Pop-Jordanova N, Zorcec T
Paediatric Clinic, Faculty of Medicine, University of Skopje.
Prilozi. 2004;25(1-2):103-14.
The aim of this study is to investigate the correlation between the quality of attachment in early infancy and the effects of child trauma, as well as to introduce some innovative therapeutic approaches. For this reason, a group of 10 children manifesting post-traumatic stress disorder (PTSD), diagnosed by ICD-10, was selected. The mean age of the patients was 9 +/- 3.05 years, from both sexes (girls 3, boys 7). Mothers and children were examined by a battery of psychometric instruments Minnesota Multiphasic Personality Inventory (MMPI), Child Behaviour Checklist (CBCL), Eysenck Personality Questionnaire (EPQ), and State Anxiety Inventory (STAI). In addition to the classical psychotherapeutic methods (supportive, behaviour and play therapy), the multimodal computerised biofeedback technique was introduced for both assessment and therapy. The results for the children showed a high level of anxiety and stress, somatisation and behavioural problems (aggressivity, impulsivity, non-obedience, and nightmares), complemented by hypersensitive and depressive mothers and miss-attachment in the early period of infancy. Consequently, the explanation of the early predisposition to PTSD was related to be the non-developed Right Orbitofrontal Cortex-ROFC. The latter resulted from insecure attachment confirmed in all the children examined. The therapeutic results obtained with biofeedback techniques are very encouraging.
本研究的目的是调查婴儿早期依恋质量与儿童创伤影响之间的相关性，并介绍一些创新的治疗方法。因此，选取了一组10名被国际疾病分类第10版（ICD - 10）诊断为创伤后应激障碍（PTSD）的儿童。患者的平均年龄为9±3.05岁，男女皆有（女孩3名，男孩7名）。母亲和孩子通过一系列心理测量工具进行检查，包括明尼苏达多相人格调查表（MMPI）、儿童行为检查表（CBCL）、艾森克人格问卷（EPQ）和状态焦虑量表（STAI）。除了经典的心理治疗方法（支持性治疗、行为治疗和游戏治疗）外，还引入了多模式计算机化生物反馈技术用于评估和治疗。儿童的结果显示出高度的焦虑、压力、躯体化和行为问题（攻击性、冲动性、不服从和噩梦），同时伴有母亲的过度敏感和抑郁以及婴儿早期的依恋缺失。因此，PTSD早期易感性的解释与未发育的右眶额叶皮质（ROFC）有关。后者是由所有接受检查的儿童中确认的不安全依恋导致的。生物反馈技术所获得的治疗结果非常令人鼓舞。
