Bryant B, Mayou R, Wiggs L, Ehlers A, Stores G
Department of Psychiatry, University of Oxford.
Psychol Med. 2004 Feb;34(2):335-46. doi: 10.1017/s0033291703001053.
Little is known about the psychological and behavioural consequences of road traffic accidents for children. The study aimed to determine the outcome of road traffic accidents on children and their mothers.
A 1-year cohort study of consecutive child attenders aged 5-16 years at an Accident and Emergency Department. Data were extracted from medical notes and from interview and self-report at baseline, 3 months and 6 months.
The children had an excellent physical outcome. Fifteen per cent suffered acute stress disorder; 25% suffered post-traumatic stress disorder at 3 months and 18% at 6 months. Travel anxiety was frequent. Post-traumatic consequences for mothers were common.
Psychological outcome was poor for a minority of children and associated with disability, especially for travel. There were significant family consequences. There is a need for changes in clinical care to prevent, identify and treat distressing and disabling problems.
关于道路交通事故对儿童心理和行为的影响，人们了解甚少。该研究旨在确定道路交通事故对儿童及其母亲的影响。
对一家急诊科连续就诊的5至16岁儿童进行为期1年的队列研究。数据从病历以及基线、3个月和6个月时的访谈及自我报告中提取。
孩子们身体恢复良好。15%的儿童患有急性应激障碍；3个月时25%的儿童患有创伤后应激障碍，6个月时为18%。出行焦虑很常见。母亲们也常有创伤后后果。
少数儿童心理状况不佳，且与残疾有关，尤其是出行方面。对家庭有重大影响。需要改变临床护理方式，以预防、识别和治疗令人痛苦及导致残疾的问题。
