Department of Psychology, 118 Kent Hall, Kent State University, Kent, OH 44242, USA.
J Health Psychol. 2011 May;16(4):678-87. doi: 10.1177/1359105310386823. Epub 2011 Feb 23.
Presence of injury is often examined as a risk factor for posttraumatic stress disorder (PTSD); however, results have been mixed regarding the relationship between injury severity and PTSD symptoms (PTSS). The present study examined subjective and objective injury severity ratings in traumatic injury victims to determine if they differentially predict PTSS. Results demonstrated that subjective, not objective, injury severity predicted PTSS at six weeks and three months post-trauma. The moderating impact of peritraumatic factors was also examined. Peritraumatic dissociation moderated the impact of subjective injury severity on PTSS. Findings indicate that subjective injury severity should be incorporated into early screeners for PTSD risk.
受伤的存在通常被视为创伤后应激障碍（PTSD）的一个风险因素；然而，关于损伤严重程度和 PTSD 症状（PTSS）之间的关系，结果一直存在分歧。本研究通过对创伤性损伤受害者的主观和客观损伤严重程度评分进行检查，以确定它们是否对 PTSS 有不同的预测作用。结果表明，主观而非客观的损伤严重程度在创伤后 6 周和 3 个月预测 PTSS。还检查了创伤前因素的调节作用。创伤前解离调节了主观损伤严重程度对 PTSS 的影响。研究结果表明，主观损伤严重程度应纳入 PTSD 风险的早期筛查中。
