Brooks Robert, Silove Derrick, Bryant Richard, O'Donnell Meaghan, Creamer Mark, McFarlane Alexander
School of Psychiatry, University of New South Wales, Australia.
J Trauma Stress. 2008 Jun;21(3):352-5. doi: 10.1002/jts.20333.
Acute stress disorder (ASD) was introduced in 1994 to describe posttraumatic stress reactions that occur in the initial month after trauma exposure. Although it comprises the distinct symptom clusters of dissociation, reexperiencing, avoidance, and arousal, there have been no confirmatory factor analyses of the construct. In this study, 587 individuals admitted to five major hospitals after traumatic injury were administered the Acute Stress Disorder Interview. Forty-four participants met criteria for ASD. Confirmatory factor analysis based on the four symptom clusters described the Acute Stress Disorder Interview responses. These data provide the first confirmatory factor analysis of the ASD symptoms, and are discussed in terms of the 4-factor models repeatedly found in samples of chronic posttraumatic stress disorder.
急性应激障碍(ASD)于1994年被引入,用于描述创伤暴露后最初一个月内发生的创伤后应激反应。尽管它包括解离、重新体验、回避和唤醒等不同的症状群,但尚未对该结构进行验证性因素分析。在本研究中,对五家主要医院收治的587名创伤后患者进行了急性应激障碍访谈。44名参与者符合ASD标准。基于四个症状群的验证性因素分析描述了急性应激障碍访谈的反应。这些数据首次对ASD症状进行了验证性因素分析,并根据慢性创伤后应激障碍样本中反复发现的四因素模型进行了讨论。