Kenardy Justin, Thompson Katie, Le Brocque Robyne, Olsson Katherine
School of Psychology, The University of Queensland, Brisbane, QLD, Australia.
Eur Child Adolesc Psychiatry. 2008 Aug;17(5):316-25. doi: 10.1007/s00787-007-0673-5. Epub 2008 Mar 18.
This study evaluated an early intervention for children and their parents following pediatric accidental injury.
Information booklets provided to participants within 72 h of the initial trauma detailed common responses to trauma, the common time course of symptoms, and suggestions for minimizing any post-trauma distress. Following admission for traumatic injuries sustained in motor vehicle accidents, falls and sporting injuries a total of 103 children (aged 7-15) and their parents were evaluated at pre-intervention, 1 month, and 6 months post-trauma. The intervention (N = 33) was delivered to one of two hospitals, the second hospital was the control (N = 70).
Analyses indicated that the intervention reduced child anxiety symptoms at 1-month follow-up and parental posttraumatic intrusion symptoms and overall posttraumatic symptoms at the 6-month follow-up. No other differences between the intervention and control groups were found.
Overall, the information-based early intervention is simple, cost-effective method of reducing child and parent distress post-trauma.
本研究评估了针对儿童及其父母在儿科意外伤害后的早期干预措施。
在初始创伤后72小时内向参与者提供信息手册,详细介绍创伤后的常见反应、症状的常见病程以及减轻创伤后痛苦的建议。在因机动车事故、跌倒和运动损伤而遭受创伤性损伤入院后,共对103名儿童(7至15岁)及其父母在创伤前、创伤后1个月和6个月进行了评估。干预措施(N = 33)在两家医院中的一家实施,第二家医院为对照组(N = 70)。
分析表明,干预措施在1个月随访时减轻了儿童的焦虑症状,在6个月随访时减轻了父母的创伤后侵入症状和总体创伤后症状。干预组和对照组之间未发现其他差异。
总体而言,基于信息的早期干预是一种简单、经济有效的方法,可减轻创伤后儿童和父母的痛苦。