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道路交通事故学龄儿童创伤后反应和创伤后应激症状。

Peritraumatic reactions and posttraumatic stress symptoms in school-aged children victims of road traffic accident.

机构信息

Laboratoire du Stress Traumatique (LST-JE2511), Université et CHU de Toulouse, 31059 Toulouse, France.

出版信息

Gen Hosp Psychiatry. 2010 May-Jun;32(3):330-3. doi: 10.1016/j.genhosppsych.2010.01.014. Epub 2010 Mar 1.

Abstract

OBJECTIVE

The purpose of this study is to investigate the power of self-reported peritraumatic distress and dissociation to predict the development of posttraumatic stress disorder (PTSD) symptoms in school-aged children.

METHODS

School-aged children aged 8 to 15 years admitted to an emergency department after a road traffic accident were enrolled (n=103). Participants were assessed with the child versions of the Peritraumatic Distress Inventory and the Peritraumatic Dissociative Experiences Questionnaire within 1 week. Posttraumatic stress disorder symptoms were then assessed at 5 weeks.

RESULTS

A significant association between peritraumatic variables and two measures of PTSD symptoms was demonstrated. However, in a multivariate analysis, peritraumatic distress was the only significant predictor of acute PTSD symptoms (beta=.33, p<.05).

CONCLUSIONS

As has been found in adults, peritraumatic distress is a robust predictor of who will develop PTSD symptoms among school-aged children.

摘要

目的

本研究旨在探讨创伤后应激障碍(PTSD)症状在学龄儿童中的发展与自我报告的创伤前痛苦和分离的关系。

方法

将交通事故后入住急诊科的 8 至 15 岁的学龄儿童纳入研究(n=103)。参与者在创伤后 1 周内接受儿童创伤后痛苦量表和创伤前分离经验问卷评估。然后在 5 周时评估 PTSD 症状。

结果

创伤前变量与 PTSD 症状的两个指标之间存在显著关联。然而,在多变量分析中,创伤前痛苦是急性 PTSD 症状的唯一显著预测因素(β=.33,p<.05)。

结论

与成人研究结果一致,创伤前痛苦是学龄儿童中谁将发展出 PTSD 症状的有力预测因素。

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