Shaw Richard J, Bernard Rebecca S, Storfer-Isser Amy, Rhine William, Horwitz Sarah M
Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, 401 Quarry Road, Palo Alto, CA 94305-5719, USA.
J Clin Psychol Med Settings. 2013 Jun;20(2):135-42. doi: 10.1007/s10880-012-9328-x.
Fifty-six mothers of premature infants who participated in a study to reduce symptoms of posttraumatic stress disorder (PTSD) completed the Brief COPE, a self-report inventory of coping mechanisms, the Stanford Acute Stress Reaction Questionnaire to assess acute stress disorder (ASD) and the Davidson Trauma Scale to assess PTSD. 18 % of mothers had baseline ASD while 30 % of mothers met the criteria for PTSD at the 1-month follow-up. Dysfunctional coping as measured by the Brief COPE was positively associated with elevated risk of PTSD in these mothers (RR = 1.09, 95 % CI 1.02-1.15; p = .008). Maternal education was positively associated with PTSD; each year increase in education was associated with a 17 % increase in the relative risk of PTSD at 1 month follow-up (RR = 1.17, 95 % CI 1.02-1.35; p = .03). Results suggest that dysfunctional coping is an important issue to consider in the development of PTSD in parents of premature infants.
56名参与一项减轻创伤后应激障碍（PTSD）症状研究的早产儿母亲完成了简易应对方式问卷（Brief COPE），这是一份关于应对机制的自我报告清单、用于评估急性应激障碍（ASD）的斯坦福急性应激反应问卷以及用于评估PTSD的戴维森创伤量表。18%的母亲有基线ASD，而30%的母亲在1个月随访时符合PTSD标准。简易应对方式问卷所测量的功能失调性应对与这些母亲PTSD风险升高呈正相关（相对危险度=1.09，95%置信区间1.02 - 1.15；p = 0.008）。母亲的教育程度与PTSD呈正相关；教育年限每增加一年，1个月随访时PTSD相对风险增加17%（相对危险度=1.17，95%置信区间1.02 - 1.35；p = 0.03）。结果表明，功能失调性应对是早产儿父母发生PTSD时需要考虑的一个重要问题。
