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幼儿中创伤后应激障碍与抑郁症共病情况

Co-Occurring Posttraumatic Stress Disorder and Depression Among Young Children.

作者信息

Salloum Alison, Johnco Carly, Smyth Kristin M, Murphy Tanya K, Storch Eric A

机构信息

School of Social Work, College of Behavioral and Community Sciences, University of South Florida, 13301 Bruce B. Downs Blvd., MHC 1400, Tampa, FL, 33612-3870, USA.

Department of Pediatrics, University of South Florida, St. Petersburg, FL, USA.

出版信息

Child Psychiatry Hum Dev. 2018 Jun;49(3):452-459. doi: 10.1007/s10578-017-0764-6.

Abstract

The purpose of this study was to examine differences in: (1) mental health emotional and behavioral problems between young children experiencing PTSD with and without MDD; (2) the incidence of caregiver PTSD and MDD between children with PTSD ± MDD; and (3) the number of traumatic events and interpersonal versus non-interpersonal nature of trauma events among children whose parents sought child trauma-focused treatment. Sixty-six caregivers of children aged 3-7 with PTSD completed semi-structured interviews regarding caregiver and child diagnoses, and caregivers completed self-report measures regarding child symptomatology. Results indicated that young children with PTSD + MDD had significantly higher internalizing symptoms, dissociative symptoms, and posttraumatic stress severity than those without comorbid MDD. There were no significant group differences in the incidence of caregiver PTSD or MDD, or the number or types of traumatic events. Future research to understand the unique contributors to the etiology of MDD in the context of PTSD among young children is needed.

摘要

本研究的目的是检验以下方面的差异

(1)患有创伤后应激障碍(PTSD)且伴有或不伴有重度抑郁障碍(MDD)的幼儿在心理健康、情绪和行为问题上的差异;(2)患有PTSD±MDD的儿童中照顾者PTSD和MDD的发病率;(3)其父母寻求以儿童创伤为重点治疗的儿童中创伤事件的数量以及创伤事件的人际性质与非人际性质。66名患有PTSD的3至7岁儿童的照顾者完成了关于照顾者和儿童诊断的半结构化访谈,照顾者还完成了关于儿童症状的自我报告测量。结果表明,患有PTSD+MDD的幼儿比没有共病MDD的幼儿具有更高的内化症状、解离症状和创伤后应激严重程度。在照顾者PTSD或MDD的发病率、创伤事件的数量或类型方面,没有显著的组间差异。未来需要开展研究,以了解幼儿PTSD背景下MDD病因的独特影响因素。

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