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Post-traumatic stress disorder and traumatic events in China: a nationally representative cross-sectional epidemiological study

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机构: [a]Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan, China [b]Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China [c]West Virginia University Department of Behavioral Medicine and Psychiatry, 930 Chestnut Ridge Road, Morgantown, WV 26505 [d]West Virginia University Department of Behavioral Medicine and Psychiatry, West Virginia University Department of Neuroscience 930 Chestnut Ridge Road, Morgantown, WV 26505 [e]Department of Psychiatry, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, Yunnan, China [f]National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China [g]Department of Epidemiology, the Fourth Military Medical University, Xi’an 710032, Shaanxi Province, China [h]Department of Social Medicine and Health Management, School of Public Health, Central South University, Changsha 410078, Hunan, China [i]Institute of Social Science Survey, Peking University, Beijing 100871, China [j]Department of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun 130021, Jilin, China [k]Department of Epidemiology and Statistics, School of Public Health and Management, Ningxia Medical University, Yinchuan 750004, Ningxia, China [l]Shanghai Mental Health Center, School of Medicine, Shanghai Jiao Tong University, Shanghai 200030, China [m]Mental Health Centre of West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China [n]Tianjin Anding Hospital, Mental Health Center of Tianjin Medical University, Tianjin 300222, China [o]The Fourth People’s Hospital in Urumqi, Urumqi 830002, China [p]The Affiliated Wuxi Mental Health Center with Nanjing Medical University, Wuxi 214151, Jiangsu, China [q]Chifeng Anding Hospital, Chifeng 024000, Inner Mongolia Autonomous Region, China [r]Guangdong Mental Health Center, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510120, Guangdong, China [s]Department of Psychiatry, Hangzhou Seventh People’s Hospital, Hangzhou 310013, Zhejiang, China [t]Nanjing Brain Hospital, Nanjing 210029, Jiangsu, China [u]The Third People’s Hospital of Qinghai, Xining 810007, Qinghai, China [v]Changchun Sixth Hospital, Changchun 130052, Jilin, China [w]Harbin First Specialized Hospital, Harbin 150000, Heilongjiang, China [x]Jingzhou Mental Health Center, Jingzhou 434000, Hubei China
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关键词: Post-traumatic stress disorder (PTSD) Trauma events (TEs) Public mental health Epidemiology study

摘要:
Post-traumatic stress disorder (PTSD) is one of the most severe sequelae of trauma. But a nationally representative epidemiological data for PTSD and trauma events (TEs) was unavailable in China. This article firstly demonstrated detailed epidemiological information on PTSD, TEs, and related comorbidities in the national-wide community-based mental health survey in China. A total of 9,378 participants completed the PTSD-related interview of the CIDI 3.0. Lifetime prevalence and 12-month prevalence of PTSD in total respondents were 0.3% and 0.2%. while the conditional lifetime and 12-month prevalence of PTSD after trauma exposure were 1.8% and 1.1%. The prevalence of exposure to any type of TE was 17.2%. Among individuals with the exposed to TEs, younger, without regular work (being a homemaker or retried), and intimate relationship breakdown (separated/Widowed/Divorced), living rurally were associated with either the lifetime PTSD or the 12-month PTSD, while the count of a specific TE, the unexpected death of loved one, was related to both. Alcohol dependence was the most common comorbidity among male participants with PTSD but major depressive disorder (MDD) for female counterparts. Our study can provide a reliable reference for future identification and intervention for people with PTSD.Copyright © 2023 Elsevier B.V. All rights reserved.

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大类 | 2 区 医学
小类 | 3 区 精神病学
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Q1 PSYCHIATRY
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Q1 PSYCHIATRY

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第一作者机构: [a]Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan, China
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通讯机构: [a]Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan, China [b]Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China [*a]Department of Psychiatry, and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan, China [*b]Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing 100191, China
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