March John S
Child and Family Study Center, Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina 27710, USA.
Biol Psychiatry. 2003 May 1;53(9):809-16. doi: 10.1016/s0006-3223(02)01975-3.
There is little empirical support for the diagnosis of acute stress disorder (ASD) in children and adolescents. Most reports treat ASD as "provisional posttraumatic stress disorder (PTSD)" (meaning that children evidence ASD on the way to a formal diagnosis of PTSD), while speculating on factors that might moderate or mediate the transformation of ASD into PTSD. This report briefly reviews the literature on ASD in the context of presenting a testable, multivariate model for understanding acute stress responses in youth.
关于儿童和青少年急性应激障碍（ASD）的诊断，几乎没有实证支持。大多数报告将ASD视为“临时性创伤后应激障碍（PTSD）”（即儿童在正式诊断为PTSD的过程中表现出ASD症状），同时推测可能调节或介导ASD向PTSD转变的因素。本报告在提出一个可检验的多变量模型以理解青少年急性应激反应的背景下，简要回顾了关于ASD的文献。
