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烧伤后一年的创伤后应激障碍的注意偏向与症状

Attentional bias and symptoms of posttraumatic stress disorder one year after burn injury.

作者信息

Sveen Josefin, Dyster-Aas Johan, Willebrand Mimmie

机构信息

Department of Neuroscience, Psychiatry, Uppsala University Hospital, SE-751 85 Uppsala, Sweden.

出版信息

J Nerv Ment Dis. 2009 Nov;197(11):850-5. doi: 10.1097/NMD.0b013e3181bea555.

Abstract

Trauma-related attentional bias is suggested to play a role in maintaining posttraumatic stress disorder (PTSD). Although being burn injured is a traumatic event for many patients, there are no prospective studies investigating attentional bias. The aims were to assess burn-specific attentional bias 1 year after burn, and its associations with risk factors for PTSD and symptoms of PTSD. A total of 38 adult patients with burns were assessed with a structured clinical interview and a Swedish version of the Impact of Event Scale-Revised up to 1-year after burn. The Emotional Stroop Task was used to assess attentional bias 1 year after burn. In total 29 participants displayed burn-specific attentional bias. This group had more previous life events, perceived life threat, larger burns, and higher PTSD symptom severity. In conclusion, the majority of the patients had burn-specific attentional bias 1 year after burn and this was related to symptoms of PTSD.

摘要

创伤相关的注意偏向被认为在创伤后应激障碍(PTSD)的维持中起作用。尽管烧伤对许多患者来说是一个创伤性事件,但尚无前瞻性研究调查注意偏向。本研究旨在评估烧伤后1年时特定于烧伤的注意偏向,及其与PTSD风险因素和PTSD症状的关联。共有38名成年烧伤患者在烧伤后长达1年的时间里接受了结构化临床访谈和瑞典版事件影响量表修订版的评估。采用情绪Stroop任务评估烧伤后1年时的注意偏向。共有29名参与者表现出特定于烧伤的注意偏向。该组有更多的既往生活事件、感知到的生命威胁、更大面积的烧伤以及更高的PTSD症状严重程度。总之,大多数患者在烧伤后1年有特定于烧伤的注意偏向,且这与PTSD症状相关。

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