Chung Man Cheung, Preveza Eleni, Papandreou Konstantinos, Prevezas Nikolaos
University of Plymouth, Clinical Psychology Teaching Unit, Peninsula Allied Health Centre, Derriford Road, Plymouth, PL6 8BH, UK.
Psychiatry Res. 2007 Aug 30;152(2-3):253-60. doi: 10.1016/j.psychres.2004.09.013. Epub 2007 Jul 12.
Two hypotheses were investigated in the present study: 1) Patients with full posttraumatic stress symptoms following spinal cord injury (SCI) would experience more general health problems than those with partial posttraumatic stress disorder (PTSD), with no-PTSD and the control group; 2) Patients with full PTSD would endorse the external locus of control more than those with partial PTSD, no-PTSD and the control group. Sixty-two patients were recruited from a specialized rehabilitation clinic for spinal cord injury. The control group comprised 60 participants without SCI. Patients with SCI were assessed using the Posttraumatic Stress Disorder Checklist, the General Health Questionnaire-28 (GHQ-28) and the Multidimensional Health Locus of Control (MHLC). The control group was assessed using the GHQ-28 and the MHLC. The full PTSD group experienced more somatic problems, anxiety, social dysfunction and depression than the partial PTSD, the no-PTSD and the control groups. The results also showed that the full PTSD group endorsed significantly more external health locus of control than the control group. However, no significant differences were found between the three patient groups in health locus of control. The three PTSD sub-scales were positively correlated with general health problems. Further analyses showed that partial PTSD patients with paraplegia and partial PTSD patients whose SCI had a medically related cause were more likely to report less internal locus of control than other patients. Patients who suffered from full PTSD experienced more general health problems than those with fewer PTSD symptoms and those without SCI. External locus of control was a distinctive strategy that SCI-PTSD patients used in coping with the effects of SCI-PTSD.
1）脊髓损伤（SCI）后出现完全创伤后应激症状的患者，相较于部分创伤后应激障碍（PTSD）患者、无PTSD患者及对照组，会经历更多的一般健康问题；2）完全PTSD患者比部分PTSD患者、无PTSD患者及对照组更倾向于认同外部控制点。从一家专门的脊髓损伤康复诊所招募了62名患者。对照组由60名无SCI的参与者组成。对SCI患者使用创伤后应激障碍检查表、一般健康问卷-28（GHQ-28）和多维健康控制点（MHLC）进行评估。对对照组使用GHQ-28和MHLC进行评估。与部分PTSD患者、无PTSD患者及对照组相比，完全PTSD组经历了更多的躯体问题、焦虑、社交功能障碍和抑郁。结果还表明，完全PTSD组比对照组更显著地认同外部健康控制点。然而，三组患者在健康控制点方面未发现显著差异。PTSD的三个子量表与一般健康问题呈正相关。进一步分析表明，截瘫的部分PTSD患者以及SCI由医学相关原因导致的部分PTSD患者，比其他患者更有可能报告较少的内部控制点。患有完全PTSD的患者比PTSD症状较少的患者和无SCI的患者经历了更多的一般健康问题。外部控制点是SCI-PTSD患者应对SCI-PTSD影响时采用的一种独特策略。
