Exposure to War as a Risk Factor for Mental Disorders 英文参考文献.docVIP

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Exposure to War as a Risk Factor for Mental Disorders 英文参考文献.doc

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Exposure to War as a Risk Factor for Mental Disorders 英文参考文献

Perspective Exposure to War as a Risk Factor for Mental Disorders David M. Benedek, Robert J. Ursano * W hile large-scale national psychiatric epidemiologic studies have been conducted Linked Research Article examine individual and cumulative war exposure as risk factors for the development of mental disorders. One hundred and sixteen trained interviewers administered the Arabic version of the CIDI 3.0 to a randomly selected non-institutionalized adult (age ≥18 years) family member This Perspective discusses the following new study published in PLoS Medicine: in Western industrialized nations [1–3], studies in the Arab world have generally been limited to smaller populations [4–6]. In addition, while exposure to war as a risk factor for the development of mental disorders in military populations has previously been described [7,8], the effect of war upon ?rst onset of a range of mental disorders in civilian populations at a national level has not been explored. Over the last quarter-century, Karam EG, Mneimneh ZN, Dimassi H, Fayyad JA, Karam AN, et al. (2008) Lifetime prevalence of mental disorders in Lebanon: First onset, treatment, and exposure to war. PLoS Med 5(4): e61. doi:10.1371/journal.pmed.0050061 In a survey of 2,857 adults in Lebanon, Elie Karam and colleagues found a lifetime prevalence of any DSM-IV psychiatric disorder of 25.8%. (n = 2,187) in households across 342 geographical area segments of Lebanon. For all (n = 1,031) respondents who met lifetime criteria for any core mental disorder (and for a probability sample of those who did not), a secondary assessment of risk factors was conducted. Marital status, education, and war exposure were used as time-variant variables in the analysis, using discrete-time survival analysis to estimate the probability of the ?rst onset of a disorder at each year of life up to and including age 74 years. Investigators found that the lifetime prevalence of any DSM-IV (Diagnostic and Statistical Manual, 4th edition)