Landolt Markus A, Buehlmann Claudia, Maag Tanja, Schiestl Clemens
Department of Psychosomatics and Psychiatry, University Children's Hospital, Zurich, Switzerland.
J Pediatr Psychol. 2009 Jan-Feb;34(1):14-21. doi: 10.1093/jpepsy/jsm088. Epub 2007 Sep 21.
This study assessed health-related quality of life (HRQOL) and posttraumatic stress disorder (PTSD) in pediatric burn survivors and examined associations between PTSD and HRQOL.
Forty-three burn survivors, ages 7-16 years, were interviewed at an average of 4.4 years after their accident using the Clinician-Administered PTSD Scale for Children and Adolescents and the TNO-AZL Child Quality of Life Questionnaire.
Eight children (18.6%) met DSM-IV criteria for current PTSD. While most dimensions of HRQOL were within normal limits, social functioning was impaired. Severity of PTSD was significantly associated with physical, cognitive, and emotional dimensions of HRQOL. Children with PTSD reported an impaired overall HRQOL and limited physical (e.g., more bodily complaints) and emotional functioning (e.g., more feelings of sadness).
This study provides tentative evidence for a considerably high prevalence of PTSD in pediatric burn survivors and for a negative association between PTSD and HRQOL.
本研究评估了小儿烧伤幸存者的健康相关生活质量（HRQOL）和创伤后应激障碍（PTSD），并探讨了PTSD与HRQOL之间的关联。
对43名年龄在7至16岁之间的烧伤幸存者进行了访谈，事故发生后平均4.4年采用儿童青少年临床医生管理的PTSD量表和TNO-AZL儿童生活质量问卷进行调查。
8名儿童（18.6%）符合当前PTSD的DSM-IV标准。虽然HRQOL的大多数维度在正常范围内，但社会功能受损。PTSD的严重程度与HRQOL的身体、认知和情感维度显著相关。患有PTSD的儿童报告总体HRQOL受损，身体功能（如更多身体不适）和情感功能（如更多悲伤情绪）受限。
本研究为小儿烧伤幸存者中PTSD的高患病率以及PTSD与HRQOL之间的负相关提供了初步证据。
