PDF(Pubmed)
Abstract：
Serving military personnel and veterans are known to be at elevated risk of post-traumatic stress disorder (PTSD), and some veterans have been shown to respond poorly to current standard treatments. Evidence so far suggests that according to the 11th edition of the International Classification of Diseases and Related Health Problems guidelines, complex PTSD (CPTSD) may be of higher prevalence in the general population than PTSD. The aim of the study was to investigate the prevalence of CPTSD compared to PTSD in serving and ex-serving military populations. A systematic review was conducted with the search criteria set to peer-reviewed English language journal articles, focusing on serving military or veteran populations, reporting on the prevalence of CPTSD, not restricted by year. Four comprehensive databases (Psycinfo, Pubmed, CINAHL, and Embase) were searched. Of the 297 identified articles, 16 primary studies were eligible for inclusion. The review was registered in the PROSPERO database (CRD42023416458), and results were reported based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Of the 16 studies, 13 demonstrated higher prevalence of CPTSD than PTSD. Studies were predominantly veteran focused. Prevalence of CPTSD ranged from 5% to 80.63%, while prevalence of PTSD ranged from 3.8% to 42.37%. There was high heterogeneity in study populations, preventing meta-analysis. This is the first systematic review to assess the prevalence of CPTSD in serving military and veteran populations, with the findings demonstrating a higher rate of CPTSD compared to PTSD. It is hoped that the review will assist clinicians and military and veteran health services with appropriate assessment, diagnosis, and intervention for those affected by CPTSD, as well as PTSD.
摘要：
已知服役的军事人员和退伍军人患创伤后应激障碍（PTSD）的风险较高，一些退伍军人已被证明对目前的标准治疗反应不佳。迄今为止的证据表明，根据第11版《国际疾病和相关健康问题分类》指南，复杂PTSD（CPTSD）在普通人群中的患病率可能高于PTSD。该研究的目的是调查在职和退役军人中CPTSD与PTSD的患病率。进行了系统的审查，搜索标准设置为同行评审的英语期刊文章，专注于为军人或退伍军人服务，报告CPTSD的患病率，不受年份限制。四个综合数据库(Psycinfo，Pubmed,CINAHL,和Embase)进行了搜索。在297篇确定的文章中，16项主要研究符合纳入条件。该审查已在PROSPERO数据库（CRD42023416458）中注册，根据系统评价和荟萃分析指南的首选报告项目报告结果。在16项研究中，13显示CPTSD的患病率高于PTSD。研究主要集中在退伍军人身上。CPTSD的患病率范围从5%到80.63%，而PTSD的患病率在3.8%至42.37%之间。研究人群中存在高度异质性，防止荟萃分析。这是评估CPTSD在军人和退伍军人中的患病率的第一个系统综述，研究结果表明，与PTSD相比，CPTSD的发生率更高。希望这项检讨能协助临床医生,军队及退伍军人医疗服务机构进行适当的评估,诊断,以及对那些受CPTSD影响的人的干预，以及PTSD。
