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首页> 外文期刊>BMC Psychiatry >Secondary psychotic features in refugees diagnosed with post-traumatic stress disorder: a retrospective cohort study
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Secondary psychotic features in refugees diagnosed with post-traumatic stress disorder: a retrospective cohort study

机译：确诊患有创伤后应激障碍的难民的继发性精神病特征：一项回顾性队列研究

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Background A substantial amount of refugees (10–30%) suffer from Post-Traumatic Stress Disorder (PTSD). In Denmark there are different facilities specialised in psychiatric treatment of trauma-affected refugees. A previously published case report from such a facility in Denmark shows that some patients suffer from secondary psychotic symptoms alongside their PTSD. The aim of this study was to illustrate the characteristics and estimate the prevalence of psychotic features in a clinical population of trauma-affected refugees with PTSD. Methods Psychiatric records from 220 consecutive patients at Competence Centre for Transcultural Psychiatry (CTP) were examined, and all the PTSD patients were divided into two groups; one group with secondary psychotic features (PTSD-SP group) and one without (PTSD group). A categorisation and description of the secondary psychotic features was undertaken. Results One hundred eighty-one patients were diagnosed with PTSD among which psychotic symptoms were identified in 74 (40.9, 95% CI 33.7–48.1%). The majority of symptoms identified were auditory hallucinations (66.2%) and persecutory delusions (50.0%). There were significantly more patients diagnosed with enduring personality change after catastrophic experience in the PTSD-SP group than in the PTSD group ( P =?0.009). Furthermore the PTSD-SP group included significantly more patients exposed to torture ( P =?0.001) and imprisonment ( P =?0.005). Conclusion This study provides an estimation of PTSD-SP prevalence in a clinical refugee population with PTSD. The study points to the difficulties distinguishing psychotic features from flashbacks and the authors call for attention to psychotic features in PTSD patients in order to improve documentation and understanding of the disorder.
机译：背景大量难民（10％至30％）患有创伤后应激障碍（PTSD）。在丹麦，有专门针对受精神创伤的难民进行精神科治疗的不同设施。丹麦这样的机构先前发布的病例报告显示，一些患者与PTSD一起患有继发性精神病症状。这项研究的目的是说明在创伤后创伤后应激障碍的临床人群中的精神病特征并评估其精神病患病率。方法对连续220名跨文化精神病学能力中心（CTP）患者的精神病学记录进行检查，将所有PTSD患者分为两组。一组具有继发性精神病特征（PTSD-SP组），另一组不具有继发性精神病（PTSD组）。对继发性精神病特征进行了分类和描述。结果一百八十一例确诊为PTSD的患者中，有74例出现精神病症状（40.9，95％CI 33.7–48.1％）。识别出的大多数症状是幻听（66.2％）和迫害妄想（50.0％）。与PTSD组相比，PTSD-SP组发生灾难性经历后被诊断出具有持久性格改变的患者明显多于PSD组（P = 0.009）。此外，PTSD-SP组包括更多遭受酷刑（P =？0.001）和监禁（P =？0.005）的患者。结论这项研究提供了对PTSD临床难民人群中PTSD-SP患病率的估计。该研究指出了将精神病特征与反响区分开的困难，作者呼吁对PTSD患者的精神病特征给予关注，以改善对这种疾病的记录和理解。

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