青少年中与战争有关的创伤后应激障碍的患病率:系统性审查和元分析
Larysa Zasiekina1,2,3, Alex Griffin1,4, Sarah-Jayne Blakemore1
1Department of Psychology, University of Cambridge, Cambridge, England.
European journal of psychotraumatology
|May 16, 2025
概括
战争创伤显著影响青少年,近30%的青少年患有创伤后应激障碍 (PTSD). 冲突后,患病率随着时间的推移而增加,这凸显了战争中的年轻人需要可访问的心理健康服务的需要.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 创伤后应激障碍 (PTSD) 在遭受战争影响的平民中很普遍.
- 青少年的心理健康受到战争创伤的重大影响,但对这群人口中与战争有关的PTSD的研究是有限的.
- 以前的研究主要集中在成年人群中.
研究的目的:
- 系统地审查和对全球青少年 (10-24岁) 中PTSD的流行情况进行元分析,这些青少年经历了与战争有关的创伤.
- 确定与在这个年龄组中发展PTSD相关的风险和保护因素.
- 检查不同PTSD诊断评估工具对患病率的影响.
主要方法:
- 2013-2023年间发表的研究的系统审查和元分析.
- 在Medline (PubMed),PsycINFO (EBSCOhost) 和PTSDpubs (ProQuest) 中进行了搜索.
- 包括21篇论文,使用Covidence合成数据.
主要成果:
- 青少年中PTSD的平均患病率 (在包括的研究中11-19岁) 为29.4% (95%CI [18.7%,43.0%]).
- 在不同研究中,患病率高度不一致 (I2 = 99.4%).
- 在战争暴露后进行的研究中观察到更高的患病率,诊断工具的选择影响了报告率.
结论:
- 青少年在冲突期间和冲突后表现出与战争有关的PTSD的高患病率.
- 在战后时期,青少年中PTSD的发病率增加,这强调了心理支持的必要性.
- 准确解释PTSD患病率需要明确的年龄范围和经过验证的,文化敏感的评估工具.
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