Ladois-Do Pilar Rei Agnès, Bui Eric, Bousquet Benjamin, Simon Naomi M, Rieu Julie, Schmitt Laurent, Billard Julien, Rodgers Rachel, Birmes Philippe
Université de Toulouse; UPS; Laboratoire du Stress Traumatique (LST-EA 4560), CHU de Toulouse, Hôpital Casselardit, 170 av. de Casselardit, Toulouse Cedex 9, France.
J Nerv Ment Dis. 2012 Jan;200(1):88-90. doi: 10.1097/NMD.0b013e31823fafb9.
The present study aimed to explore exposure to stressful events during a psychiatric admission and the predictive power of peritraumatic distress and dissociation in the development of posttraumatic stress disorder (PTSD) symptoms after exposure to such events. Psychiatric inpatients (N = 239) were asked to report exposure to stressful events during their admission within 48 hours of being admitted. Individuals reporting at least one stressful event during admission (n = 70, 29%) were assessed for peritraumatic dissociation and distress in relation to this event and, 5 weeks later, were reassessed for PTSD symptoms. Eight participants (12.3%) scored above the cutoff for probable PTSD. Multiple regression analyses revealed that peritraumatic distress was a significant predictor of 5-week PTSD symptoms. Our findings suggest that individuals experiencing increased peritraumatic distress in relation to a stressful event experienced during a psychiatric admission might be at risk of PTSD symptoms and might benefit from increased attention.
本研究旨在探讨在精神科住院期间接触应激事件的情况，以及创伤期间的痛苦和分离在接触此类事件后创伤后应激障碍（PTSD）症状发展中的预测作用。精神科住院患者（N = 239）被要求在入院后48小时内报告其住院期间接触应激事件的情况。报告在住院期间至少经历一次应激事件的个体（n = 70，29%）针对该事件接受了创伤期间分离和痛苦的评估，5周后再次评估PTSD症状。8名参与者（12.3%）的得分高于可能患有PTSD的临界值。多元回归分析显示，创伤期间的痛苦是5周后PTSD症状的显著预测因素。我们的研究结果表明，在精神科住院期间经历应激事件时创伤期间痛苦增加的个体可能有患PTSD症状的风险，可能会受益于更多关注。
