预测创伤性损伤后结果的心理因素：复原力的作用。
Psychological factors predicting outcome after traumatic injury: the role of resilience.
作者信息
Rainey Evan E, Petrey Laura B, Reynolds Megan, Agtarap Stephanie, Warren Ann Marie
机构信息
Division of Trauma, Baylor University Medical Center, Dallas, TX, USA.
Division of Trauma, Baylor University Medical Center, Dallas, TX, USA.
出版信息
Am J Surg. 2014 Oct;208(4):517-23. doi: 10.1016/j.amjsurg.2014.05.016. Epub 2014 Jul 23.
BACKGROUND
Increasingly, studies have examined the psychological impact on individuals who survive a traumatic physical injury. The primary aim of this study was to determine the stability of resilience and its association with depressive symptoms.
METHODS
This study included 110 adults admitted to a Level I trauma center. Resilience and depression were measured at baseline and 12 months. Injury-related variables included Glasgow Coma Scale, Injury Severity Score, etiology of injury, and type of injury.
RESULTS
Analysis revealed that resilience remained stable over 12 months regardless of injury severity, etiology, or type. Negative correlations were found between baseline resilience and 12-month depression (P < .01), as well as Glasgow Coma Scale and depression (P = .001).
CONCLUSIONS
Injured individuals with low resilience are more likely to be depressed at 12 months. Assessing resilience at the time of injury may be useful in identifying those at risk for depression 1 year later.
背景
越来越多的研究探讨了创伤性身体损伤幸存者所受的心理影响。本研究的主要目的是确定复原力的稳定性及其与抑郁症状的关联。
方法
本研究纳入了110名入住一级创伤中心的成年人。在基线和12个月时测量复原力和抑郁情况。与损伤相关的变量包括格拉斯哥昏迷量表、损伤严重程度评分、损伤病因和损伤类型。
结果
分析显示，无论损伤严重程度、病因或类型如何，复原力在12个月内保持稳定。基线复原力与12个月时的抑郁之间（P < .01）以及格拉斯哥昏迷量表与抑郁之间（P = .001）存在负相关。
结论
复原力低的受伤个体在12个月时更有可能出现抑郁。在受伤时评估复原力可能有助于识别1年后有抑郁风险的个体。
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