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儿童认知缺陷与创伤后应激障碍:通过一个案例研究阐述的诊断困境

Cognitive deficits and posttraumatic stress disorder in children: A diagnostic dilemma illustrated through a case study.

作者信息

Malarbi Stephanie, Muscara Frank, Stargatt Robyn

机构信息

a Department of Psychology and Counselling , School of Psychology and Public Health, La Trobe University , Melbourne , Victoria , Australia.

b Child Neuropsychology , Clinical Sciences Theme at Murdoch Children's Research Institute , Melbourne , Victoria , Australia.

出版信息

J Trauma Dissociation. 2016;17(2):199-206. doi: 10.1080/15299732.2015.1094164.

DOI:10.1080/15299732.2015.1094164
PMID:26418173
Abstract

Studies investigating the neuropsychological functioning of children who experience trauma have predominantly focused on maltreated populations. This article presents a case study that details the longitudinal outcome of a girl who experienced a motor vehicle accident at 5 years of age. It highlights the clinical relevance of research investigating the neuropsychological impact of single-incident trauma on children. It illustrates difficulties clinicians face in discriminating between the effects of developmental delay, traumatic brain injury, attention-deficit/hyperactivity disorder, trauma, and posttraumatic stress symptoms or posttraumatic stress disorder, especially in children with compensable injuries. The state of the current literature is discussed, and directions for future research are provided.

摘要

研究受创伤儿童的神经心理功能主要集中在受虐待人群。本文介绍了一个案例研究,详细说明了一名5岁时经历机动车事故的女孩的纵向结果。它强调了研究单次创伤事件对儿童神经心理影响的研究的临床相关性。它说明了临床医生在区分发育迟缓、创伤性脑损伤、注意力缺陷/多动障碍、创伤以及创伤后应激症状或创伤后应激障碍的影响时所面临的困难,尤其是在有可补偿损伤的儿童中。讨论了当前文献的状况,并提供了未来研究的方向。

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