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首页> 外文期刊>The journal of clinical psychiatry >The relationship of gender and trauma characteristics to posttraumatic stress disorder in a community sample of traumatized northern plains american Indian adolescents and young adults.
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The relationship of gender and trauma characteristics to posttraumatic stress disorder in a community sample of traumatized northern plains american Indian adolescents and young adults.

机译：在遭受创伤的北部平原美洲印第安人青少年和年轻人的社区样本中，性别和创伤特征与创伤后应激障碍的关系。

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OBJECTIVE: Previous studies have identified a high prevalence (25%-80%) of trauma among American Indian and non-American Indian adolescents and adults. However, only a fraction of traumatized individuals develop posttraumatic stress disorder (PTSD). This article examines the relationships of gender and trauma characteristics to a diagnosis of PTSD among a community sample of traumatized American Indian adolescents and young adults. METHOD: Complete data were collected from 349 American Indians aged 15 to 24 years who participated in a cross-sectional community-based study from July 1997 to December 1999 and reported experiencing at least 1 traumatic event. Traumatic events and PTSD were assessed using a version of the Composite International Diagnostic Interview. Logistic regression determined the relationships of gender, trauma type, age at first trauma, and number of traumas to the development of PTSD. RESULTS: Forty-two participants (12.0% of those who experienced a traumatic event) met criteria forlifetime PTSD. While all 4 of the independent variables noted above demonstrated univariate associations with PTSD, multivariate logistic regression analyses indicated that only experiencing a sexual trauma (odds ratio [OR] = 4.45, 95% confidence interval [CI] = 1.76 to 11.28) and having experienced 6 or more traumas (OR = 2.53, 95% CI = 1.06 to 6.04) were independent predictors of meeting criteria for PTSD. CONCLUSION: American Indian children and adolescents who experience sexual trauma and multiple traumatic experiences may be at particularly high risk for developing PTSD.
机译：目的：以前的研究已经确定，在美洲印第安人和非美洲印第安人的青少年和成年人中，创伤发生率很高（25％-80％）。但是，只有一小部分受创伤的人发展为创伤后应激障碍（PTSD）。本文研究了受创伤的美洲印第安人青少年和年轻人中社区样本中性别和创伤特征与PTSD诊断的关系。方法：从1997年7月至1999年12月参与社区横断面研究的349名15至24岁的美洲印第安人收集了完整数据，并报告经历了至少1次创伤事件。使用综合国际诊断访谈的版本评估了创伤事件和PTSD。 Logistic回归确定性别，外伤类型，首次外伤年龄和外伤次数与PTSD的发展之间的关系。结果：42名参与者（经历创伤事件的参与者的12.0％）符合终身PTSD的标准。尽管上面提到的所有4个独立变量都证明与PTSD具有单变量关联，但多因素logistic回归分析表明，只有经历了性创伤（赔率[OR] = 4.45，95％置信区间[CI] = 1.76至11.28），并且经历了6或更多的创伤（OR = 2.53，95％CI = 1.06至6.04）是满足PTSD标准的独立预测因素。结论：遭受性创伤和多种创伤经历的美国印第安儿童和青少年可能患PTSD的风险特别高。

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