创伤后应激症状的风险：儿科癌症儿童幸存者与父母丧亲儿童的比较。
Risk of posttraumatic stress symptoms: a comparison of child survivors of pediatric cancer and parental bereavement.
作者信息
Stoppelbein Laura A, Greening Leilani, Elkin T David
机构信息
University of Mississippi Medical Center, Department of Psychiatry, 2500 N. State Street, Jackson, MS 39216, USA.
出版信息
J Pediatr Psychol. 2006 May;31(4):367-76. doi: 10.1093/jpepsy/jsj055. Epub 2005 Aug 10.
OBJECTIVE
To compare the risk of posttraumatic stress (PTS) symptoms and the mediating effect of perceived future threat on the risk of PTS symptoms among survivors of pediatric cancer and children who had a parent die.
METHODS
Seventy-eight children (39 survivors of cancer, 39 bereaved) completed self-report measures of PTS symptoms, depression, anxiety, and perceived risk of future threat for the event they experienced.
RESULTS
The children who lost a parent reported significantly more PTS symptoms than the survivors of cancer. The effect of group status (survivor of cancer vs. bereaved) on PTS symptomatology was partly mediated by the children's perceived risk of future threat.
CONCLUSIONS
The rate of PTS symptoms was found to be higher among children who had lost a parent than among survivors of pediatric cancer. This difference may partly be explained by their perceived risk of a future threat. Clinical implications are discussed.
目的
比较儿童癌症幸存者和父母死亡儿童创伤后应激（PTS）症状的风险，以及感知到的未来威胁对PTS症状风险的中介作用。
方法
78名儿童（其中39名癌症幸存者，39名丧失亲人者）完成了关于他们所经历事件的PTS症状、抑郁、焦虑以及感知到的未来威胁风险的自我报告测量。
结果
丧失亲人的儿童报告的PTS症状明显多于癌症幸存者。群体状态（癌症幸存者与丧失亲人者）对PTS症状的影响部分由儿童感知到的未来威胁风险所介导。
结论
发现丧失父母的儿童中PTS症状的发生率高于儿童癌症幸存者。这种差异可能部分由他们感知到的未来威胁风险所解释。文中讨论了临床意义。
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