一项以人口为基础的研究,评估土耳其成年人的创伤后应激障碍和急性应激障碍
Gizem Karaoğlan1, Fatih Ekici2, Lütfi Saltuk Demir3
1Department of Psychiatry, Nevşehir State Hospital, Nevşehir, Turkey.
Journal of psychiatric research
|August 3, 2025
概括
超过一半的土耳其成年人经历过创伤,其中2.6%患有创伤后应激障碍 (PTSD) 和4.4%患有急性应激障碍 (ASD). 女性性别和特定的暴力事件增加了风险,突出了有针对性的支持计划的需要.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 公共卫生 公共卫生
- 创伤研究 创伤研究
背景情况:
- 创伤经历在全球范围内是一个重大的公共卫生问题.
- 了解创伤后应激障碍 (PTSD) 和急性应激障碍 (ASD) 的患病率和风险因素对于开发有效干预至关重要.
- 关于土耳其成年人口中这些疾病的患病率的数据有限.
研究的目的:
- 在代表性土耳其成年人样本中调查创伤经历,PTSD和ASD的患病率.
- 确定相关的社会人口统计学和特定事件的因素,有助于PTSD和ASD的发展.
- 为土耳其制定有针对性的心理健康支持计划提供信息.
主要方法:
- 在土耳其科尼亚省的30个家庭健康中心进行了一项横截面研究.
- 采用系统抽样方式招募了1587名成年人 (≥18岁) 的样本.
- 使用DSM-5 (SCID-5) 的结构化临床面试进行面对面的诊断面试,以评估创伤经历,PTSD和ASD.
主要成果:
- 经历至少一次创伤事件的终身患病率为54.9%.
- 生涯患病率为2.6%的PTSD (条件患病率:4.7%) 和4.4%的ASD (条件患病率:8%).
- 创伤后应激障碍的危险因素包括女性性别,年龄较小,分居/离婚/寡居,退休,并发性精神疾病和自杀企图. 性暴力,酷刑和突然的暴力死亡构成了创伤后应激障碍的最高条件风险. 女性性别是ASD唯一相关的社会人口统计变量.
结论:
- 土耳其成年人中创伤性经历的高患病率强调了迫切需要获得心理健康支持.
- 早期意识和干预计划对于缓解慢性病,降低自杀率和预防功能障碍至关重要.
- 进一步的研究应该集中在土耳其的创伤幸存者的文化适应干预措施上.
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