A Systematic Review and Meta-Analysis of the Global Prevalence of ICD-11 Complex Post-Traumatic Stress Disorder in the Community.

IF 2.7 4区医学 Q2 PSYCHIATRY

International Journal of Social Psychiatry Pub Date : 2025-09-07 DOI:10.1177/00207640251368064

Luis Hualparuca-Olivera, Elsa Vigo-Ayasta, Julio Torales, Cristian Ramos-Vera, Tomás Caycho-Rodríguez, Margarita Calle-Arancibia, Dennis Calle, Antonio Ventriglio

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引用次数: 0

Abstract

Background: Complex post-traumatic stress disorder (C-PTSD) has been included in the International Classification of Diseases 11th Revision (ICD-11) to capture symptomatology caused by extreme, prolonged, or multiple forms of trauma.

Aims: The present systematic review and meta-analysis sought to assess the one-month prevalence of this disorder in the community setting.

Method: A systematic search was conducted in four databases (Google Scholar, PubMed, Web of Science, and Scopus) where relevant studies were subjected to explicit eligibility criteria, resulting in 16 included studies and 22 effect sizes. Study characteristics were tabulated, their methodological quality was assessed and findings were synthesized using a random-effects meta-analysis.

Results: Findings indicated overall that C-PTSD has a moderate prevalence in this population (PREV = 8.59%, 95% CI [5.84%, 11.34%], I² = 98.6%). Moderator analyses indicated that prevalence differed significantly by continent, scale, sample type, country, and language.

Conclusions: The results of this study strongly indicate that 9 out of 100 people in the community are at risk for C-PTSD, making it a primary focus of attention and the public policies that it represents. Future research should further explore the prevalence of C-PTSD among specific population groups who experienced specific episodes of trauma.

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ICD-11复杂创伤后应激障碍全球社区患病率的系统回顾和荟萃分析

背景：复杂创伤后应激障碍（C-PTSD）已被纳入国际疾病分类第11版（ICD-11），以捕获由极端、长期或多种形式的创伤引起的症状。目的：本系统综述和荟萃分析旨在评估该疾病在社区中一个月的患病率。方法：系统检索4个数据库（b谷歌Scholar、PubMed、Web of Science和Scopus），并对相关研究进行明确的入选标准，共纳入16项研究和22个效应量。将研究特征制成表格，对其方法学质量进行评估，并使用随机效应荟萃分析对研究结果进行综合。结果：总体而言，C-PTSD在该人群中具有中等患病率（PREV = 8.59%, 95% CI [5.84%, 11.34%], I2 = 98.6%）。调节分析表明，患病率因大洲、规模、样本类型、国家和语言而有显著差异。结论：本研究的结果强烈表明，社区中每100人中就有9人有患C-PTSD的风险，这使其成为人们关注的焦点和它所代表的公共政策。未来的研究应进一步探讨C-PTSD在经历过特定创伤事件的特定人群中的患病率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Social Psychiatry PSYCHIATRY-

CiteScore

12.30

自引率

1.30%

发文量

120

期刊介绍： The International Journal of Social Psychiatry, established in 1954, is a leading publication dedicated to the field of social psychiatry. It serves as a platform for the exchange of research findings and discussions on the influence of social, environmental, and cultural factors on mental health and well-being. The journal is particularly relevant to psychiatrists and multidisciplinary professionals globally who are interested in understanding the broader context of psychiatric disorders and their impact on individuals and communities. Social psychiatry, as a discipline, focuses on the origins and outcomes of mental health issues within a social framework, recognizing the interplay between societal structures and individual mental health. The journal draws connections with related fields such as social anthropology, cultural psychiatry, and sociology, and is influenced by the latest developments in these areas. The journal also places a special emphasis on fast-track publication for brief communications, ensuring that timely and significant research can be disseminated quickly. Additionally, it strives to reflect its international readership by publishing state-of-the-art reviews from various regions around the world, showcasing the diverse practices and perspectives within the psychiatric disciplines. This approach not only contributes to the scientific understanding of social psychiatry but also supports the global exchange of knowledge and best practices in mental health care.