Laboratoire du Stress Traumatique (LST-JE2511), Université et CHU de Toulouse, 31059 Toulouse, France.
Gen Hosp Psychiatry. 2010 May-Jun;32(3):330-3. doi: 10.1016/j.genhosppsych.2010.01.014. Epub 2010 Mar 1.
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.
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.
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).
As has been found in adults, peritraumatic distress is a robust predictor of who will develop PTSD symptoms among school-aged children.
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。
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。
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）。
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。
