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The authors provide epidemiological estimates of trauma, posttraumatic stress disorder (PTSD), and associated mental disorders in Northern Ireland (NI) with a focus on the impact of civil conflict using data from the NI Study of Health and Stress (NISHS), a representative epidemiological survey of adults in NI. Overall 60.6% had a lifetime traumatic event, and 39.0% experienced a presumed conflict-related event. Men were significantly more likely to experience any traumatic event and most conflict-related event types (p < .05). The lifetime and 12-month prevalence of PTSD were 8.8% and 5.1%, respectively. Furthermore, the lifetime prevalence of any mental disorder among men and women who experienced a conflict-related trauma (46.0% and 55.9%, respectively) was significantly higher than the prevalence among men and women who did not experience this type of traumatic event (27.2% and 31.1%, respectively). Given the public health burden posed by PTSD and additional impact of conflict, specific attention must be paid to the policy, service, and clinical challenge of delivering evidence-based treatments in the wake of a tumultuous period of conflict.

Traditional and Simplified Chinese Abstracts by AsianSTSS

標題:北愛爾蘭健康與壓力研究:社會衝突的創傷和創傷後壓力症的關係。

撮要:北愛爾蘭健康與壓力研究(NISHS)是北愛爾蘭(NI)的一個代表性流行病學調查。本研究利用上述研究數據,聚焦社會衝突的影響,而得出創傷、創傷後壓力症(PTSD)和相關精神病的流行病估值。總體而言,有60.6%人曾經有創傷事件,而39.0%曾經歷假定衝突相關事件。男性在統計上有效地與創傷事件和大多數衝突相關事件類別有關連(P< .05)。PTSD的終生病發率為8.8%而其一年病發率則為5.1%。再者,曾經歷衝突相關創傷的男性及女性的终生精神病病發率(分別為46.0%和55.9%)都比未有此經歷的男性及女性終生精神病病發率(分別為27.2%和31.1%)為高。因為PTSD和衝突影響引致的公共醫療負擔沉重,所以在衝突的動亂時刻過後,我們必須着重有關政策、服務和提供實証治療的挑戰等等。

标题:北爱尔兰健康与压力研究:社会冲突的创伤和创伤后压力症的关系。

撮要:北爱尔兰健康与压力研究(NISHS)是北爱尔兰(NI)的一个代表性流行病学调查。本研究利用上述研究数据,聚焦社会冲突的影响,而得出创伤、创伤后压力症(PTSD)和相关精神病的流行病估值。总体而言,有60.6%人曾经有创伤事件,而39.0%曾经历自认为的冲突相关事件。男性在统计上有效地与创伤事件和大多数冲突相关事件类别有关连(P< .05)。PTSD的终生病发率为8.8%而其一年病发率则为5.1%。再者,曾经历冲突相关创伤的男性及女性的终生精神病病发率(分别为46.0%和55.9%)都比未有此经历的男性及女性终生精神病病发率(分别为27.2%和31.1%)为高。因为PTSD和冲突影响引致的公共医疗负担沉重,所以在冲突的动乱时刻过后,我们必须着重有关政策、服务和提供实证治疗的挑战等等。