服刑人员创伤后应激障碍与心理健康问题的共病类型

Comorbidity of Post-Traumatic Stress Disorder and Mental Health Problem in Incarcerated Individuals

目的:采用潜在剖面分析服刑人员创伤后应激障碍(PTSD)与心理健康问题的潜在共病类型,并探讨创伤类型对潜在类别的影响。方法:采用PTSD筛查量表和一般健康问卷对692名服刑人员进行调查。结果:(1)PTSD与心理健康问题的共病类型可分为四类,即“高PTSD-高健康问题”、“回避-一般健康问题”、“低PTSD-高健康问题”和“低PTSD-低健康问题”;(2)相比于无创伤个体,遭遇创伤个体产生心理健康问题的风险更高,部分个体还有可能产生PTSD症状;而且,遭受人际创伤还更可能导致“回避-一般健康问题”(3)男性服刑人员较高的创伤率可能导致其在“低PTSD-高健康问题”和“回避-一般健康问题”的发生风险更高。

Objectives:This study aims to identify possible comorbidity types of Post-Traumatic Stress Disorder(PTSD)and mental health problems among incarcerated individuals.This study also explores comorbidities’links with trauma types.Methods:692 incarcerated individuals were investigated with The PTSD Checklist for DSM-5,General Health Questionnaire-28.Results:(1)There were four latent profiles,namely“High PTSD and mental health problems”,“Avoidance and moderate mental health problems”,“Low PTSD and high mental health problems”and“PTSD and mental health problems”.(2)Compared to those without trauma experience,individuals who have experienced trauma had a higher risk of mental health problems,some may even have PTSD symptoms.Further,interpersonal trauma induced higher prevalence of“Avoidance and moderate mental health problems”.(3)The higher trauma rate among incarcerated males may lead to higher prevalence of“Low PTSD and high mental health problems”and“Avoidance and moderate mental health problems”.