高中生机动车事故的创伤性影响。
The traumatic impact of motor vehicle accidents in high school students.
机构信息
Department of Psychiatry and Medical Psychology, Research Unit of Child and Adolescent Psychiatry, Ghent University Hospital, Ghent, Belgium.
出版信息
J Pediatr Psychol. 2012 Jan-Feb;37(1):1-10. doi: 10.1093/jpepsy/jsr058. Epub 2011 Aug 18.
OBJECTIVES
To obtain the year prevalence of nonfatal motor vehicle accidents (MVAs) in adolescents, to describe trauma symptoms (posttraumatic stress, depression, anxiety, dissociation), and to test a theoretical model of traumatic events.
METHODS
A community-based sample of 3,007 adolescents (mean age: 14.6 years) completed questionnaires regarding MVAs, appraisals, coping, support, and trauma symptoms.
RESULTS
Three percent of the adolescents reported being injured in a MVA during the past year. Of the adolescents who reported a MVA in their life (22.4%), 11.0% reported significant posttraumatic stress or other trauma symptoms. Structural equation modeling revealed that negative appraisals mediated the relation between trauma symptoms and MVA severity. Avoidant coping partially mediated the relation between appraisal and trauma symptoms. Social support was associated with less negative appraisals and with more avoidant coping.
CONCLUSIONS
Results suggest the need for a better registration of young traffic victims to optimize screening for psychological problems.
目的
了解青少年非致命性机动车事故（MVAs）的年发生率，描述创伤症状（创伤后应激、抑郁、焦虑、分离），并检验创伤事件的理论模型。
方法
采用基于社区的 3007 名青少年（平均年龄：14.6 岁）样本，完成了关于 MVAs、评估、应对、支持和创伤症状的问卷。
结果
3%的青少年报告在过去一年中因机动车事故受伤。在报告一生中发生过机动车事故的青少年中（22.4%），11.0%报告有明显的创伤后应激或其他创伤症状。结构方程模型显示，负性评估在创伤症状和 MVA 严重程度之间起中介作用。回避应对部分中介了评估与创伤症状之间的关系。社会支持与较少的负性评估和更多的回避应对有关。
结论
结果表明，需要更好地登记年轻的交通受害者，以优化对心理问题的筛查。
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