Kassam-Adams Nancy, Fleisher Courtney Landau, Winston Flaura Koplin
Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
J Trauma Stress. 2009 Aug;22(4):294-302. doi: 10.1002/jts.20424.
Acute stress disorder (ASD) and posttraumatic stress disorder (PTSD) were examined in 334 parents of children with traffic-related injuries. In the first month after their child's injury, 12% of parents had ASD and another 25% had partial ASD. Among 251 parents assessed again approximately 6 months postinjury, 8% had PTSD and another 7% had partial PTSD. The ASD and PTSD severity were associated (r = .54), but ASD status was not a sensitive predictor of later PTSD. Independent predictors of ASD severity included prior trauma exposure, peritrauma exposure and perceptions of the child's pain and life threat, and child ASD severity. Independent predictors of PTSD severity included prior trauma exposure, parent ASD severity, and parent-rated child physical health at follow-up.
对334名子女遭受与交通相关伤害的父母进行了急性应激障碍（ASD）和创伤后应激障碍（PTSD）检查。在其子女受伤后的第一个月，12%的父母患有急性应激障碍，另有25%的父母患有部分急性应激障碍。在受伤后约6个月再次接受评估的251名父母中，8%患有创伤后应激障碍，另有7%患有部分创伤后应激障碍。急性应激障碍和创伤后应激障碍的严重程度相关（r = 0.54），但急性应激障碍状态并非后期创伤后应激障碍的敏感预测指标。急性应激障碍严重程度的独立预测因素包括既往创伤暴露、创伤期间暴露以及对孩子疼痛和生命威胁的认知，还有孩子急性应激障碍的严重程度。创伤后应激障碍严重程度的独立预测因素包括既往创伤暴露、父母急性应激障碍严重程度以及随访时父母评定的孩子身体健康状况。
