CHU Clermont Ferrand, Unité Urgences Psychiatriques, 28 place Henri Dunant BP 69, 63003 Clermont-Ferrand Cedex 01, France.
Neuropsychiatr Dis Treat. 2011;7:127-33. doi: 10.2147/NDT.S17130. Epub 2011 Mar 17.
Our aim was to assess the influence of the coping strategies employed for the management of traumatic events on the occurrence of dissociation and traumatic disorders. We carried out a 1-year retrospective study of the cognitive management of a traumatic event in 18 subjects involved in the same road vehicle accident. The diagnosis of post-traumatic stress disorder (PTSD) was made for 33.3% of the participants. The participants with a PTSD diagnosis 1 year after the event used emotion-centered strategies during the event more often than did those with no PTSD, P < 0.02. In the year after the traumatic event, our results show a strong link between the intensity of PTSD and the severity of the post-traumatic symptoms like dissociation (P = 0.032) and the use of emotion-centered strategies (P = 0.004). Moreover, the participants who presented Peritraumatic Dissociative Experiences Questionnaire scores above 15 made greater use of emotion-centered coping strategies than did those who did not show dissociation, P < 0.04. Our results confirm that the cognitive management of traumatic events may play an essential role in the development of a state of post-traumatic stress in the aftermath of a violent event.
我们旨在评估应对创伤性事件的策略对分离和创伤性障碍发生的影响。我们对 18 名因同一车辆事故而受伤的患者进行了为期 1 年的创伤后认知管理回顾性研究。其中 33.3%的参与者被诊断为创伤后应激障碍（PTSD）。与无 PTSD 的患者相比，创伤后 1 年发生 PTSD 的患者在事件发生期间更频繁地使用以情绪为中心的策略，P < 0.02。在创伤后 1 年，我们的结果表明 PTSD 的严重程度与分离等创伤后症状（P = 0.032）和以情绪为中心的应对策略的使用强度之间存在很强的关联（P = 0.004）。此外，那些表现出创伤后分离体验问卷评分高于 15 分的患者比没有出现分离的患者更频繁地使用以情绪为中心的应对策略，P < 0.04。我们的结果证实，创伤性事件的认知管理可能在暴力事件后出现创伤后应激状态的发展中起着至关重要的作用。
