Stoddard F J, Norman D K, Murphy J M
Department of Psychiatry, Harvard Medical School, Boston, MA.
J Trauma. 1989 Apr;29(4):471-7. doi: 10.1097/00005373-198904000-00009.
The results of a diagnostic outcome study of children and adolescents with severe burns are presented. The positive research findings include evidence of present and lifetime full and partial anxiety and depressive disorders and statistically significant within-sample, burn-related, and demographic differences. The negative findings are less depression and post-traumatic stress disorder by DSM-III criteria than expected, the presence of a subgroup of severely burned children who appeared to be functioning well with only a few or no diagnoses, and absence of significant differences on many variables on within-group comparisons. Based on these data, periodic psychiatric evaluation or reevaluation and specifically targeted followup treatment are indicated for many burned children, adolescents, and their families.
本文呈现了一项针对重度烧伤儿童和青少年的诊断结果研究。积极的研究发现包括存在当前及终生的全面和部分焦虑症与抑郁症的证据，以及样本内、烧伤相关和人口统计学方面具有统计学意义的差异。消极的发现是，按照《精神疾病诊断与统计手册》第三版（DSM-III）标准，抑郁症和创伤后应激障碍的发生率低于预期，存在一小部分重度烧伤儿童，他们似乎功能良好，仅有少数诊断或无诊断，并且在组内比较的许多变量上没有显著差异。基于这些数据，许多烧伤儿童、青少年及其家庭需要定期进行精神科评估或重新评估以及针对性的后续治疗。
