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一项关于轻度至中度智力残疾成年人不良生活事件与创伤之间关系的前瞻性研究。

A prospective study of the relationship between adverse life events and trauma in adults with mild to moderate intellectual disabilities.

作者信息

Wigham S, Taylor J L, Hatton C

机构信息

Institute of Health and Society, Sir James Spence Institute, Newcastle University, Newcastle, UK.

出版信息

J Intellect Disabil Res. 2014 Dec;58(12):1131-40. doi: 10.1111/jir.12107. Epub 2013 Dec 23.

Abstract

BACKGROUND

Research has demonstrated a relationship between the experience of life events and psychopathology in people with intellectual disabilities (ID), however few studies have established causal links and to date no prospective studies have utilised a measure of trauma that has been developed specifically for this population group.

METHOD

This 6-month prospective study examined longitudinal relationships between adverse life events and trauma in 99 adults with mild to moderate ID.

RESULTS

Life events during the previous 6 months were significantly predictive of levels of trauma as measured by the self-report Lancaster and Northgate trauma scales (LANTS), and the informant LANTS behavioural changes, frequency and severity sub-scales. This prospective causal relationship was demonstrated while controlling for any prior life events or pre-existing trauma, though the relationship was not moderated by social support.

CONCLUSIONS

Evidence of a causal relationship between adverse life events and trauma symptoms is important for treatment planning and funding allocation.

摘要

背景

研究表明,智力障碍(ID)患者的生活事件经历与精神病理学之间存在关联,但很少有研究建立因果联系,迄今为止,尚无前瞻性研究使用专门为此人群开发的创伤测量方法。

方法

这项为期6个月的前瞻性研究调查了99名轻度至中度ID成年人中不良生活事件与创伤之间的纵向关系。

结果

过去6个月内的生活事件能够显著预测创伤水平,创伤水平通过自我报告的兰卡斯特和北门创伤量表(LANTS)以及信息提供者LANTS行为变化、频率和严重程度子量表进行测量。在控制任何先前的生活事件或既往创伤的情况下,证明了这种前瞻性因果关系,尽管这种关系不受社会支持的调节。

结论

不良生活事件与创伤症状之间因果关系的证据对于治疗规划和资金分配很重要。

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