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논문 기본 정보

자료유형
학술저널
저자정보
Anna Seong (Department of Medicine Gachon University College of Medicine Incheon Republic of Korea) Seo-Eun Cho (Department of Psychiatry Gil Medical Center Incheon Republic of Korea) Kyoung-Sae Na (Department of Psychiatry Gil Medical Center Gachon University College of Medicine Incheon Republic of Korea)
저널정보
대한신경정신의학회 PSYCHIATRY INVESTIGATION PSYCHIATRY INVESTIGATION 제20권 제6호
발행연도
2023.6
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483 - 492 (10page)

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Objective Schizophrenia-spectrum disorders and posttraumatic stress disorder (PTSD) share common clinical manifestations, genetic vulnerability, and environmental risk factors. We aimed to conduct a systematic review and meta-analysis of the comorbid prevalence of PTSD among schizophrenia-spectrum disorders. Methods We performed a meta-analysis to identify possible contributing factors to the heterogeneity among these studies. We system atically searched electronic databases with no restrictions on language of articles. Results We extracted 24 samples (18 for current prevalence and 6 for lifetime prevalence) from 22 studies and used a random effects model to estimate the pooled prevalence of PTSD among schizophrenia-spectrum disorders. The current and life prevalence of comor bid PTSD was 10.6% (95% confidence interval [CI]=6.3%–17.3%) and 13.0% (95% CI=5.3%–28.6%), respectively. Studies assessing psy chotic experiences/involuntary admission reported the highest prevalence of comorbid PTSD (57.1%, 95% CI=43.6%–59.7%), whereas those assessing various anxiety disorders reported the lowest prevalence (1.1%, 95% CI=1.0%–5.5%). Heterogeneities of the subgroup analysis by similar objectives were largely homogeneous (I2 =7.1–34.1). In the qualitative assessment, only two studies (9.1%) were evalu ated as having a low risk of bias. Conclusion Our results showed that a careful approach with particular attention to assessing PTSD is essential to reliably estimate the prevalence of PTSD comorbid with schizophrenia-spectrum disorders. The reason for the wide discrepancy in the prevalence of comor bid PTSD among the four groups of studies should be addressed in future research.

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