Trauma exposure, PTSD and psychotic-like symptoms in post-conflict Timor Leste an epidemiological survey 英文参考文献.docVIP

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Trauma exposure, PTSD and psychotic-like symptoms in post-conflict Timor Leste an epidemiological survey 英文参考文献.doc

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Trauma exposure, PTSD and psychotic-like symptoms in post-conflict Timor Leste an epidemiological survey 英文参考文献

Soosayetal.BMCPsychiatry2012,12:229 /1471-244X/12/229 RESEARCH ARTICLE OpenAccess Traumaexposure,PTSDandpsychotic-like symptomsinpost-conflictTimorLeste:an epidemiologicalsurvey IanSoosay1*,DerrickSilove2,CatherineBateman-Steel2,ZacharySteel2,PaulBebbington3,PeterBJones4, TienChey2,LorraineIvancic2andClaireMarnane2 Abstract Background:Studiesindevelopedcountriesindicatethatpsychotic-likesymptomsareprevalentinthecommunity andarerelatedtotraumaexposureandPTSD.Nocomparablestudieshavebeenundertakeninlow-income, post-conflictcountries.Thisstudyaimedtoassesstheprevalenceofpsychotic-likesymptomsinconflict-affected TimorLesteandtoexaminewhethersymptomswereassociatedwithtraumaandPTSD. Methods:ThePsychosisScreeningQuestionnaireandtheHarvardTraumaQuestionnaire(assessingtrauma exposureandPTSD)wereadministeredinanepidemiologicalsurveyof1245adults(responserate80.6%)inarural andanurbansettinginTimorLeste.WedefinedPSQscreen-positivecasesasthosepeoplereportingatleastone psychotic-likesymptom(paranoia,hallucinations,strangeexperiences,thoughtinterference,hypomania). Results:TheprevalenceofPSQscreen-positivecaseswas12percentandthesepersonsweremoredisabled. PSQcasesweremorelikelytoresideintheurbanarea,experiencedhigherlevelsoftraumaexposureanda greaterprevalenceofPTSD.PTSDonlypartiallymediatedtherelationshipbetweentraumaexposureand psychotic-likesymptoms. Conclusions:Psychotic-likesymptomsmaybeprevalentincountriesexposedtomassconflict.Theculturaland contextualmeaningofpsychotic-likesymptomsrequiresfurtherinquiryinlow-income,post-conflictsettingssuch asTimorLeste. Background Past studies suggest that psychotic-like symptoms are Knowledge has accrued about the prevalence of associated with being female, low levels of social sup- psychotic-like symptoms such as hallucinations, para- port, alcohol [5] and cannabis use [6], and a family his- noia and strange experiences in the general community tory of mental illness [5,6]. Psychotic-like symptoms [1-3]. The relatively high rates of