暴露于创伤事件,PTSD和酒精使用:根据创伤事件类型和性别在日本进行的一项比较研究
Yuriko Takagishi1,2, Masaya Ito1, Hironori Kuga1
1National Center for Cognitive Behavior Therapy and Research National Center of Neurology and Psychiatry Kodaira Japan.
PCN reports : psychiatry and clinical neurosciences
|July 30, 2025
概括
创伤暴露和创伤后应激障碍 (PTSD) 在日本增加了酒精使用障碍 (AUD) 的风险. 非灾难性创伤和伴侣暴力是显著的风险因素,特别是在女性和男性,分别.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 酒精使用障碍 (AUD) 和创伤后应激障碍 (PTSD) 之间的联系在全球范围内得到了充分证实.
- 日本研究往往侧重于自然灾害创伤,可能会忽视与AUD风险相关的其他创伤类型.
- 饮酒模式和AUD患病率的性别差异需要国家特定的研究.
研究的目的:
- 在日本成年人群中调查各种创伤暴露,PTSD和AUD风险之间的关联.
- 在日本文化背景下探索性别特异性创伤-AUD关系.
- 确定有关创伤和AUD的国际调查结果是否适用于日本.
主要方法:
- 一项在线调查对6180名日本成年人进行.
- 包括世卫组织创伤事件清单,PTSD检查清单-5和CAGE问卷.
- 使用后勤回归分析来评估创伤,PTSD和AUD之间的关联.
主要成果:
- 与没有创伤相比,创伤暴露与增加AUD几率有关,无论是有 (OR=2.02) 还是没有 (OR=1.55) PTSD,与没有创伤相比.
- 在女性中,非自然灾害创伤显示出AUD风险高于自然灾害.
- 对于男性来说,伴侣的身体暴力是AUD的重要危险因素.
结论:
- 创伤特征和性别是理解并发性PTSD和AUD的关键因素.
- 研究结果强调,对于患有PTSD和AUD的人来说,需要针对性别敏感的干预措施.
- 文化相关的政策对于解决日本的AUD和PTSD至关重要.
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