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创伤后应激障碍:漏诊情况

Posttraumatic stress disorder: the missed diagnosis.

作者信息

Grasso Damion, Boonsiri Joseph, Lipschitz Deborah, Guyer Amanda, Houshyar Shadi, Douglas-Palumberi Heather, Massey Johari, Kaufman Joan

机构信息

University of Delaware, Newark, Delaware, USA.

出版信息

Child Welfare. 2009;88(4):157-76.

Abstract

Posttraumatic stress disorder (PTSD) is frequently underdiagnosed in maltreated samples. Protective services information is critical for obtaining complete trauma histories and determining whether to survey PTSD symptoms in maltreated children. In the current study, without protective services information to supplement parent and child report, diagnosing PTSD was missed in a significant proportion of the cases. Collaboration between mental health professionals and protective service workers is critical in determining psychiatric diagnoses and treatment needs of children involved with the child welfare system.

摘要

创伤后应激障碍(PTSD)在受虐待样本中常常未得到充分诊断。保护服务信息对于获取完整的创伤史以及确定是否对受虐待儿童进行PTSD症状调查至关重要。在当前研究中,由于没有保护服务信息来补充家长和儿童的报告,相当一部分病例中PTSD的诊断被遗漏。心理健康专业人员与保护服务工作者之间的合作对于确定涉及儿童福利系统的儿童的精神诊断和治疗需求至关重要。

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