Kletter Hilit, Weems Carl F, Carrion Victor G
Stanford University School of Medicine, California, USA.
Clin Child Psychol Psychiatry. 2009 Jan;14(1):71-83. doi: 10.1177/1359104508100137.
Our objective was to examine the relationship between guilt and posttraumatic stress disorder (PTSD) symptoms in children with a history of interpersonal violence. Eighty-seven children between the ages of 5 and 16 years (mean age = 11.70 years) were administered the Clinician-Administered PTSD Scale for Children and Adolescents to assess for PTSD symptoms and associated features. Multiple regression analysis found that guilt over acts of commission or omission (behaviors the child performed or failed to perform during the event or to prevent it) was highly associated with PTSD severity. Derealization and changes in attachment were also significantly related to PTSD symptoms. Findings suggest that it may be important for clinicians to assess for associated features in traumatized children as these are associated with greater PTSD severity. Posttraumatic interventions may benefit from targeting these symptoms.
我们的目标是研究有人际暴力史的儿童的内疚感与创伤后应激障碍（PTSD）症状之间的关系。对87名年龄在5至16岁之间（平均年龄 = 11.70岁）的儿童进行了儿童和青少年临床医生管理的PTSD量表测试，以评估PTSD症状及相关特征。多元回归分析发现，对作为或不作为行为（儿童在事件期间实施或未实施或未能预防的行为）的内疚感与PTSD严重程度高度相关。人格解体和依恋变化也与PTSD症状显著相关。研究结果表明，临床医生评估受创伤儿童的相关特征可能很重要，因为这些特征与更高的PTSD严重程度相关。创伤后干预措施可能会因针对这些症状而受益。
