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首页> 外文期刊>Comprehensive psychiatry. >Panic symptoms and elevated suicidal ideation and behaviors among trauma exposed individuals: Moderating effects of post-traumatic stress disorder
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Panic symptoms and elevated suicidal ideation and behaviors among trauma exposed individuals: Moderating effects of post-traumatic stress disorder

机译：受创伤的个人中的惊恐症状和自杀意念和行为升高：创伤后应激障碍的调节作用

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Panic attacks (PAs) are highly prevalent among trauma exposed individuals and have been associated with a number of adverse outcomes. Despite high suicide rates among trauma exposed individuals, research to date has not examined the potential relation between panic symptoms and suicidal ideation and behaviors among this high risk population. The current study tested the association of panic with suicidal ideation and behaviors among a large sample of trauma exposed smokers. Community participants (N = 421) who reported a lifetime history of trauma exposure were assessed concurrently for current panic, suicidal ideation and behaviors, and psychiatric diagnoses. Those who met criteria for a current panic disorder diagnosis were removed from analyses to allow for the assessment of non-PD related panic in line with the recent addition of the PA specifier applicable to all DSM-5 disorders. Findings indicated that panic symptoms were significantly associated with suicidal ideation and behaviors beyond the effects of depression and number of trauma types experienced. Further, post-traumatic stress disorder (PTSD) diagnostic status significantly moderated this relationship, indicating that the relationship between panic and suicidal ideation and behaviors is potentiated among individuals with a current PTSD diagnosis. This investigation suggests that panic symptoms may be a valuable clinical target for the assessment and treatment of suicidal ideation and behaviors among trauma exposed individuals. (C) 2015 Elsevier Inc. All rights reserved.
机译：惊恐发作（PAs）在受创伤的个人中非常普遍，并与许多不良后果相关。尽管受创伤的个人中自杀率很高，但是迄今为止，研究还没有研究恐慌症状与自杀观念和行为之间的潜在关系。当前的研究测试了恐慌与自杀念头和行为之间的联系，这些样本来自大量暴露在外的吸烟者。社区参与者（N = 421）报告了其一生中经历过创伤暴露的历史，同时评估了其当前的恐慌，自杀观念和行为以及精神病学诊断。那些符合当前恐慌症诊断标准的患者已从分析中删除，以便根据最近适用于所有DSM-5疾病的PA指标对非PD相关性恐慌进行评估。研究结果表明，恐慌症状与自杀意念和行为显着相关，而不仅仅是抑郁和所经历的创伤类型的影响。此外，创伤后应激障碍（PTSD）的诊断状态显着缓解了这种关系，表明在当前PTSD诊断的个体中，恐慌和自杀念头与行为之间的关系得到加强。这项研究表明，恐慌症状可能是评估和治疗受创伤个人的自杀意念和行为的重要临床目标。 （C）2015 Elsevier Inc.保留所有权利。

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