德国年轻人的创伤后应激障碍:代表性索赔数据在COVID-19大流行前和期间
Jule Leickert1, Stephan Zillmer1,2, Christian J Bachmann3
1Department of Clinical Psychology and Psychotherapy in Childhood and Adolescence, University of Hildesheim, Hildesheim, Germany.
European journal of psychotraumatology
|June 25, 2025
概括
在COVID-19期间,创伤后应激障碍 (PTSD) 诊断在年轻人中减少,但治疗机会因性别和社会经济地位而异. 这项研究凸显了大流行期间儿童和青少年在心理健康保健利用方面的差异.
科学领域:
- 精神病学是一个精神病学.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- COVID-19 流行病和相关的限制可能影响了年轻人群中创伤后应激障碍 (PTSD) 的发展或恶化.
- 关于大流行对儿童和青少年PTSD的影响的数据有限.
研究的目的:
- 调查德国青年中PTSD的流行病学和精神病学并发症.
- 分析COVID-19大流行之前和期间对儿童和青少年PTSD的住院和门诊治疗利用情况.
主要方法:
- 利用德国法定保险年轻人 (0-17.9岁) 的匿名索赔数据.
- 比较PTSD患病率,发病率,并发症和治疗模式在COVID前 (2020年1月至3月) 和COVID内 (2020年4月至12月).
- 采用描述性统计,千二测试,威尔士测试和中断时间序列分析,按性别,年龄和社会经济地位 (SES) 分层.
主要成果:
- 在COVID-19期间,女孩和男孩的整体PTSD患病率下降.
- 在高SES的女儿中观察到季度PTSD发病率的显著增加.
- 外向化的并发症增加,特别是在女性青少年中,而心理治疗的利用显示出基于性别和SES的各种趋势.
结论:
- 在COVID-19期间临床PTSD诊断的减少可能反映了紧张的医疗保健服务.
- 在治疗利用方面发现了显著的性别和SES差异,需要进一步调查.
- 这些发现强调了大流行对年轻人的心理健康和医疗保健的复杂影响.
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