Bryant Richard A, Salmon Karen, Sinclair Emma, Davidson Patricia
University of New South Wales, Sydney, NSW 2052, Australia.
Behav Res Ther. 2007 Oct;45(10):2502-7. doi: 10.1016/j.brat.2007.04.009. Epub 2007 May 4.
This study investigated the predictors of posttraumatic stress disorder (PTSD) in children following a diagnosis of traumatic injury. Children (N=76) aged between 7 and 13 who were admitted to hospital following injury were assessed within a month of trauma for acute stress disorder (ASD), negative appraisals, as well as parental stress reactions. Children (N=62) were re-assessed 6-months later for PTSD and negative appraisals. The majority of the variance of chronic posttraumatic stress was accounted for by negative appraisals about future harm. This study supports cognitive models of PTSD, and suggests that younger children who exaggerate their vulnerability after trauma exposure are high risk for PTSD after trauma.
本研究调查了创伤性损伤诊断后儿童创伤后应激障碍（PTSD）的预测因素。7至13岁因受伤入院的儿童（N = 76）在创伤后一个月内接受了急性应激障碍（ASD）、负面评价以及父母应激反应的评估。62名儿童在6个月后再次接受PTSD和负面评价的评估。对未来伤害的负面评价解释了慢性创伤后应激的大部分变异。本研究支持PTSD的认知模型，并表明创伤暴露后夸大自身易感性的年幼儿童在创伤后患PTSD的风险较高。
