Zatzick Douglas F, Russo Joan E, Katon Wayne
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle 98104-2499, USA.
Psychosomatics. 2003 Nov-Dec;44(6):479-84. doi: 10.1176/appi.psy.44.6.479.
Few investigations have examined the course of somatic complaints among acutely injured trauma survivors. Posttraumatic stress disorder (PTSD), depressive, and somatic symptoms were assessed in trauma surgery inpatients (N=73) interviewed while hospitalized and again 12 months after their injury. Somatic symptoms occurred frequently and were significantly greater in patients with higher levels of PTSD and depressive symptoms, even after the analyses were adjusted for injury severity and medical comorbidity. These findings, when considered in conjunction with data documenting the heterogeneity of treatment providers visited after traumatic injury, suggest that the development of early screening and intervention procedures should incorporate assessments of physical symptoms.
很少有研究调查急性受伤的创伤幸存者的躯体主诉病程。对创伤外科住院患者（N = 73）在住院期间以及受伤后12个月进行访谈，评估其创伤后应激障碍（PTSD）、抑郁和躯体症状。躯体症状频繁出现，即使在对损伤严重程度和医疗合并症进行分析调整后，PTSD和抑郁症状水平较高的患者的躯体症状仍明显更严重。这些发现，结合记录创伤后就诊的治疗提供者异质性的数据来看，表明早期筛查和干预程序的制定应纳入对身体症状的评估。
