Gold Jeffrey I, Kant Alexis J, Kim Seok Hyeon
Department of Anesthesiology Critical Care Medicine, Children's Hospital Los Angeles, Los Angeles, CA 90027-6062, USA.
J Pediatr Nurs. 2008 Apr;23(2):81-91. doi: 10.1016/j.pedn.2007.08.005.
This article reviews current research on acute stress disorder (ASD) and posttraumatic stress disorder (PTSD) resulting from pediatric simple (i.e., single, unpredictable, and unintentional) physical injury and how pain may act as both a trigger and a coexisting symptom. Although several studies have explored predictors of ASD and PTSD, as well as the relationship between these conditions in adults, there is less research on ASD and PTSD in children and adolescents. This review highlights the importance of early detection of pain and acute stress symptoms resulting from pediatric unintentional physical injury in the hopes of preventing long-term negative outcomes, such as the potential development of PTSD and associated academic, social, and psychological problems.
本文综述了当前关于小儿单纯性（即单一、不可预测且无意造成的）身体损伤所致急性应激障碍（ASD）和创伤后应激障碍（PTSD）的研究，以及疼痛如何既作为触发因素又作为共存症状。尽管已有多项研究探讨了成人ASD和PTSD的预测因素以及这些病症之间的关系，但针对儿童和青少年ASD和PTSD的研究较少。本综述强调了早期发现小儿无意身体损伤所致疼痛和急性应激症状的重要性，以期预防长期负面后果，如PTSD的潜在发展以及相关的学业、社交和心理问题。
