道路交通事故后脊髓损伤和创伤性脑损伤中创伤后应激障碍（PTSD）的患病率：系统回顾和荟萃分析。

IF 1.3 4区医学 Q3 CLINICAL NEUROLOGY

Journal of Nervous and Mental Disease Pub Date : 2025-10-01 Epub Date: 2025-09-30 DOI:10.1097/NMD.0000000000001835

Reza Aletaha, Amin Abbasi, Zahra Sabahi, Homayoun Sadeghi-Bazargani, Seyed Taher Mousavi, Mina Golestani, Sakineh Hajebrahimi, Amirreza Naseri, Hanieh Salehi-Pourmehr, Alireza Motamedi

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引用次数: 0

摘要

在道路交通事故（rta）后遭受创伤性脑损伤（TBI）或脊髓损伤（SCI）的个体中PTSD的患病率尚未得到全面的审查。方法：系统检索Cochrane、PubMed、Scopus、CINAHL、ProQuest、PsycARTICLES、PsycINFO等数据库，采用综合meta分析（comprehensive meta-analysis， CMA）进行meta分析。JBI检查清单用于关键评估。结果：创伤后应激障碍在rta的TBI和SCI幸存者中的总患病率为29.4% （95% CI: 22.7% - 37.3%）。成人PTSD发生率为29.3% (95% CI: 23.8% - 35.5%)，儿童亚组为30.9% （95% CI: 4.4% - 81.3%）。应对方式、以前的工作、急性应激障碍和意识降低是一些报道的风险因素。未来的纵向研究应进一步调查地区创伤后应激障碍的患病率和预测因素，以确定早期诊断和预防策略。

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The Prevalence of Posttraumatic Stress Disorders (PTSD) in Spinal Cord Injury and Traumatic Brain Injury Following Road Traffic Accident: A Systematic Review and Meta-analysis.

Introduction: The prevalence of PTSD in individuals who suffer traumatic brain injury (TBI) or spinal cord injury (SCI) following road traffic accidents (RTAs) has not been comprehensively reviewed.

Methods: A systematic search was conducted in Cochrane, PubMed, Scopus, CINAHL, ProQuest, PsycARTICLES, and PsycINFO, and the meta-analyses were performed by the comprehensive meta-analysis (CMA). JBI checklists were utilized for critical appraisal.

Results: The pooled prevalence of PTSD in TBI and SCI survivors of RTAs was 29.4% (95% CI: 22.7% - 37.3%). The rate of PTSD in adults was 29.3% (95% CI: 23.8% - 35.5%), and it was 30.9% (95% CI: 4.4% - 81.3%) in the children subgroup. Coping styles, previous employment, acute stress disorder, and reduced awareness are some of the reported risk factors. Future longitudinal studies should further investigate the prevalence and predictors of PTSD in RTAs to identify early diagnosis and prevention strategies.

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来源期刊

Journal of Nervous and Mental Disease 医学-精神病学

CiteScore

2.90

自引率

5.30%

发文量

233

审稿时长

3-8 weeks

期刊介绍： The Journal of Nervous and Mental Disease publishes peer-reviewed articles containing new data or ways of reorganizing established knowledge relevant to understanding and modifying human behavior, especially that defined as impaired or diseased, and the context, applications and effects of that knowledge. Our policy is summarized by the slogan, "Behavioral science for clinical practice." We consider articles that include at least one behavioral variable, clear definition of study populations, and replicable research designs. Authors should use the active voice and first person whenever possible.