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萨拉热窝被围困三年后的创伤后应激障碍

Posttraumatic Stress Disorder three years after the siege of Sarajevo.

作者信息

Rosner Rita, Powell Steve, Butollo Willi

机构信息

Klinische Psychologie, Ludwig-Maximilians-University, Munich, Germany.

出版信息

J Clin Psychol. 2003 Jan;59(1):41-55. doi: 10.1002/jclp.10116.

Abstract

The goals of this study were to estimate the lifetime prevalence of traumatic events, the current prevalence of Posttraumatic Stress Disorder (PTSD), and the connection between the kinds of traumatic events experienced and the probability of developing PTSD in three study samples in Sarajevo, Bosnia-Herzegovina, three years after the end of the war. A total of 311 people surviving the siege of Sarajevo were assessed with the Checklist for War Related Experiences (CWE) and an adapted version of the Posttraumatic Diagnostic Scale (PDS). The study groups consisted of a randomly selected residents sample (n = 98), a group of individuals in psychological treatment (n = 114), and a group in medical treatment (n = 99). Each individual survived an average of 24 traumatic events. According to the Diagnostic and Statistical Manual of Mental Disorders, 4th ed. (DSM-IV; American Psychiatric Association, 1994) criteria, 18.6% of individuals in the residents sample, 32.7% of those in medical treatment, and 38.6% of those in psychological treatment developed PTSD.

摘要

本研究的目的是估计创伤事件的终生患病率、创伤后应激障碍(PTSD)的当前患病率,以及波斯尼亚和黑塞哥维那萨拉热窝的三个研究样本在战争结束三年后所经历的创伤事件类型与患PTSD可能性之间的联系。共有311名经历过萨拉热窝围城战的幸存者接受了战争相关经历清单(CWE)和创伤后诊断量表(PDS)的改编版评估。研究组包括一个随机抽取的居民样本(n = 98)、一组接受心理治疗的个体(n = 114)和一组接受医学治疗的个体(n = 99)。每个人平均经历了24次创伤事件。根据《精神疾病诊断与统计手册》第4版(DSM-IV;美国精神病学协会,1994年)标准,居民样本中有18.6%的个体、接受医学治疗的个体中有32.7%以及接受心理治疗的个体中有38.6%患上了PTSD。

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