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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Prevalence of major psychiatric illness in young adults who were burned as children.
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Prevalence of major psychiatric illness in young adults who were burned as children.

机译：在被儿童烧伤的年轻成年人中，主要精神疾病的患病率。

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OBJECTIVE: To determine the prevalence of major psychiatric illness in a group of young adults who suffered significant burn injury as children. METHOD: A total of 101 persons (58 males, 43 females), aged 21 +/- 2.6 years, 14.0 +/- 5.4 years postburn of 54% +/- 20% total body surface area, were assessed for serious past and present mental illness by using a Structured Clinical Interview (SCID) for Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) Axis I diagnoses. RESULTS: The SCID findings demonstrated that the prevalence of any Axis I major mental illness was 45.5% for the past month (current) and 59.4% for lifetime. These rates of overall disorder and the rates for most specific disorders were significantly higher than those found in the US population of comparable age. Logistic regression was used to examine demographic and burn characteristics as predictors of current and lifetime psychiatric disorder within the burn survivor sample. The female gender was significantly associated with higher rates of any current disorder. Other demographic and burn characteristics were not significantly related to the overall prevalence of current or lifetime disorder. Only a small number of those with disorders reported any current mental health treatment. CONCLUSIONS: Significant burn injury as a child leads to an increased risk of developing a major mental illness. Young adults who suffered major burn injury as children should be screened for these illnesses to initiate appropriate treatment.
机译：目的：确定在儿童时期遭受严重烧伤的年轻成年人中主要精神疾病的患病率。方法：共评估了101名烧伤患者，其中男58例，女43例，年龄21 +/- 2.6岁，烧后14.0 +/- 5.4年，占全身表面积的54％+/- 20％。通过使用《结构性临床访谈（SCID）第四版（DSM-IV）第I轴诊断的精神障碍诊断和统计手册》来诊断精神疾病。结果：SCID结果表明，过去一个月（当前）和任何一生中，任何Axis I重大精神疾病的患病率为45.5％。这些总体疾病的发生率和大多数特定疾病的发生率均明显高于美国同龄人群。 Logistic回归用于检查人口统计和烧伤特征，作为烧伤幸存者样本中当前和终生精神病的预测指标。女性与当前任何疾病的患病率均显着相关。其他人口统计学和烧伤特征与当前或终生疾病的总体患病率没有显着相关。只有少数患有精神疾病的人报告了目前的心理健康治疗方法。结论：儿童严重烧伤导致罹患重大精神疾病的风险增加。应当对年幼时遭受严重烧伤的年轻人进行筛查，以采取适当的治疗措施。

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