Saigh Philip A, Yasik Anastasia E, Halamandaris Phill V, Bremner J Douglas, Oberfield Richard A
Department of Health and Behavior Studies, Teachers College, Columbia University.
Department of Psychology, Pace University.
Psychol Trauma. 2015 Jan;7(1):85-92. doi: 10.1037/a0037433. Epub 2014 Aug 18.
Two clinical and 2 structured clinical interviews were used to identify children with posttraumatic stress disorder (PTSD), traumatized children without PTSD, and nontraumatized controls. Parents evaluated child conduct by marking the Conners' Parent Rating Scale-48 (CPRS-48; Conners, 1989). Data analysis indicated that the CPRS-48 Total scores and the Anxiety and Psychosomatic subscales scores of the PTSD group significantly exceeded the scores of the comparison groups. Children with PTSD and traumatized children without PTSD did not significantly differ on the Hyperactivity Index. The Hyperactivity Index scores of traumatized children without PTSD and nontraumatized controls were not significantly different. Nonsignificant differences were observed between groups on the CPRS-48 Impulsivity-Hyperactivity, Conduct Problems, and Learning subscales. Overall, PTSD was marked by higher internalizing scores and trauma exposure without PTSD was not associated with increased psychological morbidity.
采用两次临床访谈和两次结构化临床访谈来识别患有创伤后应激障碍（PTSD）的儿童、受过创伤但未患PTSD的儿童以及未受过创伤的对照组儿童。父母通过在康纳斯父母评定量表-48（CPRS-48；康纳斯，1989年）上打分来评估孩子的行为。数据分析表明，PTSD组的CPRS-48总分以及焦虑和心身亚量表得分显著高于对照组。患有PTSD的儿童与受过创伤但未患PTSD的儿童在多动指数上无显著差异。受过创伤但未患PTSD的儿童与未受过创伤的对照组儿童在多动指数得分上无显著差异。在CPRS-48冲动多动量表、品行问题量表和学习量表上，各组之间未观察到显著差异。总体而言，PTSD的特征是内化得分较高，而受过创伤但未患PTSD与心理发病率增加无关。
