域:

神经学神经学
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) 经常在患者中观察到.
现有的关于PWE中PTSD的研究显示出相当大的方法和结果异质性.
需要对当前文献进行全面的综合分析,以确定可靠的PWE中PTSD患病率估计.

研究的目的:

进行系统的文献审查和元分析,以确定患有的成年人中PTSD的综合患病率.
具体评估在经过审查的文献中,在功能/离散性 (FDS) 患者中PTSD的患病率.

主要方法:

进行了系统的文献搜索,确定了10732篇文章.
三十八项研究符合分析的纳入标准.
针对和FDS群体计算了聚合患病率,对使用经过验证的诊断工具的研究进行了敏感性分析.

主要成果:

在研究中的PTSD患病率估计中观察到很高的异质性 (:I2 = 97.0%;FDS:I2 = 90.7%).
在群 (n=5545) 中,PTSD的综合患病率为7.7% (95% CI:5.2%11.2%),在FDS群 (n=1409) 中为33.4% (95% CI:23.4%45.2%).
使用经过验证的天平进行的灵敏度分析产生了类似的结果:的6.7%,FDS的33.1%.

结论:

这项研究强调了和功能/离散性发作患者中PTSD的显著综合流行率.
这些发现强调了在这些患者群体中使用标准化,验证的秤和结构化临床访谈以准确诊断PTSD的必要性.
对创伤经历进行系统评估对于改善患者护理和治疗结果至关重要.

关键词:

精神病学精神病学神经学神经学创伤后应激障碍创伤后应激障碍发作发作发作

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